A neurotoxin is the class of medication used in Botox. It functions by preventing nerves from firing. Your nerves use the neurotransmitter acetylcholine to communicate with different areas of your body. Chemical messengers are called neurotransmitters. Acetylcholine is released by nerves, and this is how Botox works. Your muscles are therefore unable to receive signals from your neurons instructing them to contract or spasm. Botox stops nerves in cervical dystonia from causing your neck's muscles to clench or spasm. The effects of Botox injections fade over time. The reason for this is that your nerves can produce new endings that can start releasing acetylcholine once more. Within two weeks of starting a Botox injection, participants in a clinical trial with cervical dystonia started to see improvements in their disease. Six weeks following the injections, cervical dystonia symptoms appeared to be most effectively alleviated by Botox.

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