Drooling of saliva is a relatively common occurrence following a number of neurological insults; however, it remains under-recognised by clinicians as a problem. Even when recognised, it is often managed sub-optimally. The pro-active and multi-disciplinary management of drooling can significantly improve the quality of life for patients and their carers. In this book,42 we aim to improve the knowledge of this common and often debilitating problem amongst clinicians of varied backgrounds. We feel it will be of particular value to physicians in neurology and rehabilitation medicine, but also to general physicians, nurses and speech and language therapists who manage patients with chronic neurological conditions. We explore possible management and treatment options including, in some detail, the use of Botulinum Toxin, which we feel should be the 1st line medical treatment in many patients. We hope that this will improve the outcome for patients and their caregivers, many of whom, at present, are suffering in silence.
Drooling of saliva is a relatively common occurrence following a number of neurological insults; however, it remains under-recognised by clinicians as a problem. Even when recognised, it is often managed sub-optimally. The pro-active and multi-disciplinary management of drooling can significantly improve the quality of life for patients and their carers. In this book,42 we aim to improve the knowledge of this common and often debilitating problem amongst clinicians of varied backgrounds. We feel it will be of particular value to physicians in neurology and rehabilitation medicine, but also to general physicians, nurses and speech and language therapists who manage patients with chronic neurological conditions. We explore possible management and treatment options including, in some detail, the use of Botulinum Toxin, which we feel should be the 1st line medical treatment in many patients. We hope that this will improve the outcome for patients and their caregivers, many of whom, at present, are suffering in silence.
We hope this book will be of use to a range of clinicians who treat patients with spasticity as part of their specialty, especially those who wish to improve their skills in ultrasound-guided muscle localisation for botulinum toxin injections. These may include rehabilitation physicians, neurologists, stroke physicians, physiotherapists, neurology/rehabilitation nurse specialists and occupational therapists. It may also be of assistance to general practitioners and general physicians who encounter patients with neurological diagnoses and the subsequent complications.
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