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target="_self"> Motion Lab </a> </li> <li class=""> <a href="/services/neurosciences/clinics/movement-disorders-clinic/" aria-label="Movement Disorders Clinic" class="GTMMENU" target="_self"> Movement Disorders Clinic </a> </li> <li class=""> <a href="/services/neurosciences/clinics/multiple-sclerosis-demyelinating-disease-clinic/" aria-label="Multiple Sclerosis and Demyelinating Disease Clinic" class="GTMMENU" target="_self"> Multiple Sclerosis and Demyelinating Disease Clinic </a> </li> <li class=""> <a href="/services/neurosciences/clinics/muscular-dystrophy-association-clinic/" aria-label="Muscular Dystrophy Association Clinic" class="GTMMENU" target="_self"> Muscular Dystrophy Association Clinic </a> </li> <li class=""> <a href="/services/neurosciences/clinics/neurofibromatosis-clinic/" aria-label="Neurofibromatosis Clinic" class="GTMMENU" target="_self"> Neurofibromatosis Clinic </a> </li> <li class=""> <a href="/services/neurosciences/clinics/neurogenetics-clinic/" aria-label="Neurogenetics Clinic" class="GTMMENU" target="_self"> Neurogenetics Clinic </a> </li> <li class=""> <a href="/services/neurosciences/clinics/neuromuscular-disorders/" class="GTMMENU" target="_self"> Neuromuscular Disorders </a> </li> <li class=""> <a href="/services/pain-management/" aria-label="Pain Management Program" class="GTMMENU" target="_self"> Pain Management Program </a> </li> <li class=""> <a href="/services/neurosciences/clinics/selective-dorsal-rhizotomy/" aria-label="Selective Dorsal Rhizotomy" class="GTMMENU" target="_self"> Selective Dorsal Rhizotomy </a> </li> <li class=""> <a href="/services/neurosciences/clinics/stroke-clinic/" aria-label="Stroke Clinic" class="GTMMENU" target="_self"> Stroke Clinic </a> </li> <li class=""> <a href="/services/neurosciences/clinics/tourette-syndrome-clinic/" aria-label="Tourette Syndrome Clinic" class="GTMMENU" target="_self"> Tourette Syndrome Clinic </a> </li> <li class=""> <a 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Treated" class="GTMMENU" target="_self"> Conditions Treated </a> </li> <li class=""> <a href="/services/neurosciences/preparing-for-visit/" aria-label="Preparing For Your Visit" class="GTMMENU" target="_self"> Preparing For Your Visit </a> </li> <li class=""> <a href="/services/neurosciences/contact-us/" aria-label="Contacts and Locations" class="GTMMENU" target="_self"> Contacts and Locations </a> </li> <li class=""> <a href="http://arcuate.org/" aria-label="Arcuate News" class="GTMMENU" target="_blank"> Arcuate News </a> </li> <li class=""> <a href="/services/neurosciences/resources/" aria-label="Neuroscience Resources" class="GTMMENU" target="_self"> Neuroscience Resources </a> </li> <li class=""> <a href="/services/neurosciences/endowment/" aria-label="Dodson Neuro Research Endowment" class="GTMMENU" target="_self"> Dodson Neuro Research Endowment </a> </li> </ul> </div> </div> </div> </div> </div> </div> <div class="top-content"> <div class="rte-content"> <div class="rich-text"><p>Cook Children's Botox clinics are conducted by movement disorder specialists Warren Marks, M.D. and Fernando Acosta Jr., M.D. Botox injections are used to treat a variety of muscle conditions experienced by patients with dystonia, palsy and other neuromuscular disorders by partially paralyzing muscles to improve the patient's mobility and quality of life.</p> <p>Botox injections can be administered by our specialists in clinic or in the operating room with anesthesia depending on the needs of the patient.</p> <p>Pediatric movement disorders are diagnosed through physical examination of the patient, clinical examination of the child's history and symptoms, neuroimaging and laboratory studies, which may include genetic testing.</p></div> </div> <div class="score-accordion " id="0fe07ee3-a8a3-4c44-9f3f-244899651123"> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="714d5688-2bf6-409d-8392-6d3e4efd35ce-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#714d5688-2bf6-409d-8392-6d3e4efd35ce-panel" aria-expanded="false" aria-controls="714d5688-2bf6-409d-8392-6d3e4efd35ce-panel"> Conditions we see </button> </h3> </div> <div id="714d5688-2bf6-409d-8392-6d3e4efd35ce-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><div class="panel panel-default"> <div class="panel-body"> <ul class="marginRight"> <li>Abnormal gait</li> <li>Abnormal muscle tone</li> <li><a title="Ataxia" href="/services/neurosciences/conditions/acute-cerebellar-ataxia/">Ataxia</a></li> <li><a title="Brachial plexus injury" href="/services/neurosciences/conditions/brachial-plexus/">Brachial plexus injury</a></li> <li><a title="Cerebral Palsy" href="/services/neurosciences/conditions/cerebral-palsy/">Cerebral Palsy</a></li> <li><a title="Chorea" href="/services/neurosciences/conditions/chorea/">Chorea</a></li> <li><a title="Dystonia" href="/services/neurosciences/conditions/dystonia/">Dystonia</a></li> <li>Hypertonia and hypotonia</li> <li><a title="Muscular dystrophy" href="/services/neurosciences/conditions/muscular-dystrophy/">Muscular dystrophy</a></li> <li>Muscle weakness</li> <li><a title="Myoclonus" href="/services/neurosciences/conditions/myoclonus/">Myoclonus</a></li> <li>Tardive dyskinesia</li> <li>Torticollis</li> <li><a title="Tourette syndrome" href="/services/neurosciences/conditions/tourette-syndrome/">Tourette syndrome and other tic disorders</a></li> <li>Tremor and essential tremor</li> <li><a title="Juvenile Parkinson's disease" href="/services/neurosciences/conditions/juvenile-parkinsons/">Juvenile Parkinson's disease</a></li> <li><a href="/services/neurosciences/conditions/spasticity/">Spasticity</a></li> </ul> </div> </div> <p><!-- end panel --></p> <div class="panel panel-default"> <div class="panel-heading clickable"> </div> <div class="panel-body"> </div> </div></div> </div> </div> </div> </div> <div class="score-accordion-panel "> <div class="panel-heading"> <h3 id="f31519c5-080f-4883-8fc6-3ad147acb6e4-title" class="panel-title"> <button type="button" class="accordion-button GTMBUTTON" data-target="#f31519c5-080f-4883-8fc6-3ad147acb6e4-panel" aria-expanded="false" aria-controls="f31519c5-080f-4883-8fc6-3ad147acb6e4-panel"> Treatment options </button> </h3> </div> <div id="f31519c5-080f-4883-8fc6-3ad147acb6e4-panel" class="panel-collapse collapse "> <div class="panel-body"> <div class="rich-text"> <h4> </h4> <div class="rich-text"><div class="panel-body"> <ul class="marginRight"> <li>Oral medications</li> <li>Intrathecal Baclofen</li> <li>Botulinum toxin (Botox) injections</li> <li>Physical therapy</li> <li>Occupational therapy</li> <li>Biofeedback</li> <li>Psychological and psychiatric counseling when needed</li> <li>Neuropsychological testing</li> <li>Referral for Deep Brain Stimulation (DBS) surgery when indicated</li> </ul> </div></div> </div> </div> </div> </div> </div> <section class="score-stripe default" style="" data-epi-type="content"> <div class="container"> <div class="w-full"> <div class="content-area"> <div class=" page-layout"> <div class="card-slider "> <div class="inner-wrapper"> <div class=" page-layout"> <div class="doctor-card " > <div class="caption"> <h3> <a href="https://www.cookchildrens.org/doctors/neurosciences/dr-fernando-acosta-jr" aria-label="location in Texas"> Fernando Acosta Jr., MD </a> </h3> <div class="rich-text"> Neurology </div> <div class="overall-rating"> <div class="rating-count"> <span>4.9</span> out of 5 <div class="rating-stars"> <span class="inner"></span> </div> </div> </div> <div class="total-ratings">124 Ratings</div> </div> <div class="image-wrapper"> <img src="https://a.mktgcdn.com/p/x2Z5TfL-qmghrUGRI7GF5g9_pOAqJe1LMnBf5HWRNzQ/1024x1200.jpg" alt="Headshot of Dr. Fernando Acosta Jr." class="card-image GTMImage" /> </div> <div class="middle-caption"> <div class="rich-text">Accepting new patients</div> </div> <div class="bottom-caption"> <div class="rich-text"> <a href="tel:+16828852500"> <svg xmlns="http://www.w3.org/2000/svg" width="38" height="38" viewBox="0 0 38 38"> <g stroke="none" strokeWidth="1" fill="none" fillRule="evenodd"> <g transform="translate(-853.000000, -704.000000)" fill="#147B94" fillRule="nonzero"> <g id="CTAs" transform="translate(475.000000, 673.000000)"> <g id="button" transform="translate(336.000000, 0.000000)"> <g id="phone-icon" transform="translate(42.000000, 31.000000)"> <path d="M28.3876063,38 C26.935053,38 25.3749032,37.7849081 23.7250897,37.3368001 C18.84738,36.0283245 13.77241,32.9094924 9.43268307,28.5718064 C5.07502334,24.216196 1.97265654,19.1436127 0.663565343,14.268197 C-0.681391365,9.28523533 0.0359188792,5.09094386 2.65410127,2.45606845 C2.65410127,2.45606845 2.65410127,2.45606845 2.65410127,2.45606845 C4.32184759,0.789106455 7.87253329,0.072133554 8.0339281,0.036284909 C8.91263315,-0.142958316 9.84513646,0.358922714 10.1679261,1.16551723 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class="overall-rating"> <div class="rating-count"> <span>4.8</span> out of 5 <div class="rating-stars"> <span class="inner"></span> </div> </div> </div> <div class="total-ratings">60 Ratings</div> </div> <div class="image-wrapper"> <img src="https://a.mktgcdn.com/p/i-dXQYQBzUXCZ6YxFdT7qZs4P3a0R47ydHPqnHWNTrw/1024x1158.jpg" alt="Headshot of Dr. Warren A. Marks" class="card-image GTMImage" /> </div> <div class="middle-caption"> <div class="rich-text">Accepting new patients</div> </div> <div class="bottom-caption"> <div class="rich-text"> <a href="tel:+16828852500"> <svg xmlns="http://www.w3.org/2000/svg" width="38" height="38" viewBox="0 0 38 38"> <g stroke="none" strokeWidth="1" fill="none" fillRule="evenodd"> <g transform="translate(-853.000000, -704.000000)" fill="#147B94" fillRule="nonzero"> <g id="CTAs" transform="translate(475.000000, 673.000000)"> <g id="button" transform="translate(336.000000, 0.000000)"> <g id="phone-icon" transform="translate(42.000000, 31.000000)"> <path d="M28.3876063,38 C26.935053,38 25.3749032,37.7849081 23.7250897,37.3368001 C18.84738,36.0283245 13.77241,32.9094924 9.43268307,28.5718064 C5.07502334,24.216196 1.97265654,19.1436127 0.663565343,14.268197 C-0.681391365,9.28523533 0.0359188792,5.09094386 2.65410127,2.45606845 C2.65410127,2.45606845 2.65410127,2.45606845 2.65410127,2.45606845 C4.32184759,0.789106455 7.87253329,0.072133554 8.0339281,0.036284909 C8.91263315,-0.142958316 9.84513646,0.358922714 10.1679261,1.16551723 L13.8620738,10.4144676 C14.1669307,11.1852135 13.9338049,12.2248242 13.3240911,12.8163269 L10.6341777,15.5049752 C10.3472536,15.8096887 10.2396571,16.2757211 10.4010519,16.6342076 C10.4189847,16.6700562 10.4369174,16.7059048 10.4548502,16.7417535 C10.4548502,16.7417535 10.4548502,16.7596778 10.4727829,16.7596778 C10.4727829,16.7776021 10.4907157,16.7955265 10.4907157,16.8134508 C11.6025466,18.8568236 13.2164946,20.9539693 15.1352995,22.8718718 C17.0541044,24.7897743 19.1522369,26.4029633 21.2145038,27.5142713 C21.2324366,27.5321957 21.2503693,27.5321957 21.2683021,27.55012 L21.3041676,27.5680443 C21.3221004,27.5859686 21.3579659,27.5859686 21.3758986,27.6038929 C21.7345538,27.7652118 22.1828727,27.6576659 22.5056623,27.3529524 L25.1776429,24.6822284 C25.7873566,24.0728014 26.8274565,23.8397852 27.5806322,24.1444987 L36.8339344,27.8369091 C37.6409084,28.1595469 38.1430256,29.109536 37.963698,29.9699035 C37.9278325,30.1132981 37.2105223,33.6802383 35.5427759,35.3472003 C33.8032986,37.1037839 31.3285783,38 28.3876063,38 Z M3.55073907,3.35228457 L3.55073907,3.35228457 C1.23741354,5.64659786 0.645632586,9.41070559 1.86506,13.9455592 C3.12035293,18.605883 6.1151232,23.4812988 10.3113881,27.6755902 C14.507653,31.8698817 19.3853627,34.8811679 24.0478793,36.1179461 C28.5848666,37.3368001 32.3507454,36.7452974 34.6461381,34.4509841 C35.7938345,33.2859032 36.5290775,30.6510278 36.7263378,29.718963 C36.7801361,29.4321738 36.6008086,29.0916117 36.3676827,28.9840658 L27.1143806,25.2916553 C26.8274565,25.1661851 26.3074066,25.2916553 26.056348,25.5425959 L23.3843673,28.2133199 C22.7029226,28.8944442 21.6807555,29.0916117 20.8558487,28.7152009 C20.8558487,28.7152009 20.8379159,28.7152009 20.8379159,28.7152009 C20.8020504,28.6972766 20.7661849,28.6793523 20.7303194,28.661428 L20.6944539,28.6435036 C20.6944539,28.6435036 20.6765211,28.6255793 20.6765211,28.6255793 C20.6585884,28.607655 20.6406556,28.607655 20.6227229,28.5897307 C18.4707921,27.4246497 16.2829959,25.7397634 14.2745272,23.7322393 C12.2660585,21.7247152 10.5983122,19.5379478 9.41475032,17.3691048 C9.39681756,17.3511805 9.39681756,17.3332561 9.3788848,17.3153318 C9.34301929,17.2615588 9.32508654,17.2077859 9.28922102,17.1540129 C9.28922102,17.1540129 9.28922102,17.1360886 9.27128827,17.1360886 C8.89470039,16.2936454 9.09196071,15.271959 9.77340544,14.6087591 L12.4633189,11.9201107 C12.7143774,11.6691702 12.8399067,11.1672892 12.7143774,10.8625757 L9.00229693,1.63154961 C8.91263315,1.39853342 8.55397802,1.2192902 8.28498668,1.27306316 C8.24912117,1.27306316 4.93156129,1.95418742 3.55073907,3.35228457 Z" id="Shape" /> </g> </g> </g> </g> </g> </svg> 682-885-2500 </a> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </section> <div class="rich-text "> <div class="rich-text"><h2 style="margin-top: -60px;">We're here to help.</h2> <p>If your child has been diagnosed, you probably have lots of questions. 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