Treatment FAQ

what is botox treatment for migraines

by Dominique McCullough Published 2 years ago Updated 2 years ago
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Here is what you can expect from BOTOX® injections for migraines:

  • You receive the injections in your doctor’s office.
  • BOTOX® is injected into seven key areas of the head and neck.
  • Treatment takes about the same amount of time as a regular doctor visit.
  • The needles are small and sharp; you may feel tiny pinpricks and experience mild discomfort.
  • No daily medication is needed, as BOTOX® is a preventive treatment.

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Botox is injected around pain fibers that are involved in headaches. Botox enters the nerve endings around where it is injected and blocks the release of chemicals involved in pain transmission. This prevents activation of pain networks in the brain.Jun 14, 2017

Full Answer

Does Botox really help with migraines?

Botox treatments can help reduce symptoms of migraine headaches, including nausea, vomiting, and sensitivity to lights, sounds, and smells. After you receive Botox injections, it may take as long as 10 to 14 days for you to experience relief. Is Botox for migraines the same as cosmetic Botox?

Can you really use Botox to treat migraines?

Ironically, although some people experience a headache following a Botox treatment, Botox can also be used as a headache treatment: a 2010 study indicated that Botox could be used to prevent chronic daily headaches and migraine.

How soon will Botox start to work for my migraines?

  • Are your migraine attacks chronic? Chronic migraine is defined as taking place 15 days (or more), on average, out of every month. ...
  • Are you okay with multiple treatments? Botox might not be effective to treat migraine after your first treatment, and even when it works, it isn’t permanent. ...
  • Will your insurance cover it? ...

Is Botox a safe and effective treatment for migraine?

But Botox has its roots in treating a range of medical conditions and is now used as a preventative for chronic migraine. Botox works to gradually decrease the frequency and severity of migraine headaches, and for many people it’s an effective treatment that improves their quality of life.

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What are the side effects of Botox injections for migraines?

However, there are some side effects of Botox injections for migraine, including neck stiffness and muscle weakness....Common side effectsredness, soreness, or swelling at the injection site.bruising.chills.fatigue.dry mouth.neck stiffness.

Is migraine Botox painful?

Many people rely on Botox injections to help control their migraines, returning for repeat treatments every three months. According to most, the injections are not especially painful although, of course, you will be aware of them.

Where do they inject Botox for migraines?

You might get injections in your forehead, temples, and the back of your head and neck. Sometimes the specialist will inject areas called “trigger points” where the headache pain originates.

How long does migraine Botox last?

After several months, the nerves sprout new pain fibers, and the headaches tend to return. The Botox effect usually lasts about two-and-a-half months. Because injections are repeated no sooner than every three months, some people need other headache treatment for the last two weeks of a Botox cycle.

Can you drive after Botox for migraines?

You may receive several shots during the procedure in the areas on your head and neck where you feel pain. The shots may feel like a slight pinch. After the procedure, you're welcome to go home immediately. It's safe to drive yourself home, but you may want to bring someone along just in case.

Does Botox for migraines cause hair loss?

Injections of botulinum toxin type A in the forehead have never been reported to cause hair side effects.

What is the success rate of Botox for migraines?

A response rate of 65% is expected after 3 courses of treatment with onabotulinumtoxin A (Botox) in patients with chronic migraine. Now, a new study has indicated that long-term treatment with onabotulinumtoxin A is effective, safe, and well-tolerated in the patient population.

Do Botox injections hurt?

There might be a brief moment of discomfort, but BOTOX® injections are typically done with a very small needle. Some patients report feeling a stinging sensation, but the BOTOX® material itself is not painful.

What should you not do after Botox?

Top 7 Things NOT to Do After BotoxRubbing Your Face. The injection site should heal very quickly. ... Lying On Your Face. Don't take a nap right after your appointment. ... Strenuous Exercise. ... Skip the Wine. ... Don't Take Blood Thinners. ... Skip Washing Your Face. ... Avoid Heat and Sun.

Does Botox cause weight gain?

Can Botox cause weight gain? Botox does not cause weight gain.

Does Botox for migraines also help with wrinkles?

Can using Botox for migraine also help with wrinkles? No, using Botox to prevent headaches due to chronic migraine isn't likely to help with wrinkles. A different medication called Botox Cosmetic is used to help with wrinkles.

How many Botox sessions are needed for migraines?

You'll get several shots of Botox around your head and neck once every 12 weeks to dull or prevent migraine headaches. You may need 30 to 40 shots in all, and you'll get an equal number on each side of your head. If you have migraine pain in one particular spot, you may need more shots there.

How long does migraine pain last?

People who suffer from chronic migraines know the debilitating pain. These headaches cause severe pain that can last for hours, or even days, and cause sensitivity to light and noise, nausea and vomiting, blurred vision and lightheadedness.

Can you stop taking migraine medication?

Many patients note an improvement in the quality of their lives, more time with their families and a reduction in time missed from work. Over time, some people are able to reduce or stop taking other daily migraine medications, as well.

Is botox better than migraine medication?

The amount injected, as well as injection locations, is adjusted based on your reported pain. It is common for patients to report they tolerate Botox injections better than other oral migraine prevention medications.

Can Botox make you miss work?

They can interrupt your relationships and hobbies and cause you to miss work . There are many different treatment options, including medications and Botox injections. Long known as an elective cosmetic treatment for helping smooth out wrinkles, Botox, or onabotulinum toxin A, has been approved by the U.S.

Does insurance cover botox injections?

Botox injections for migraines are covered by most insurance plans; however, you may need to try other treatment options first. If you think you may benefit from Botox for your migraines, the first step is to keep a headache diary to track of your headache frequency, what appears to trigger them and which treatment is most effective.

How long does Botox help with migraines?

Botox ( onabotulinumtoxinA) is a preventive medication that helps to stop a migraine headache before it starts. In studies, Botox was shown to prevent on average 8 to 9 headache days a month (compared to 6 to 7 days per month for patients given a placebo, an inactive treatment).

How long does Botox last?

Botox is approved to be used in adults to prevent chronic migraine headaches that occur on 15 or more days per month and that last for at least 4 hours. At least 8 of the headache days must be associated with migraine.

How often is Botox injected?

It is injected by a healthcare professional into muscles around your head and neck every 12 weeks. In studies, Botox prevented about 8 to 9 headache days a month, compared to 6 to 7 days per month for patients given a placebo, an inactive treatment.

How often is Botox given?

Botox is given as injections in 7 muscle areas around your head and neck, every 12 weeks. Each injection session takes about 15 minutes at the clinic. Most patients start with two sessions to see how well Botox works for them.

How long does it take for a headache to go away after a second injection?

Some patients may see improvements in their headache frequency in the first 4 weeks, but most patients who see improvements will notice them after the second injection at 12 weeks. In 24-week long studies, patients continued to see reductions in their number of headache days on most days over the 24-week period.

Can you take Botox every 12 weeks?

Because Botox is an injection you receive every 12 weeks, you won’t have to remember to take a daily pill for migraine prevention. You can combine Botox with oral medications for acute migraine treatment to help reduce pain once a headache has already begun, if approved by your doctor.

Does Botox help with headaches?

It helps to block a chemical neurotransmitter known as acetylcholine that carries pain signals. When injected, Botox helps to prevent activation of the pathways in your head and neck that lead to migraine headache pain.

How does Botox work?

In summary, Botox works by an effect on sensory nerves that modulates pain. An effect on muscle contraction may also play a role but is not thought to be the key mechanisms for migraine. The story of Botox is interesting because it starts with an observation of effect on people which led to a scientific understanding on how it works.

How severe is migraine?

Chronic migraine is the most severe form of migraine. 1 to 2% of the population suffers from chronic migraine. These people have more than 15 days of headaches a month for at least three months, 8 or more of which are migraines.

Does Botox help with inflammation?

The inflammation is caused by different molecules that may be released by the sensory nerves. Botox blocks this , and that has a «calming» effect on the pain. There are studies done on animals showing that Botox modifies the electric activity of the pain network of the face and neck.

Is botox a preventive?

Yes. Botox has a different mechanism of action than oral preventives. Studies have demonstrated a benefit in patients who had tried other preventives. In real life, Botox is covered only after previous trials, and improvements are observed.

Does botox work for opioids?

Studies show that Botox works for people with or without medication overuse. Of course, if there is a severe overuse, or if there is opioid use, it might be best to plan a withdrawal as a part of your treatment plan. People taking opioids were not included in the Botox studies.

Is it easier to control a headache or neck pain?

The attacks are easier to control with acute treatments. The «baseline headache» or «baseline neck pain» are less intense. The tolerance to triggers is higher. The person functions better overall. Some of those effects may be seen earlier with the first treatments, before the impact on the frequency appears.

Does botox stop sweat glands from producing sweat?

Botox prevents nerves from communicating with their targets. If the target is a muscle, it will stop contracting. If the target is a sweat gland, it will stop producing sweat!

How do injectables treat migraines?

Licensed medical professionals treat migraines by injecting botulinum toxin into multiple areas around the head and neck.

How long does it take for a migraine to go away?

The treatments are approved for select people age 18 and older who experience 15 or more migraine days per month. It may take four weeks or more after treatment before you see a reduction in the frequency of your migraines, and more than one set of injections may be needed.

What is the effect of botulinum toxin on the body?

Botulinum toxin interferes with the transmission of these substances, typically where the nerves and muscles meet. Researchers think that when the drug is injected into the muscles around the face, head and neck, it is taken up by the nerves and interferes with pain-associated neurotransmission.

Where do you get botulinum injections?

You might get injections in your forehead, temples, and the back of your head and neck.

Can pregnant women get botulinum toxin?

Botulinum toxin injectables should be avoided by pregnant women and nursing mothers, as well as people with an allergy to proteins in cow’s milk. When given by an experienced and qualified health care specialist, botulinum toxin injections are relatively safe.

Can botulinum toxin be used for migraines?

Botulinum toxin treatments have been proved effective in clinical trials, and are one way to treat chronic migraines. Other medications, and lifestyle changes, might be recommended. If your doctor determines that you have chronic migraines, you might be a candidate for this treatment.

How does it work?

As a neurotoxin, Botox travels into your nerves where it alters the release of certain neurotransmitters that carry signals between your brain cells. That disruption is why this toxin can be so dangerous if you take it orally. It can even lead to paralysis.

What happens next?

After your session is over, you’ll probably be able to go about your day as usual without any downtime.

Paying for treatment

The FDA-recommended dosage of Botox for migraine is 155 units which costs an average of $300 to $600 each time treatment is administered. This means that if you’re paying out-of-pocket and need several treatments for your chronic migraine, you could pay thousands of dollars.

What is Botox?

Botox is useful to treat and prevent migraine. The full name is Botulinum toxin A.

Who is it for?

Botox is licensed and approved in the UK for people with chronic migraine (at least 15 days of headache a month, eight of which are migraine). Your neurologist or headache specialist will offer this treatment if you have already tried three migraine preventive treatments without them helping to improve your migraine.

What to expect at the clinic

You should bring along your headache diary to the clinic appointment. You should record how many days you have migraine and headache, as well as the number of days (not doses) you use a pain relief treatment.

After care

You will be able to return home on your own, but some people prefer to have someone accompany them, especially on the first occasion. It is best to have the rest of the day off, but it is not a requirement to have additional time off following the procedure.

Summary of possible side effects

A temporary worsening of your migraine for some days or a migraine attack on the day of treatment. These should be treated with your usual medication.

How many injections of Botox for migraines?

If you’re getting Botox for migraine treatment, expect to get 30 or so injections, all in targeted areas in your forehead and neck. These areas are different than the targeted areas where you’d have Botox for a cosmetic treatment, like smoothing out your forehead.

What are the symptoms of botox?

You should seek immediate medical help if you notice any of the following symptoms after your treatment: blurry vision. swelling of your tongue or throat.

How long does Botox last?

Botox is injected into specific areas of your head and neck involved in migraine pain. The effect lasts for about 3 months. Botox injections were developed to block neurotransmitters that tell your muscles to contract.

How long does it take for Botox to work?

It may take 10 to 14 days for the result of the Botox to start to take effect. Some people don’t respond to this type of treatment for migraine, and it typically takes two treatment cycles to figure out if you’re one of them.

What are the side effects of injecting a foreign substance into your body?

Trusted Source. showed that neck pain was the most common side effect, affecting 4.3 percent of study participants. Injection site pain, drooping eyelids, and muscular weakness was reported in 2.1 percent of people. In general, these side effects are simply the effect of injecting a foreign substance into your body.

Does Botox help with wrinkles?

By blocking these signals between your body and your brain, Botox diminishes the appearance of wrinkles. However, blocking neurotransmitters is also a way to prevent migraine attacks. Botox blocks the release of these chemicals from reaching your nerve endings and causing pain.

Does Botox cause muscle weakness?

The bottom line. Botox for migraine can cause some uncomfortable side effects, like muscle weakness and a stiff neck. Fortunately, most of these side effects are mild and temporary. Severe side effects are extremely rare, but they can happen.

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Key Points

  • Botox is injected into muscles around your head and neck area that are associated with headache pain. It helps to block a chemical neurotransmitter known as acetylcholine that carries pain signals. When injected, Botox helps to prevent activation of the pathways in your head and neck that lead to migraine headache pain. Botox is given as injections in 7 muscle areas around your …
See more on drugs.com

How Well Does Botox Work For Migraines?

  • Botox (onabotulinumtoxinA) is a preventive medication that helps to stop a migraine headache before it starts. In studies, Botox was shown to prevent on average 8 to 9 headache days a month (compared to 6 to 7 days per month for patients given a placebo, an inactive treatment). Botox is approved to be used in adults to prevent chronic migraine headachesthat occur on 15 or more d…
See more on drugs.com

How Long Does It Take For Botox to Work?

  • Some patients may see improvements in their headache frequency in the first 4 weeks, but most patients who see improvements will notice them after the second injection at 12 weeks. In 24-week long studies, patients continued to see reductions in their number of headache days on most days over the 24-week period. Botox also lowered the total length of time of headaches o…
See more on drugs.com

Bottom Line

  1. Botox is a preventive medicine and can help to stop a migraine headache before it starts. It is injected by a healthcare professional into muscles around your head and neck every 12 weeks.
  2. In studies, Botox prevented about 8 to 9 headache days a month, compared to 6 to 7 days per month for patients given a placebo, an inactive treatment.
  3. Botox helps to block a chemical neurotransmitter known as acetylcholine that carries pain si…
  1. Botox is a preventive medicine and can help to stop a migraine headache before it starts. It is injected by a healthcare professional into muscles around your head and neck every 12 weeks.
  2. In studies, Botox prevented about 8 to 9 headache days a month, compared to 6 to 7 days per month for patients given a placebo, an inactive treatment.
  3. Botox helps to block a chemical neurotransmitter known as acetylcholine that carries pain signals. When injected, Botox helps to prevent activation of the pathways that lead to migraine headache pain.

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