As a neurologist I can fully appreciate the diagnosis of DYSTONIA as a potential cause/explanation to your symptoms. However, if after multiple cycles of BOTOX nothing seems to be changing then, unfortunately, either the person doing the injections needs to rethink the diagnosis or the method of injection is inadequate, or the dosage of the BOTOX is inadequate, or the injector should consider an alternative to BOTOX such as MYOBLOC or another agent, etc. Certainly, a 2nd opinion would not hurt if you are not getting the relief you seek from current therapy. You may write to me at: www.bit.ly/drdariushsaghafi with more questions. Please rate this a 5 STAR ENCOUNTER.