Here is Mariah's tight right arm just 2 days after botox. There had been no change in range of motion so this is what it looked like pre-botox.
And here she is 4 months later! She still can't reach way up high over her head because her shoulder is tight as well and we didn't do botox there. Her PT is working on that area and it is improving though :) The biggest change is how easy the motion for washing her hands is. The botox was injected into the muscles that help her open her hand and turn her arm palm up.
Think how many times a day a kid needs to wash their hands.
Every.time. she goes potty.
Whenever she's been outside.
Its a lot! This is easy for her now! It used to be such a struggle!