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Medical Procedures

We provide care for patients with disabilities managing their physical needs with the goal of improving function and quality of life. We provide medical botox services for spasticity, chronic migraine, cervical dystonia, sialorrhea, bruxism, and TMJ pain. We also perform Baclofen pump management, Occipital nerve blocks, Trigger point injections, and Joint injections.


Botox/ Xeomin/ Dysport/ Phenol injections for Spasticity

Stroke, Spinal cord injury, Cerebral palsy, Multiple Sclerosis, and Traumatic Brain injury clients are commonly affected with spasticity. If spasticity or tightness in your limbs limit your ability to function, causes pain, or decreases your quality of life then these injections may be right for you. We offer Botox, Xeomin, Dysport, and Phenol injections to treat spasticity.

Chronic Migraines

Chronic migraines can be very debilitating and impact your daily life. If you have failed oral medications and are experiencing >15 headache days per month you may benefit from botox injections to treat your chronic migraine. Botox injections have been shown to reduce headache frequency and severity. Let us help you get your life back!


Cervical Dystonia

Cervical dystonia, also called spasmodic torticollis, is a painful condition in which your neck muscles contract involuntarily, causing your head to twist or turn to one side. Cervical dystonia can also cause your head to uncontrollably tilt forward or backward.

Botulinum toxin injections are used to treat cervical dystonia. Such procedures are both safe and effective and are done right in the office. Vanguard Rehabilitation Physicians of Texas offers treatment for patients experiencing cervical dystonia.

Bruxism (teeth grinding)

Bruxism is excessive grinding of the teeth or clenching of the jaw. This condition can affect adults and children, and can occur during the day or night. Some people don't have any symptoms. Others may experience headaches, jaw pain, tooth pain, or dental problems.


Not everyone with bruxism needs treatment, but when there are frequent symptoms of morning headaches and jaw pain, unrefreshing sleep, or risk for long-term damage to teeth, a number of treatment options may be considered.

Treatment for bruxism can involve multiple components to both manage pain and other symptoms and also reduce the severity of teeth grinding and its potential consequences.


Vanguard Rehabilitation Physicians of Texas offers botox injections for patients experiencing teeth grinding symptoms.


Sialorrhea (excessive salivation)

Sialorrhea, or excessive salivation is associated with neurological disorders or localized anatomical abnormalities in the oral cavity. Sialorrhea can be classified as anterior and posterior; both can occur separately or simultaneously. Vanguard Rehabilitation Physicians of Texas offers treatment for patients experiencing sialorrhea symptoms which may include toxin injections.

TMJ pain

TMJ dysfunction is pain and tenderness in your jaw joints and surrounding muscles and ligaments. Causes include teeth grinding, jaw injuries, arthritis and everyday wear and tear. TMJ treatment varies from person to person and may include medication, injections, or physical therapy. Vanguard Rehabilitation Physicians of Texas offers treatment for patients experiencing TMJ pain.

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