ALERT

For the latest coronavirus care instructions and resources, please call our COVID-19 hotline at 208-381-9500. Find additional information and resources here and learn more about how we're working to keep you healthy and safe.

toggle mobile menu Menu
toggle search menu

Site Navigation

Supplemental

Menu

Botulinum (Botox) Injection for Low Back Pain

Topic Overview

Botulinum toxin A is a protein produced by the bacteria Clostridium botulinum, the same bacteria that causes botulism food poisoning. When injected into muscle in tiny amounts, botulinum A (Botox) can stop or reduce muscle spasm by blocking nerve signals to the muscle. This treatment has been used since the early 1990s to relieve severe muscle spasms around the eyes and in the neck, arms, legs, hands, and feet. Some people with cerebral palsy have gained significant relief from severe muscle contraction with botulinum toxin injections.

Botulinum toxin A has been tried as a treatment for chronic low back pain. Although this practice is experimental and not well tested, it has shown promise. For example, in one small study of 31 people with chronic low back pain, botulinum A injection was compared to saline injection into painful back muscles. Pain relief was reported by most people as lasting 3 to 4 months.footnote 1

The small size of the study makes it impossible to guarantee that botulinum toxin injection is an effective and safe treatment for you.

Talk to your doctor about the risks and benefits of this medicine and its unlabeled use. Severe side effects have been reported.

Related Information

References

Citations

  1. Waseem Z, et al. (2011). Botulinum toxin injections for low-back pain and sciatica (Review). Cochrane Database of Systematic Reviews (1).

Credits

Current as of: March 2, 2020

Author: Healthwise Staff
Medical Review: William H. Blahd, Jr., MD, FACEP - Emergency Medicine
Adam Husney, MD - Family Medicine
Kathleen Romito, MD - Family Medicine
Nancy E. Greenwald, MD - Physical Medicine and Rehabilitation

This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Healthwise is a URAC accredited health web site content provider. Privacy Policy. How this information was developed to help you make better health decisions.

© 1995-2015 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.