U.S. Food and Drug Administration (FDA) recently approved using the botox injections to help patients with neurological conditions who suffer from incontinence, or an overactive bladder. How? Botox injections paralyze the bladder muscle to prevent contractions that cause urgency to urinate or leak. Although medications and behavioral modifications are treatment options, many patients, especially the elderly, do not respond to these methods and need a more aggressive approach. In particular, in cases of neurological conditions, such as spinal cord injuries, Parkinson’s disease and multiple sclerosis, improvement is particularly rapid – within a week – and lasting up to nine months or even a year.