Botox®/Xeomin® Clinic

We are proud to be a Premier Therapeutic Injection Center providing a full spectrum of on-site treatment services for patients who are diagnosed with Neurologic Disorders such as Cervical Dystonia, Chronic Migraine, Blepharospasm, Hemifacial Spasm, Spasticity (post stroke, MS related, Cerebral Palsy and Spinal Cord Injury), Masseter Dystonia, Sialorrhea or Hyperhidrosis.

Dr. Martinez and his Advance Practitioners can recommend a complete treatment plan for each patient based on their individual diagnosis, medical history, current symptoms and health plan payer policy guidelines.

Our authorization team, led by Ann Marie Wine has extensive experience with the reimbursement process, working with specialty pharmacies to get product delivered in a timely fashion, Allergan and Merz supported Patient Access programs to help with out-of-pocket costs as well as Patient Assistance programs dedicated to helping qualified patients receive the treatment they need. We are proud to say that she has created an efficiency model that is emulated across the country.

Cervical Dystonia/Spasmodic Torticollis

Dystonia is the name for a particular disorder of the nerves that causes muscles to contract and spasm on their own. Cervical dystonia is a condition that causes neck muscles to tighten or spasm without your control. Other terms used to describe cervical dystonia include spasmodic torticollis and torticollis.

Common signs and symptoms of Cervical Dystonia may include any combination of the following:

  • Muscle spasms or tightness
  • Neck pain (reported in up to 91% of cases)
  • Uncomfortable pulling of muscles in the neck or shifting of the head to one side
  • Symptoms that worsen during the first 5 years
  • Head tremors

Blepharospasm is a muscle disorder that causes involuntary spasms of the muscles around your eye. These spasms can result in excessive blinking, eye twitching, or closing of your eyelids. This can impair your vision and make everyday tasks such as driving or using a computer difficult.

Symptoms of Blepharospasm

  • Dry eyes or watering eyes
  • Light sensitivity
  • Increased blinking
  • Eye pain
  • Soreness
  • Irritation and discomfort of the eyelids
  • Frequent eye movements

Upper Limb Spasticity can result from several conditions including:

Stroke: A stroke can damage small parts of a person’s brain, resulting in speech and/or vision problems and movement problems such as paralysis. These issues usually happen within a year after the stroke. Additionally, upper limb spasticity may develop months, even weeks, after the incident.
Multiple Sclerosis (MS): In MS, the cover of the nerve cell fibers in the brain and spinal cord-called the myelin sheath- gradually wears away, resulting in loss of movement, pain and upper limb spasticity. Symptoms of MS can worsen and improve in cycles.
Adult Cerebral Palsy: The symptoms of cerebral palsy appear in childhood and can persist in adults, affecting movement and coordination. It is not the result of damaged muscles or nerves, but rather problems in the part of the brain that controls muscle movements. As with stroke, the damaged part of the brain can also cause reduced arm function associated with upper limb spasticity.
Traumatic Brain Injury (TBI): Upper Limb spasticity can occur within days of the injury due to the extreme stress of a violent impact or skull fracture.
Spinal Cord Injury (SCI): After SCI, the nerve cells that control muscle activities below the injury become disconnected from the brain. As a result, upper limb spasticity is common after trauma to the spinal cord.

Upper Limb Spasticity can occur/present as a:

  • Bent wrist
  • Closed fist
  • Tight arm twisted against the chest
  • Stiffening or tightening of the wrist and/or arm
  • “Catching” feeling in the arm during a quick movement

Chronic Migraine: If you are suffering from Chronic Migraine, you are experiencing 15 or more headache days per month with headaches lasting 4 hours or longer. Chronic Migraine can also be associated with some of the following symptoms and triggers:

Signs & Symptoms

  • Nausea and/or vomiting
  • Photophobia-sensitivity to light
  • Phonophobia-sensitivity to sound
  • Vision changes (Aura)
  • Hearing changes (Aura)
  • Acute smell (Aura)
  • Vertigo/dizziness

Common Triggers

  • Physical activity or exertion
  • Stress
  • Hormonal changes
  • Skipping meals
  • Sleep disturbances or sleeping late
  • Weather changes
  • Perfume or Strange odors
  • Neck pain
  • Lights
  • Alcohol
  • Smoke
  • Heat
  • Food/diet

For More information please visit www.BOTOXMedical.com or www.Xeomin.com

Key Botox®/Xeomin® Clinic Staff

Neurologist
Kenneth P. Martinez, M.D.

Physician Assistants
Adela Ashraf, P.A.-C
Katherine King, P.A.-C
Wendy Reulman, P.A.-C
Jessica Vollebregt, P.A.-C

Nurse Practitioners
Mia Kim, F.N.P
Rebekah Torres, F.N.P

Registered Nurses
Vanessa Madrigal, R.N.
Julie Ramirez, R.N.

Occupational Therapist
Sharon Pascua, O.T. R./L