Where Are The Most Commonly Injected Areas And How Much Botox Is Generally Needed
As Botox is sold by the unit instead of by the syringe or area, having at least some idea of how much may be needed to treat your specific concerns can also help you estimate cost. This is only an average, and your specific treatment needs will be determined by consultation with one of our advanced practice providers.
Lets start with the under-eye area. While this is not an officially FDA-approved area for treatment, it is one of the most common off-label uses. The goal, just like with all Botox injections, is to relax the underlying muscles and reduce the visibility of the fine lines and wrinkles in the area.
Usually, only one to two units of Botox are needed because it is a relatively small and sensitive area. Fillers also tend to be more beneficial in this area too.
The lips are one of the most interesting and unique areas that Botox is given in, due to the diversity in how it can be injected and what it can do for you.
One of those techniques is known as a lip flip. When Botox is injected into a muscle called the orbicularis oris, which encircles the mouth, it naturally relaxes it and allows the lip to flip outward.
The end result is a more pronounced and defined lip and an enhanced cupids bow without needing a filler. However, this can also be combined with filler, if you want that extra volume.
SMILE LINES + MARIONETTE LINES
How Often Do You Need Botox For Migraines
Some people need as little as one Botox treatment per year, while others may need 2-4 applications per year Your grinding and clenching habits, lifestyle, activity level, and other factors can play a role in how soon your body processes the medication.
Botox can safely be used on a consistent basis over the course of years, if desired.
Scientific Journal #: Bmj Open
British scientists are also wondering, do Botox injections help migraines?
Researchers at the University of Birmingham, in the UK, did a systematic study bringing together and analyzing the data from all previous Botox trials worldwide in order to find a comprehensive answer.
Their paper, published in BMJ Open in 2019 showed that Botox injections consistently lowered the frequency of migraine.
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The Parts That Need Botox Injection For Migraine
With Botox injections, you can have a full treatment of your chronic migraine. However, you have to focus on the major parts, including shoulders, neck, and head. On average, 30 injections are essential to find the result. You may feel slight discomfort from these injections. Still, you will have the best effect from the treatment. While you have started noticing the result from the specialized injections, you have to repeat it every 3 months.
Migraine Treatment With Injectables What To Expect
Using a very small needle, a specialist injects botulinum toxin into the tiny muscles under your skin throughout various areas around your face, head and neck.
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.
These treatments for chronic migraines should be individualized, respecting the unique anatomy and origin points of pain in each patient, Reddy says.
It can take several weeks and multiple treatments before you start experiencing relief from your migraines. Some patients find they can discontinue injections without frequent migraines returning. Others need regular treatments to keep migraines under control.
Injectables can be effective in reducing the frequency of headaches in patients with chronic migraine and can also reduce debilitating symptoms associated with these migraines, says Reddy.
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What Type Of Headache Responds Best To Botox
Botox is only FDA-approved for chronic migraines, which means headache on 15 or more days a month. The more frequent the headaches, the better the patient does with Botox, says Dr. Andrew Blumenfeld, Director, The Headache Center of Southern California. Botox is not recommended for patients who experience fewer than 15 headache days a month.
Is Therapeutic Botox Treatment Painful
Not really. A tiny needle is used for Botox injections. You may feel a momentary pinch or burning sensation that will quickly disappear.
A series of injections are usually given during each treatment, and it typically takes 10-15 minutes to complete.
Most patients can return immediately to their regular routine.
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Why Does Botox Help Migraines
Have you ever experienced an intense debilitating headache? For 30 million Americans these incapacitating headaches or migraine headaches can cause severe pain on a regular basis and disrupt their lives. According to the American Migraine Foundation migraine headaches are an inherited neurological disorder that are caused by an overexcitability of certain areas within the brain.
Luckily promising treatments like Botox which was approved by the FDA to treat chronic migraines in 2010 are emerging victorious. But why does Botox help migraines?
What is Botox?
Botox is a medication prepared from a toxin created by the bacterium Clostridium botulinum which causes food poisoning says MedlinePlus. Since being approved by the FDA for cosmetic use in December 1989 Botox has been widely used to temporarily smooth facial wrinkles. Somewhere along the way doctors found that small doses of Botox are also useful in treating migraine headaches.
Why does Botox help migraines?
The exact reason Botox prevents migraines is uncertain. According to the Journal of the Canadian Chiropractic Association one theory suggests that Botox helps to relax muscles and reduce tightness in certain areas thus reducing the sensitivity to migraines and triggers. Since Botox has minimal side effects it can safely and effectively help adults with chronic migraines.
With what frequency does Botox successfully treat migraines?
Where is Botox injected?
How often would I receive injections?
The Path To Migraine Use
Botox was first used in the 1970s by ophthalmologists to treat eye conditions such as blepharospasm , and squint. Since then, its been approved to treat other medical conditions including bladder dysfunction, muscle contractions and excessive armpit sweating.
In 1998, an American plastic surgeon reported some of his patients receiving cosmetic Botox experienced an improvement in their migraine headaches after treatment.
Encouraged by other anecdotal evidence, researchers began to formally study the efficacy, safety and tolerability of Botox for chronic migraine through clinical trials. The most notable trials were the Phase 3 REsearch Evaluating Migraine Prophylaxis Therapy clinical program, or PREEMPT study.
The PREEMPT study involved 2 double-blind, randomised, placebo-controlled clinical trials involving 1,384 people who fulfilled the trial criteria of chronic migraine. Half the participants received Botox injections and the other half received a placebo.
The results from the clinical trials were combined and the study concluded treating chronic migraine with Botox reduced the number of migraine days and reduced headache-related disability.
From PREEMPT, the Food and Drug Administration approved Botox for use in chronic migraine in 2010. In Australia, Botox was approved for use in chronic migraine in 2011.
Botox is the brand name of onabotulinumtoxinA approved for chronic migraine and is made by the pharmaceutical company Allergan.
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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.
Does Botox Help Migraines
If youre interested in trying Botox injections for headaches, then we are here to help you out.
For the last decade, Botox, or Onabotulinumtoxina, has been approved to help adults with chronic migraine headaches. If you suffer from a migraine headache, it means that you have:
- A health history of both migraines and headaches
- Tension-type headaches most of the time
In addition to this, most of your tension headaches would have to classified as migraines. You might not be approved for Botox treatment if you have less than 14 headaches per month or suffer from other headaches, such as cluster headaches.
That said, getting a shot of Botox can drastically reduce the number of times that you have to deal with migraine headaches. In addition, you may experience more pain-free days every month as well. And that means fewer missed days from work too.
But thats not all!
If you sign up for multiple rounds of Botox shots, the number of days that you suffer from a headache every month could be chopped in half. Our general rule of thumb is that the more Botox sessions you can schedule, the better your headache symptoms will be.
So far, some scientists think that Botox helps with migraine headaches because it can stop neurotransmitters from sending pain signals through your body. Picture it as a roadblock on a neural pathway. By stopping these chemicals from hitting the nerve endings near your neck and head, you may be free from pain before you know its there!
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Can You Really Use Botox To Treat Migraines Are There Side Effects
Are you one of the many people who suffer from migraines?
If so, you have our sympathies. Migraines are no joke!
Maybe youve heard or read Botox can be an effective treatment for migraine pain and youd like to try it.
You may have some questions about it.
Does it really work? Does Botox for migraines have side effects?
Read on to find the answers to those questions and other important information about Botox you need to know before you decide.
How Long Does Botox Take To Work For Migraines
As with any treatment, how long it takes varies widely. For most people, Botox can take up to two weeks to start working. The effects will be gradual and work best when administered over time rather than in one large dose. Some people have reported improvement in their migraines after Botox treatment within the first few days, but this is not typical.
You may also notice some benefits in the first few days, such as fewer or less severe headaches. However, these improvements are temporary, and you will need ongoing treatments to maintain your results.
If Botox doesnt seem to be working for your migraine attacks, its important to find out why and talk with a medical professional about other treatments that can help you get relief from migraines. Consider Botox one option for combatting these debilitating headaches.
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What Are Dermal Fillers
Dermal fillers are injectables that mimic the look and feel of natural tissue or bone. They are used to augment lips, define cheekbones, and smooth out fine lines and wrinkles on the face. You can use our simple guide to dermal fillers to learn more about this popular cosmetic treatment.
Book your appointment for dermal fillers in Toronto at GraceMed. We offer this service at our clinics in North York, Burlington and Oakville.
Botox And Chronic Migraine
Many of us think of Botox injections as a way to help conceal the visible signs of ageing. 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 its an effective treatment that improves their quality of life.
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How To Predict If Botox For Migraine Is Going To Help
In some patients, Botox dramatically reduces the frequency of migraine attacks, while it has no effect for others. Approximately 65% of patients with chronic migraine respond to onabotulinumtoxin A after 3 courses of treatment.
Dr. Rami Burstein conducted a study published in 2006 which searched for a neurological marker that differentiated between migraine patients who respond to Botox treatment and those who do not benefit from it.
Different types of pain
Dr. Burstein found that some patients perceive their pain as pressure buildup inside their head while others perceive their pain to be inflicted from the outside in .
Among those who did not respond to Botox, 92% described a buildup of pressure inside their head .
Among those patients who responded to Botox, 74% perceived their head to be crushed, clamped or stubbed by external forces .
According to Dr. Mauskop in his 2009 New York Headache blog, many more patients suffer from imploding headaches or headaches with pain in the eye than with exploding headaches.
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Scientific Journal #: International Headache Society Journal Cephalalgia
Scientists have been running Botox trials since the 1980s, but the biggest research breakthroughs in using Botox for migraines came with a large scale study that began in 2006, and it had such conclusive results that the FDA approved the use of Botox for migraine relief.
The study was called PREEMPT , and the data showed a direct link between getting Botox injections and a reduced number of migraine headaches experienced by sufferers.
There were two phases of the trial, which overlap each other in time, but differed in style.
Phase I took place at 56 North American locations, and began with 24 weeks of a double-blind Botox treatment, followed by 32 weeks in which the participants knew they were potentially receiving Botox half got a placebo.
Phase II took place at 50 North American locations and 16 European locations. Unlike the Phase 1 tests, Phase II began with 28 weeks of a baseline screening period to establish a known pattern of migraine in the subjects before beginning the same studies as in Phase 1.
The study included over 1300 participants and lasted for two years, with the initial results being published in 2010.
The PREEMPT data was conclusive enough that the FDA approved the use of Botox as a treatment for migraine headaches.
Improved Quality of Life
Phase II of PREEMPT was able to look at other migraine symptoms and side effects because they had more information about their patients prior to Botox treatment.
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Where Does Botox Fit Relative To Other Treatments To Prevent Migraine
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 , as needed.
In chronic migraine, standard treatments, including daily prescription preventive medications alone or in combination, are usually tried before Botox. A disadvantage of Botox is that it must be administered through injection by a medical provider every three months in order to maintain the effect. 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.
What Are The Expected Benefits Of Botox Therapy
- We look for an improvement of more than 50% in the frequency and intensity of migraines. If you have 20 days per month, your 50% response would be 10 days per month .
- In studies nearly 50% of patients achieved this goal after 6 months of treatment .
- Some people improve more than others . 23% of patients in the studies improved by 75% . If you start at 20 days, you would go down to 5.
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The Verdict: Yes I Would Recommend It
So far, its been a lifesaver for me. Prior to Botox, Id been experiencing around three or four migraines a week that would have me waving the white flag, and now Im down to one on average . I also find that my medication works better when I feel one coming on.
That said, there are a few things Id make sure everyone knows before trying it. For one thing, it can be pretty painful. I have a pretty high pain tolerance, but getting 30 to 40 shots every three months is pretty rough â it feels a bit like getting tattooed with a bees stinger, but once the needle is out of your skin, the pain goes away, and if it works for you, its worth it. Its also important to know that it can take some time to work. The first treatment barely worked at all for me, and the second round took a few weeks. If youre going to try it out, be patient.
Read more about Botox:
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Let Us Help You Find Real Pain Relief
As we mentioned earlier, we truly sympathize with those who have to deal with the pain caused by chronic headaches and migraines.
Weve seen how debilitating such pain can be to our South Shore area patients in Hingham, Hanover, and Weymouth. We have helped them to find real relief from their pain, and we are confident that we can help you!
Therapeutic Botox for migraines has little to no side effects, and its fast and effective.
Just fill out the consultation request form, and well do the rest.
Or, if you would like to talk with us directly about Botox for migraines you can:
- and chat with us
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How Do I Access Botox
Botox is only available on the NHS for people with chronic migraine who have tried at least three other preventive treatments. It is currently only available via a specialist such as a headache specialist or consultant neurologist.
If you think you are eligible for Botox and would like to considered for treatment you can ask for a referral to a specialist. The specialist will assess your history and symptoms to make sure Botox is an appropriate treatment option for you. You should be asked to keep a headache diary to monitor the effectiveness of the treatment.
If Botox doesnt work for you or stops working your specialist will discuss other treatment options with you.