Would it be better ? Is it the same thing ?

"In very severe cases of disabling ST when pharmacotherapies including Botox injections have failed or the side effects are too severe, selective peripheral denervation may offer relief of symptoms. Selective peripheral denervation is a procedure in which nerves are removed at the point where they enter the selected hyperactive muscles; while innervation to uninvolved muscles is maintained. Studies have indicated that this procedure is useful in selected patients. Positive response to prior botulinum toxin therapy appears to be a very good indicator of outcome following selective peripheral denervation."