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It’s not just for fine lines and wrinkles: Botox is showing promise as a treatment for chronic pain. Or, rather, the botulinum toxin that’s used commercially to erase signs of aging is also being studied as a potential alternative to opioid drugs.

A new paper in Science shows that a single dose of botulinum toxin, injected into the spinal cavity, prompted several weeks of pain relief from chronic and neuropathic pain — in mice. The researchers developed a new form of the neurotoxin to selectively silence key pain-causing neurons in the spinal cord. It worked for 23 days without killing any nerve cells and without causing any toxicities, the study found.

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“At the moment, opioids are basically the gold standard to treat pain — but they’re at the root of an addiction epidemic in the U.S. right now,” said Maria Maiarù, the study’s lead author and a researcher in the department of cell and developmental biology at University College London. “What we provide is an opioid-free treatment for chronic pain.”

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