Botulinum toxin A for the treatment of neuropathic pain

  • Nguyen Phuong Thao Ho Chi Minh City Hospital of Dermato Venereology
  • Nguyễn Hữu Minh Bệnh viện Ung bướu Thành phố Hồ Chí Minh

Main Article Content

Keywords

Botulinum toxin A (BoNT-A), neuropathic pain, neuropathic pain treatment

Abstract

Botulinum toxin A (BoN-A) took three to four decades until the deadly toxin could be used therapeutically. It was utilized in humans only in 1980, by the ophthalmologist Alan B Scott, to treat strabismus [1, 2, 3, 4, 5]. Almost 10 years later, in December of 1989, the US Food and Drug Administration (FDA) approved onabotulinumtoxin A (Botox®) for treatment of strabismus, blepharospasm, and hemifacial spasm in children younger than age 12 years. In 2000, FDA approved its use for cervical dystonia [6, 7, 8, 9]. For a long time, the analgesic effect of BoNT-A was considered to be due to the effect of muscle relaxation [1, 10, 11]. However, recent studies using BoNT-A in neuropathic pain models have demonstrated that it has an analgesic effect independent of muscle relaxation by demonstrating dissociation of the duration of muscle relaxation and duration of pain relief [11, 12, 13, 14, 15, 16]. In this paper, we review of literatures to investigate the mechanism of BoNT in neuropathic pain by examining the effects of the drug for intractable neuropathic pains, such as postherpetic neuralgia, diabetic neuropathy, complex regional pain syndrome, trigeminal neuralgia, phantom limb pain, spinal cord injury-induced neuropathic pain, and central poststroke pain.

Article Details

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