Treatment FAQ

what is the overall outcome with botox treatment for migraines

by Maddison Okuneva Published 2 years ago Updated 2 years ago

Botox aims to reduce how often you have migraine attacks and how severe they are. Most people have at least two treatment cycles before deciding if Botox is effective. A good response to Botoxis usually a 30-50% reduction in how many headaches you have.

Does Botox Work for Migraine Headaches? In a study of adults who get chronic migraine headaches, shots of Botox cut down the total number of days they had them or even other types of headaches
types of headaches
There are two types: Episodic tension headaches happen fewer than 15 days per month. Chronic tension headaches happen more than 15 days a month.
https://www.webmd.comtension-headaches
. They also had more "crystal-clear" -- pain-free -- days each month, and they reported fewer days off work.
Jan 25, 2022

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.

Does research show that Botox work to help migraines?

showed that Botox used to treat chronic migraine was effective, safe, and well tolerated over ta 3-year period. The study showed a significant reduction in mean monthly headache days. A 2019 review...

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.

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.

Is Botox an effective treatment 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 long does Botox injections last for migraines?

Key Points. Botox (onabotulinumtoxinA) for migraine prevention lasts about 12 weeks for people who have a good response. You will visit your doctor 4 times per year for your treatment, or as directed.

What next if Botox doesn't work for migraines?

When working with your doctor to decide what to try next, leading migraine expert and Cove Medical Director Dr. Sara Crystal says, “The CGRP antagonists—Aimovig®, Ajovy®, and Emgality®—would be good options for patients who cannot receive Botox® now due to COVID-19.”

Can Botox for migraines make them worse?

For some people, botulinum toxin injections (Botox®) will help relieve a good portion of their headache symptoms, headache severity, and headache frequency. For some people, botulinum toxin injections will make their headache symptoms, headache severity, and headache frequency worse.

What are the long term effects of Botox?

This guide will help you navigate the long-term effects of Botox treatment....While uncommon, patients receiving Botox may experience:Muscle weakness.Difficulty breathing.Difficulting speaking.Hives.Chest pain.Loss of bladder control.Bleeding and redness at the injection site.

Does Botox for migraines cause fatigue?

Other side effects of BOTOX® include: dry mouth, discomfort or pain at the injection site, tiredness, headache, neck pain, eye problems: double vision, blurred vision, decreased eyesight, drooping eyelids, swelling of your eyelids, dry eyes; and drooping eyebrows.

What are the side effects of Botox in the forehead?

Possible side effects and complications include:Pain, swelling or bruising at the injection site.Headache or flu-like symptoms.Droopy eyelid or cockeyed eyebrows.Crooked smile or drooling.Eye dryness or excessive tearing.

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 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 many shots of Botox for migraines?

Though migraine symptoms vary from person to person, Botox for migraine is standardized. Every three months you'll receive 31 shots (yes, you read that correctly) totaling up to 155 units of Botox. This includes injections in specific spots in the forehead, temples, back of the head, neck, upper back, and shoulders.

How long does it take for Botox to work?

Even if the treatment ends up helping after the first round, he says results typically take two to four weeks to kick in. There's no taper required to discontinue the treatment.

What is Botox A?

Instead, treatment mainly focuses on relieving symptoms and preventing or lessening future attacks through a combination of medications and lifestyle changes. This, in some cases, is where Botox-aka Onabotulinumtoxin A or Botox A-comes into play. RELATED: 5 Women on What It Really Feels Like to Have a Migraine.

What is migraine headache?

According to the American Migraine Foundation (AMF), a migraine (sometimes just referred to as "migraine") is a "disabling neurological disease with different symptoms and different treatment approaches compared to other headache disorders.".

What causes zig zags in migraines?

Visual disturbances, like seeing zig zags, flashes of light, or blind spots. It's not entirely clear what causes migraine, though researchers believe that there's a genetic component to the neurological condition, according to the US National Library of Medicine's MedlinePlus resource.

How many days a month do you have to have a headache to get approved for a syring

You may also need to keep a headache diary (I track mine in a note on my phone) that shows you're having 15 or more headache days per month.

Where is Botox injected?

Technically speaking, the AMF says that Botox is injected into the pain fibers in the head, neck, and back that are involved in headaches. That Botox then blocks the release of chemicals involved in pain transmission, which then prevents activation of pain networks the brain.

How often does a migraine occur?

However, one of its most common uses is in the preventive treatment of chronic migraine. Chronic migraine, defined as headache occurring more than 15 days a month for more than three months, is rare, affecting only about 3% of the migraine population. Nonetheless, since migraine itself is so common, this condition ends up affecting ...

Where does botulinum neurotoxin go?

Botulinum neurotoxin is taken up into nerves, where it may modify the release of neurotransmitters, chemicals that carry signals between brain cells. This is the original mechanism responsible for the paralysis in BoNT poisoning.

What is migraine management plan?

A comprehensive migraine management plan consists of maintaining a healthy lifestyle, avoiding migraine triggers as much as possible, and using over-the-counter and prescription abortive medications (to stop a migraine already in progress), as needed. In chronic migraine, standard treatments, including daily prescription preventive medications ...

What is botox made of?

Botox is a brand of botulinum neurotoxin (BoNT), a protein substance originally derived from the bacterium Clostridium botulinum. In its original form it was the toxin responsible for botulism, the paralyzing illness often caused by eating contaminated food.

When was Botox first used?

Botox was introduced for treatment of chronic migraine in 2000, after some people receiving injections for cosmetic treatment of facial lines reported improvement of headaches. Initial studies after that observation produced conflicting results. Then in 2010, two large studies showed enough benefit ...

Does Botox help with migraines?

Botox can help people feel and function better with fewer missed days of work, and the treatments are often covered by health insurance plans. Botox is not typically used in people who have 14 or fewer migraine headaches ...

Can you take Botox for migraines?

In addition, those on Botox may need to continue taking their previous prescription migraine medications for optimal results . Nonetheless, Botox has become a common treatment in headache centers in the US. Botox injections are well-tolerated, beneficial, and appear to be safe for long-term management of chronic migraine.

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.

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.

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.

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.

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.

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