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Does Botox For Migraines Help Wrinkles

When Is Botox Used

BOTOX for Chronic Headaches or Migraines by John E. Stavrakos, MD with Vitality Medical Centers

Botox is approved for use on the NHS for the treatment of chronic migraine in adults. Chronic migraine is defined as having at least 15 headache days a month, with at least eight of those featuring migraine symptoms.

It is not an effective treatment for other types of headache including episodic migraine , tension-type headache and cluster headache.

Botulinum toxin is used to treat other conditions such as hemifacial spasm, cervical dystonia, cerebral palsy, bladder pain, lower back pain, neuropathic pain and stroke.

In England and Wales, the National Institute of Health and Care Excellence recommends the use of Botox for people with chronic migraine who:

  • have failed at least three preventive treatments
  • have been appropriately managed for medication overuse headache

In Scotland, the Scottish Medicines Consortium approved Botox for chronic migraine where people have failed to respond to three oral preventive treatments and any medication overuse has been appropriately managed.

In Northern Ireland, the Department of Health endorsed the NICE appraisal approving Botox for chronic migraine in 2012.

How does Botox work?

Its not clear why Botox is effective in migraine. However, doctors think it works by blocking chemicals called neurotransmitters that carry pain signals from within your brain.

Will it work for me?

Botox aims to reduce how often you have migraine attacks and how severe they are.

Whats The Difference Between A Headache And A Migraine

Botox is an approved treatment for those who struggle with headaches for more than 15 days per month and experience migraines for at least 8 of those days. But whats the difference between a headache and a migraine?

Headaches can cause pain in different parts of the head according to their cause.

  • Some headaches may be caused by physical or psychological stress
  • Others are caused by sinus pressure
  • Cluster headaches refer to particularly intense headaches that tend to happen around the same time each day

On the other hand, migraines often involve other symptoms aside from head pain. They may include dizziness, nausea, sensitivity to light or sound, as well as severe fatigue . Migraines may occur in different phases, which may involve symptoms and signs like blurred vision, mood disturbances, and trouble with speech.

Explore Your Personalized Treatment Plan

Botox injections are relatively safe when performed by an experienced physician and can be combined with other treatment options and therapies to improve results. ;

If you have questions about Botox or if youd like to schedule an appointment to discuss treatment options available at CSNA, please call or contact a CSNA representative online.

Complete the form below and a representative will contact you shortly.

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Are There Any Side Effects Of Botox For Migraines

The most common side effect that patients experience after Botox injections is neck pain or soreness, though this discomfort is typically mild and can be relieved easily with an ice pack.

In rare cases, patients can experience more severe side effects from Botox injections, including muscle weakness, muscle spasms, or drooping eyelids. Additionally, some patients are allergic to Botox, which can typically be determined through a patients medical history. Due to these risks, it is imperative that patients seeking Botox for migraines work with an experienced injector, such as Dr. Green.

What Side Effects Might I Get


The injections are slightly prickly or stingy and take about 5 minutes to complete.

It is possible, though rare, to have an acute allergic response so you should stay in the clinic for several minutes after the first set of injections.

Less than one in ten patients experience each of the following side effects:-

; Worsening migraine. This can begin within a day or two of the injections, usually lasts a small number of days. It can be treated with triptans and/or regular naproxen 250 mg or 375 mg three times daily after meals.

; Rash, itching

; As with all injections; pain, bruising, bleeding or infection where the injection was given are a possibility

1.;;;;;; Drooping of eyebrows or eye lids. This begins after a couple or a few weeks and can last for a small number of weeks.

2.;;;;;; Muscle weakness, pain, cramp, stiffness or tightness

3.;;;;;; Weakness and pain in the neck. This begins after a couple or a few weeks and can last for a small number of weeks. It can be treated with regular naproxen as in above.

Less than 1 in 100 may experience:

; Difficulty in swallowing

; Swollen eyelid

If you have any difficulty in breathing, swallowing or speaking after receiving Botox contact your GP immediately.

If you experience hives, swelling including the face or throat, wheezing, feeling faint and shortness of breath please also contact your GP immediately.

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You’ll Have To Get Dozens Of Shots

Though migraine symptoms vary from person to person, Botox for migraine is standardized. Every three months you’ll receive 31 shots 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.

If you’ve got a particular concern, like muscle spasticity or tightness in the shoulders, your provider may adjust the shot pattern to tackle that specific issue.

If Botox is working for you, there’s no known health risk associated with staying on it indefinitely, though it’s not approved for people who are pregnant or breastfeeding because of minimal studies in these groups.

Isnt It A Treatment For Wrinkles

Botulinum toxin gets into nerve endings and stops the nerve being able to respond normally to an electrical nerve impulse. Whatever that nerve normally does, stops working. So when facial expression muscles are injected, facial wrinkles are reduced. It was noticed by chance many years ago that people having cosmetic botulinum toxin had fewer headaches. Recently this was proven to work for chronic migraine; it is also used to treat other illnesses including hemifacial spasm, dystonia, cerebral palsy, and stroke.

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How Does The Treatment Process Work

The treatment process for Botox for migraine at White Dental Spa is very simple, fast, and non invasive. Each Botox injection usually lasts for about 10-12 weeks, so patients typically get a new injection every 3 months. Youll usually start experiencing the biggest reduction in migraines after two consecutive 3-month injections.

At your appointment, multiple doses of Botox will be injected into areas like the back of your neck, your forehead, the bridge of your nose, and a few other areas, depending on the extent of your migraines. It takes about 15-30 minutes for each treatment.;

How Much Does Botox Hurt


People with different pain tolerance -” rel=”nofollow”>different expectations) may answer this question differently. Botox needles hurt as much as any injection would, and the experience is over quickly. Be prepared for it to feel a little uncomfortable, and have an ice pack on hand to soothe inflammation or pain afterward.

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Is It Safe To Use Botox For Migraines

Botox is derived from the botulinum toxin, a chemical product of bacteria that can cause a severe form of food poisoning . However, Botox contains only a tiny amount of this toxin, and it is used to target specific muscles. It poses very little risk, and it is considered safe for use as a migraine treatment.

Clinical Evidence For Botox For Chronic Migraine

The FDA’s decision to approve Botox for Chronic Migraine was based on the existing evidence, namely two clinical trials called PREEMPT. The two PREEMPT trials included only patients with Chronic Migraine.

Results from the first PREEMPT trial showed those who received Botox had 7.8 fewer headache days a month, while those who were injected with placebo had 6.4 fewer headache days.

In PREEMPT 2, those who received Botox experienced 9 fewer headache days a month compared to 6.7 fewer days among those who received a placebo.

These two pivotal, placebo-controlled trials showed that Botox was associated with two fewer headache days a month for people with Chronic Migraine and chronic daily headache.

For episodic Migraine or tension-type headache, on the other hand, the clinical proof just isn’t there. A recent meta-analysis of 17 studies looked at data from nearly 3650 patients, of whom 1550 had Chronic Migraine and the remaining had episodic Migraine.

The review confirmed that Botox is superior to placebo in reducing headache days among those with Chronic Migraine. Studies of episodic Migraine, however, failed to produce statistically significant results.

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How Does Botox Work For Migraine

Once you understand what Botox® is, itâs easy to see how it could be useful for medical as well as cosmetic purposes. For people with cerebral palsy, for example, its muscle-relaxing effect can help keep involuntary movements under control. Botox® can also help treat a lazy eye, which is usually caused by an imbalance in the muscles around the eyes. But with a condition like migraine, the connection is a little more complicated.

So how does it work? Hereâs that complicated bit we told you about. Doctors suspect that when itâs injected into the places where a migraine sufferer typically experiences pain, Botox® has its usual paralyzing effectâbut this time under the surface. Instead of stopping your face muscles from moving around, it keeps the nerve endings in your brain from releasing pain signals. Thatâs why Botox® is used as a preventive rather than acute migraine treatmentâit canât stop an attack thatâs already happening, but it can make your head less likely to start hurting in the first place.

Will Botox Work To Treat My Migraines

Five Questions with Dr. Miller About Botox for Migraines ...

Individual results may vary, so theres no way to know for sure. But theres strong reason to believe that it might.

Multiple studies have shown that treating chronic migraines with Botox means fewer headache days each month when compared with placebo. It may take 10 to 14 days for the result of the Botox to start to take effect.

Some people dont respond to this type of treatment for migraine, and it typically takes two treatment cycles to figure out if youre one of them.

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What Is Treatment Like & How Long Does It Last

BOTOX® injections can paralyze nerve terminals that transmit pain and produce pain substances. The injections can help stop the process of pain patterns as well as relax muscles.

The procedure can take up to two weeks to take effect, and it may take a 2nd or 3rd treatment for maximum effects. BOTOX®, like other fillers, is slowly metabolized into the system, so you will need to receive the treatment every 3 months or so to remain effective.

Answer: Botox For Wrinkles And Migraines Works For Me

I have been treating myself with Botox for many, many years to prevent ocular migraines.When I get migraines, I get “ocular” migraines. This means I have vision problems, loss of vision, and shooting lights when I get a migraine. I can always tell when the Botox is wearing off because my migraines come back.I treat many patients for migraines with Botox and in most people, it is beneficial.There are different places to inject when treating for migraines, as opposed to treating for wrinkles, but you can kill two birds with one stone.

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Your Insurance May Or May Not Cover It

Because it’s an FDA-approved treatment, your health insurance may cover all or most of the cost of Botox, though this depends on your specific plan. The drug manufacturer also offers a savings program that can help offset some of the expense.

To get approval, your insurance company may want to see that you’ve “failed” on two or three oral preventatives first. You may also need to keep a headache diary that shows you’re having 15 or more headache days per month.

Once you’ve started the shots, your insurance will probably require documentation of improvement to continue paying for the treatment. Depending on your plan, you may also need to come for a follow-up visit between shots.

Note, however, that if Botox is used as an off-label treatment , insurance companies may not cover it, per the AMF.

Botox Injections For Chronic Migraine

Botox for Migraines

If you experience migraine symptoms for more than 15 days a month, Botox injections may help reduce both frequency and severity by preventing activation of pain networks in the brain.

Botox used to treat migraines is identical to Botox used to smooth facial lines and wrinkles.

However, instead of injecting Botox around the eyes and forehead, Botox for migraines is often injected behind the hairline, in the base of the neck and shoulders, depending on the patient.

Botox injections for migraines typically last 10 to 12 weeks, and many patients find that pain and frequency decrease by nearly 50 percent. It can take up to six months to maximize the benefits of Botox in a treatment plan.

Botox injections for chronic migraine is an ongoing treatment typically repeated every four months or so.

Since the FDA has approved the use of Botox to treat migraines, treatment is typically covered by most plans including Medicare and Medicaid.

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How Is Botox Given

The guidelines recommend Botox is given as a series of between 31 and 39 small injections. These are given under the skin or into the muscles in and around the head of the forehead, above the ears, and into the neck. The person doing your treatment will have been trained to provide Botox for chronic migraine.

Injections are given every 12 weeks. Botox is usually given until your migraine has changed to episodic migraine for three months in a row, or that there is significant improvement in disability using quality of life questionnaires. If Botox doesnt improve your migraine enough it may be stopped.

What are the side effects of Botox?

Generally, Botox is well-tolerated. The most common side effects include neck pain, muscular weakness and drooping of the eyelid. These side effects are temporary because the treatment wears off over time.

How Does It Work

At this point in the process, you might be wondering how this all works. First of all, youll receive several different shots of Botox near your neck and head once every three months. This is exactly what you need to prevent your dull migraines and headaches from coming back.

Interestingly, you might need dozens of Botox shots overall. Youll receive the same number of shots on both sides of your head. But if your migraine is stuck in one special spot, you might need extra shots in that location.;

The best part? You can feel positive results within a few weeks after your first Botox treatment!

Naturally, we highly recommend that you get this kind of treatment from a doctor;who is experienced enough to give Botox shots for chronic migraines and headaches. Unfortunately, finding a doctor who is only trained to give Botox shots for wrinkles or cosmetic procedures isnt going to make the cut.

It is important to understand the potential side effects you may experience after receiving Botox treatments for migraine pain. Headache and neck pain are the most common side effects for patients who use Botox to treat chronic migraine headaches.

In addition to this, its also crucial to note that you could have a rare allergic reaction from Botox treatment. Youll know that youre having an allergic reaction if you suffer from the following:

  • Hives
  • Shortness of breath
  • Swelling in your lower legs

Ready to get started?

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Challenges To Botox For Migraine

Several criticisms have been voiced about Botox for chronic migraine.

  • Critics of Botox for chronic migraine have argued that the actual reduction of headache days in terms of reduced headache days greater than placebo is small from the studies. This criticism looks at the total population of patients in the clinical trials which includes both the responders and the non-responders to the treatment. In patients who do respond, there is a significant benefit that is comparable to the most effective migraine preventive treatments.
  • Some have criticized the PREEMPT trial design as focusing on medication overuse headache . Although patients with medication overuse were allowed in the trial, patients whose headaches were escalating and had MOH not MO were excluded. MOH is not the same as MO. The PREEMPT trials did not contain patients with MOH and escalating headaches.
  • Botox is expensive.
  • Side effects included headache, droopy eyelids, neck stiffness & muscle spasm.
  • Other migraine specialists have observed that results from Botox vary. Some patients experience no change at all whilst others experience a very significant reduction in headache days.

    Interestingly, the UKs drug regulatory agency mentioned in its approval that Botox helps avoid the systemic side effects of pills and its safety profile was better overall.;

    How Botox For Migraines Works

    Botox Injections for Facial Wrinkles

    BOTOX, or Botulinum Toxin Type A, disrupts the normal function of the neuromuscular junction, blocking the release of acetylcholine, a neurotransmitter. Researchers believe that by blocking acetylcholine, BOTOX;disrupts pain pathways. Research continues to discover the exact mechanism that makes BOTOX;so effective on chronic migraine pain.

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    What Is Botox Cosmetic Used For

    This cosmetic procedure is used to get rid of unwanted wrinkles and aging lines around the forehead, frown lines, crows feet, and other facial features.

    At South Shore Prosthodontics, we use Allergan Botox;to help you look and feel younger. In fact, Botox Cosmetic can be used in conjunction with dermal fillers.

    Botox Cosmetic works by relaxing the muscles and smoothing wrinkles. Dermal fillers work differently.

    Fillers add volume to certain areas of the face. They can lift the cheeks, smooth the parenthesis lines around the mouth, and plump the lips.

    Combine dermal fillers with Botox Cosmetic, and you get a smooth appearance, looking 10-15 years younger!


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