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What To Do After Botox For Migraines

The Verdict: Yes I Would Recommend It

What to expect: BOTOX® treatment for chronic migraines

So far, it’s been a lifesaver for me. Prior to Botox, I’d been experiencing around three or four migraines a week that would have me waving the white flag, and now I’m 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 I’d 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 bee’s stinger, but once the needle is out of your skin, the pain goes away, and if it works for you, it’s worth it. It’s 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 you’re going to try it out, be patient.

Read more about Botox:

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.

Who Can Take Botox

Patients suffering from a chronic migraine, in which a headache is known to occur for 15 or more days of a month out of which 8 days are with a migraine, can take Botox.

This is not the only way of treating migraine. One needs to consult with the doctor to know about other methods as well and then choose the one that best suits them. A visit to the migraine clinic would let the patient show all his medical history, according to which the treatment can be carried out.

Botox should be taken only from a trained injector who has received proper training regarding its diagnosis as well as treatment.

Botox is known to contraindicate in the following situations:

  • When there is an injection in the site at which the injection is applied.
  • Patients who are hypersensitive to botulinum toxin type A or to any constituents used for the formation of Botox.
  • It might affect negatively during pregnancy, so must not be taken without doctors advice.Similarly, lactating mothers should avoid taking this as it can affect the newborn by passing through the milk.
  • Patients having neurological problems such as difficulty in swallowing are at greater risk of having side effects from Botox. Persons with peripheral motor neuropathic diseases also require extra caution while being administered with the doses.
  • Patients having neuromuscular disorders might face severe side-effects such as acute dysphagia and respiratory compromise on the application of typical doses of BOTOX.
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    What Can You Expect During A Botox Migraine Treatment

    Treatment is pretty quick and takes about 15 minutes, Dr. Natbony explains. Your doctor uses a very small needle to inject Botox into 31 injection sites over your forehead, temples and the back of your head, neck and shoulders. Injections feel like little pinpricks, and there may be a brief burning sensation at the injection sites. Overall, the process is not especially painful. Most patients are able to return to their routine daily activities immediately.

    What To Do After Botox In Forehead

    What Not To Do After Botox

    Many clients assume that your forehead is completely frozen after having Botox. Forehead movement is completely normal after Botox.

    The only things you need to consider are further down this page.

    The overall goal of Botox is not to completely disable your facial muscles, and it can take several days for the results to be visible.

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    Wait 24 Hours To Exercise

    If exercise is part of your daily routine, wait at least 24 hours to work out. Your doctor might suggest waiting for several days.

    Physical activity increases blood flow. This could potentially spread the toxin to unintended areas and reduce its effectiveness at the injection site. It also increases the risk of bruising.

    Exercise also contracts your muscles, which may decrease the toxins effectiveness.

    However, its safe to do facial exercises like:

    • frowning

    These movements can help the effects of Botox show up sooner.

    Will I Need Botox All My Life Is It Safe

    Migraine is a chronic disease and it may last over your whole life, like diabetes, hypertension and epilepsy. If Botox is improving your quality of life, you may decide to keep using it. So far, long term use of Botox is not associated with health risks. Minor changes in the bulk of the injected muscles can be seen, for exemple in the temples.

    If you want to read about Botox risks and side effects go HERE.

    If you want to learn about Botox access and coverage in Canada go HERE.

    If you want to read about how Botox works, go HERE.


    • Frampton JE, Silberstein S. OnabotulinumtoxinA: A Review in the Prevention of Chronic Migraine. Drugs. 2018 78:589-600.
    • Ashkenazi A, Blumenfeld A. OnabotulinumtoxinA for the treatment of headache. Headache. 2013 53 Suppl 2:54-61.
    • Dodick DW et al. OnabotulinumtoxinA for treatment of chronic migraine: pooled results from the double-blind, randomized, placebo-controlled phases of the PREEMPT clinical program. Headache. 2010 50:921-36.


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    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.
    • The skin is cleaned before the injections are done but as with all injections, infection, bleeding, tenderness, and bruising are possible where the injections are placed. This will usually be minor and last no more than a few days.
    • Drooping of the eyelid or brow. It is important not to rub the areas where the injections were done for the first 24 hours. Cleaning the forehead, washing the hair, applying make-up is best avoided until the drug is fully absorbed during that first day.
    • Minor changes to expression lines in the forehead are possible.
    • Weakness and pain in the neck and shoulders which can last a few weeks. If this happens you should let your clinic know and they may avoid injecting those areas in future treatment sessions.
    • If you have found no benefit after the second treatment, a third treatment may be given, or an alternative will be considered.

    Who Is It For

    Botox For Migraines

    Botox is licensed and approved in the UK for people with chronic 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. They will also want to check that you are not using painkillers and triptans too frequently.

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    Botox Aftercare: Things You Should Avoid After Botox Treatment

    Posted on April 01, 2021| Category: Skin| Author: John Kahen

    An injectable cosmetic drug that paralyzes your muscles is known as Botox. The treatment uses onabotulinumtoxina, which is a neurotoxin produced by bacteria known as Clostridium botulinum.

    The toxin also causes botulism poisoning but at high concentrations. Botulism refers to the severe form of muscle paralysis linked with contaminated food.

    It is safe to use Botox injections. The diluted amount of toxin in the injection is used to stop the muscles from contracting. Consequently, wrinkles tend to get soft and relaxed.

    The majority of people use Botox to reduce facial wrinkles. Apart from treating wrinkles, Botox injections are used to treat other conditions like:

    • Severe migraine

    • Overactive bladder

    • Neck spasms

    If you see technically, then Botox refers to a drug. There are several other types of injections available under different brand names like Xeomin and Dysport.

    Whether the treatment is effective or not will depend on your Botox aftercare. That’s the main reason you should avoid doing certain things after availing of Botox Beverly Hills treatment and emphasizing Botox aftercare.

    Read More: Benefits of A PRP facial Treatment

    What Are Botox Treatments Like

    Unlike other migraine treatments, Botox is given as a series of small injections directly into the muscle.

    In a single treatment session, between 31 and 39 shots are given throughout seven different parts of the forehead, head , and neck . Each treatment cycle can last about 10 to 20 minutes. Its important that the correct sites are treated, or else the treatment may not be as effective.

    Its recommended that a treatment cycle be given every 3 months in order to help control migraine attacks. How long you continue getting them will depend on how you respond to treatment. While many people improve with just one treatment cycle, some may require more. Most people seem to need fewer than three treatment cycles, but each person is different. Your doctor will work with you to see how long you should continue getting treatments and may recommend that you keep taking other medications until you see an improvement.

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    What Are Your Options If Botox Isnt Right For You

    There is now another class of medication thats FDA-approved for the preventative treatment of chronic migraine CGRP Monoclonal Antibodies, says Dr. Natbony. It includes the monthly injectables Aimovig, Emgality and Ajovy, and a quarterly IV infusion .

    You can also try alternative therapies such as acupuncture, biofeedback and meditation.

    The bottom line: Everyone is different, so working with your doctor to find the best treatment or combination of treatments is essential. Heres to more migraine-free days!

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    What Are Common Side Effects Of Botox

    botox before and after picture

    There are very few side effects associated with Botox treatments. The needle used is very small while some people may feel a small pinch with the injection, many dont feel anything.

    Other side effects can include some neck pain and muscle weakness where the medication was injected. Using ice packs can help reduce this pain if it happens. Rarely, people can experience eyelid drooping or muscle weakness in areas further away from the injection site.

    Studies have shown that up to five treatment cycles of Botox is safe and effective for chronic migraines.

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    Indications Adult Bladder Dysfunction:

    Overactive Bladder BOTOX® for injection is indicated for the treatment of overactive bladder with symptoms of urge urinary incontinence, urgency, and frequency in adults who have an inadequate response to or are intolerant of an anticholinergic medication.

    Detrusor Overactivity Associated With a Neurologic Condition BOTOX® is indicated for the treatment of urinary incontinence due to detrusor overactivity associated with a neurologic condition in adults who have an inadequate response to or are intolerant of an anticholinergic medication.

    Boxed Warning: Spread Of Toxin Effects

    This drug has a boxed warning . This is the most serious warning from the Food and Drug Administration . A boxed warning alerts doctors and patients about drug effects that may be dangerous.

    After Botox is injected, the drug may sometimes spread to other parts of the body. This can lead to a serious condition called botulism, which may cause symptoms such as:

    • muscle weakness
    • difficulty breathing
    • loss of bladder control

    Its possible for botulism to occur hours, days, or weeks after receiving Botox. If you experience any of the symptoms above after having a Botox injection, you should talk with your doctor.

    Rarely, the difficulty swallowing or breathing that botulism can cause can be life threatening. If you already have trouble swallowing or breathing, you may have an increased risk for these problems. Call your doctor immediately if you have trouble swallowing or breathing after receiving a Botox injection. If you think your symptoms are life threatening, call 911 or your local emergency number.

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    Working Of Botox For Migraines:

    Botox injections for migraines cause an inhibition of the pain caused due to a chronic migraine through the reduction of the pain pathways where the nerve cells in the trigeminovascular system are involved. The trigeminovascular system includes a sensory pathway that plays a vital role during a headache arising out of a migraine attack.Click the images below to place your order

    The Botox treatment for migraines last for a period of 10-12 weeks and according to the experience of patients, 2 treatments are known to reduce a headache by half.

    Botox For Migraines Side Effects:

    Botox for Migraines

    In the clinical trials, it has been found that 26% people reported about the side-effects after completion of the first treatment, which reduced to 11% after completing the second treatment. Also, 9% pee reported that their headache worsened.

    The side-effects are known to occur in the first few days after applying the injection, but they are not long-lasting.

    The following side-effects can occur when a person is administered with the Botox doses for a migraine:

  • A rare occurrence of immediate and serious hypersensitivity reactions such as anaphylaxis , serum sickness, urticaria , soft tissue edema and dyspnoea .
  • Sometimes the toxins spread to other places leading to the death of the person which are sometimes associated with dysphagia , pneumonia and/or weakness.
  • Some patients who undergo the therapeutic treatment might experience pronounced muscle weakness.
  • One might face local infection due to the injection resulting in pain, pain, inflammation, tenderness, swelling, bleeding, bruising, etc.
  • The treatment might lead to asthenia , muscle weakness, somnolence , dizziness and visual disturbance, which can cause problems while driving or operating a machine.
  • It is recommended to discontinue the injections when there are severe problems related to swallowing, speech or respiratory disorders arise.
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    What Is Botox Is It Safe

    Botox is created from botulinum toxin. While the idea of being injected with a toxin may sound scary, Botox actually contains such a miniscule amount of toxin that there is little chance of dangerous side effects. Since 2010, the FDA has recognized Botox as a safe treatment for migraines when administered by a licensed medical professional.

    What Are Best Techniques To Avoid Ptosis

    Ptosis generally occurs from injecting the frontalis incorrectly. The worst mistake is for the injector to move the procerus and corrugator injection points higher, where they will place more onabotulinumtoxinA into the frontalis. It is important to examine patients to determine their preexisting conditions prior to treatment administration. In particular, patients should be examined for pre-existing eyelid ptosis or pseudoptosis. With pseudoptosis, the lid strength is normal, but soft tissue covers part of the upper lid. With lid ptosis, the lid strength is weak. For both lid ptosis and pseudoptosis, patients will have frontalis compensatory activity, resulting in upgoing eyebrows . With brow ptosis, the frontalis is weak, and the eyebrow is depressed downward leading to tissue resting on the upper lid. To avoid this, the frontalis should be injected in the upper third of the forehead. The corrugator muscle attaches to bone at the medial end of the superciliary arch. The muscle fibers travel laterally and upward inserting into the skin in the middle of the supraorbital margin. The corrugator muscle is partially blended with the orbicularis oculi and occipitofrontalis. The supraorbital and supratrochlear nerves pass through the corrugator muscle. The corrugator muscle acts to pull the eyebrows downward and medially, which causes vertical wrinkle lines in the skin between the brows.

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    Headache Worse After Botox

    Asked by cdub

    Headache Worse After Botox?

    I had my first round of botox last October for chronic tension-type headache . I did some research beforehand and so I knew that botox wasn’t found to be effective for chronic TTH, but the doctor urged me to try it anyway, so I did . I didn’t count the number of injections, but I got them in my browline, hairline, temples, occipitals, shoulders, etc. My understanding was that it was a standard protocol.

    I’m posting because my headaches have become very much worse since I got botox, and I’m wondering if anyone on this forum has had a similar experience . I’m especially hoping to hear that the worsening wasn’t permanent, which is what I am starting to fear for myself.

    The first 10 days or so after botox, I had a very sore neck but little headache. My headaches ramped up pretty quickly after that and are now virtually constant. They are also more intense than they were before. I was told that the botox effects would wear off after 3 months, but if this increase in headache is due to botox , it shows no signs of easing up.

    My doctor’s office wanted me to come back for another round of botox, even after I told the receptionist how much worse my headaches were, but I decided against it. I still haven’t spoken with the doctor himself, but I am thinking about writing a letter to his office.

    Botox For Migraine Injection Sites

    Can Botox Prevent Chronic Migraines?

    Botox is a drug that can be injected into 7 specific muscle areas around the head and neck to prevent migraine headaches or attacks before they start. These injection sites include: forehead, bridge of nose temple area behind one ear , neck back just above shoulder blades in upper arm pit region at base level between shoulder muscles.

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    Things To Expect During The Botox Treatment

    It doesn’t matter what type of botulinum injection you are taking it will be a short procedure for sure. For instance, if you are getting the treatment done on your face, it will last for only 15-20 minutes, and that too without anesthesia. The needle used is small and can be tolerated very easily. To make the treatment even more bearable, some physicians opt for a vibration device injection.

    The physicians usually start with an iodine starch test when treating the underarms. Firstly, armpits are painted with iodine and dusted with cornstarch later on. When the patient sweats, the powder turns to purple color. Consequently, it helps the surgeons to know the exact location of sweat glands. This is where we proceed with the injections that consume around 30 minutes only.


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