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Where Do They Inject Botox To Treat Migraines

Does Botox For Migraines Help Wrinkles

What to expect: BOTOX® treatment for chronic migraines

Q: Can Botox help prevent wrinkles?A: No, its not likely that using Botox for chronic migraine will have an effect on your skin. Cosmetic injections are used in order to treat fine lines and cracks around the eyes because these areas typically show more signs of aging than other parts do like forehead or crows feet area close to nose bridge where frowning occurs naturally due wear & tear over years causing expression lines between eyebrows when smiling too hard while reading something important at work etc.

Finding A Doctor Who Treats Migraine With Botox

If you want to try Botox for migraine, you should look for a headache specialist or neurologist. We recommend using your insurances doctor listing, Yelp, or the American Migraine Foundations doctor database.

Dr. Laura Banks, neurologist at Natividad Medical Center, suggests asking prospective doctors where they learned to give Botox, and how many times theyve given it. Youre looking for a lot of experience, she says. Dr. Andrew Blumenfeld suggests asking doctors how many injections they will give, and where they will give them.

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 Are The Side Effects Of Botox Injections Treat Migraines

The side effects of using Botox injections to treat migraines are generally mild but can include:

  • Problems swallowing, speaking, or breathing due to weakened muscles
  • Spread of the toxin, which may lead to loss of strength, double vision, blurred vision, and drooping eyelids
  • Allergic reactions and rashes
  • Fever, cough, sore throat, and runny nose
  • Anxiety, dry mouth, and ear ringing

What Is Treatment Like

Why Botox Can Help Prevent Migraines

When you receive your first Botox treatment, expect the appointment to take about 20 minutes. The doctor uses a very small needle that feels like a pinprick. He or she injects small amounts of Botox into shallow muscles in the skin. Each treatment typically involves 31 injections in seven key areas of the head and neck.

The most common side effect from the Botox shots is a sore neck, and we recommend using an ice pack to reduce the discomfort.

It can take up to six months to see the maximum benefit from Botox. In the meantime, you can continue your regular medications with no risk of a drug interaction.

Reviewed for accuracy by the American Migraine Foundations subject matter experts, headache specialists and medical advisers with deep knowledge and training in headache medicine. to read about our editorial board members.

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Botox For Migraines In Seattle And Tacoma

Nearly everyone will have a migraine at some point in their life. Normally recognizable by the throbbing or pulsing pain on one side of the head , these intense headaches can leave you completely debilitated and unable to work or partake in your everyday activities. However, for some migraine sufferers, they experience 15 days a month where their life is impacted by migraines. This is known as chronic migraines. BOTOXthe famed cosmetic injection to reduce facial lines and wrinkleshas emerged as a leader in preventing migraines in chronic sufferers. This can dramatically improve their quality of life and help those with chronic migraines get back to their life. Seattle Plastic Surgery offers BOTOX for migraines to chronic migraine patients in Seattle and Tacoma.

Does Botox For Migraines Work

Botox is a proven treatment for migraine headaches. Botox is the FDA-approved preventative treatment for chronic migraine! It prevents headaches and migraines before they even start, unlike treatments you take after a headache or migraine has begun. On average, Botox prevents 8 to 9 headache days per month. There have been over 2 million Botox treatments given to over 500,000 chronic migraines patients since 2010!

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How Long Does It Take The Botox To Stop Headache Pain

During a study, adult patients who were chronic migraine sufferers reported that after the initial shots of Botox, the total number of days they had headaches was noticeably reduced, they even experienced days of no pain at all and missed fewer days of work. Most patients reported that the injections started working after about 2 weeks.

In a separate study, approximately 50% of the participants who had two rounds of Botox shots within 6 months reported experiencing only half the number of headaches than before they began treatment, however, that number jumped to 70% of the participants after 5 rounds of treatment.

When Is Botox Used To Treat Migraines

Botox Injections for Migraines: Day 1, getting the injections

In 2010, the Food and Drug Administration approved the use of Botox a form of the botulinum neurotoxin for the treatment of chronic migraines.

People with chronic migraines have:

  • A history of migraine headaches
  • Headaches on 15 or more days per month
  • At least eight migraines per month

Small doses of Botox block the release of chemicals known as neurotransmitters, which carry pain signals from the brain. The FDA approves the use of Botox to treat chronic migraine in adults . A physician can prescribe Botox for children or teenagers with chronic migraines, but because this is an off-label treatment, insurance companies may not pay for it.

Treatment with Botox is not recommended for people who have headaches fewer than eight times per month or those who have other types of headaches, like cluster or tension-type headaches.

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Botox For Migraines Side Effects Forum

A 2014 study by a trusted source showed that neck pain was the most common side effect, affecting 4.3% of participants in this research project and injection site pain came second at 2%. However drooping eyelids did happen to be more prevalent among those who took part with 3%, while muscular weakness only affected 0.2 % of all subjects studied! These symptoms generally occur due simply because someone is injecting themselves with foreign substances taken from outside sources such as animals or plants- but dont worry if you experience them when getting your injections at our clinic weve got everything under control!!

How Are The Injections Given

  • The procedure takes 10 to 15 minutes.
  • The patient may be lying down or sitting.
  • There is a precise protocol that the doctor will follow in which 31-39 small volume injections will be given above the eyes, on the forehead, temples, back of the head, top of the neck, and the top of the trapezius.
  • Extra injections can be given to target the most painful zones in a safe manner.

Here is a YouTube video with Dr Blumenfeld, top expert in Botox injections. This is a teaching video so there are a lot of details on where to inject. In real life the injections go much faster.

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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 Does Botox Work In Treating Migraine

Botox For Migraines

Onabotulinumtoxin A, also known as Botox-A, was approved in 2010 by the FDA for the treatment of chronic migraine.

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. 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.

Migraine attacks are typically best treated right at the very beginning of an attack but it can really difficult to do that.

If you try to treat a migraine with oral medication, you can end up taking too much of it. This can result in medication overuse headache and sometimes even trigger more migraine attacks.

Botox can work as a preventive treatment that keeps your brain from receiving the initial migraine signals, without the risk of rebound headache that comes with many oral medications.

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What Causes Chronic Migraines

In the majority of cases of chronic migraines, there is usually no identifiable cause. There are certainly illnesses, medications, and other medical conditions that can cause someone to experience migraines for a short period of time, but chronic migraine sufferers have migraines 15 days a month for at least three months. Seattle BOTOX for migraines is only recommended for those with chronic migraines.

While no specific cause of chronic migraines is known, there are a number of factors that may worsen or bring on migraines in some people. These are known as triggers. Triggers range from lifestyle changes, the weather, hormones, and disruptions in sleep. Avoiding known triggers can help reduce the frequency of migraines, but not all migraines have triggers.

For most BOTOX for migraines patients in Seattle, there is no understood cause of their migraines, meaning that treating and preventing their headaches can seem nearly impossible. This is where BOTOX can come in. In clinical trials, BOTOX has shown to prevent on average 8-9 migraines a month in chronic sufferers. While BOTOX is not a treatment for migraines, preventing over half of the headaches experienced, can change and improve their quality of life.

The Mechanism Of Action Of Botulinum Toxin

BoNT inhibits release of acetylcholine from the presynaptic vesicles in the neuromuscular junction. Thus, it leads to dose-dependent and reversible muscular paralysis . The effect reaches the maximum level 2 weeks after application. Axonal sprouting which develops 24 months later ends the effect related with the toxin . Neuromuscular conduction returns, but local muscle paralysis can not fully explain the pain reliever characteristic of BoNT. It is thought that the toxin inhibits peripheral sensitization of the nociceptive fibers and thus decreases central sensitization . In many animal and human studies, BoNT/A was shown to inhibit glutamate A, calcitonin gene-related peptide and substance P which are released from activated sensory nerve fibers and which are important mediators of inflammatory pain . It is thought that inhibition of these neurotransmitters prevent neurogenic inflammation and peripheral sensitization. As a result of this, pain signals reaching from the periphery to the cental nervous system are decreased. Thus, BoNT/A indirectly blocks central sensitization observed in migraine and other painful conditions.

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Does Insurance Cover Botox For Migraines

One reason why many people are turned off from Botox treatment as an option for their migraines is because it can be expensive. However, there may come a time where the costs of medicine get too high and insurance companies will refuse to pay unless they have already tried two other options first. This means that before getting insured with your company or at large pharmacy chains like CVS/Heathcare providers should ask if prior authorizations are necessary then youll know whether these treatments fall under coverage guidelines!

Will I Need Botox All My Life Is It Safe

Treating Chronic Headaches with BOTOX Injections

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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How Does Botox Treat Migraines

Despite years of research, it is not fully understood how botulinum toxin works against migraines. Heres what we do know: Botox treats migraines when the neurotoxin is taken up into nerves, where it may modify the release of chemicals called neurotransmitters that carry signals between brain cells, interrupting pain production along the way by releasing pain-producing chemicals.

Although this process can reduce headache frequency and severity, it apparently does not change the underlying migraine condition.

What Does Treatment With Botox Involve

First, you need to be sure to choose a doctor who has training in administering therapeutic Botox.

Both Dr. Khayat and Dr. Becerra have completed intensive training at the American Academy of Facial Esthetics to provide Therapeutic Botox and Trigger Points Treatment.

Although the actual treatment takes only minutes, our Hingham dentists need to find out some information about you before they begin.

Step 1: Consultation A comprehensive muscular examination of the head and neck will be completed to identify any trigger points. Also, be ready to answer questions such as:

  • How often do your headaches occur?
  • How severe are your symptoms?
  • What, if anything, seems to improve your symptoms?
  • What, if anything, appears to worsen your symptoms?
  • Does anyone else in your family have migraines?

Step 2: Treatment Treatment will begin right away in the targeted muscles and trigger points. You should start to see results within two to ten days.Step 3: Follow-up Appointment Results are reassessed in about two weeks, and we can make adjustments if need be.Step 4: Three Months Later The effects of Botox will last for about three months. We will set up a regular schedule of appointments at three-month intervals to provide consistent pain management.

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What Are The Potential Side Effects

I asked this question as Ravitz was putting the first needles in my face, which was probably a mistake as I get anxious easily. However, she assured me that the side effects of Botox typically don’t happen at the doses prescribed for migraines, and even if the scary-sounding side effects you read about online do occur , they aren’t particularly dangerous and last four to six weeks.

“Most commonly, people have pain because youâre dealing with a bunch of shots, and sometimes you can get a headache from the procedure,” Ravitz tells Allure. “You may have heard about eye droops, but you usually donât see that. It can happen, but we try to keep it very symmetric so that it doesnât happen at all.”

Personally, I typically experience a headache after the procedure, but I attribute that mostly to tension and anxiety that comes from anticipating pain. It usually goes away before the next morning, and that’s the only notable side effect I’ve experienced in the five rounds of Botox I’ve had so far.

What To Expect From Getting Botox

Botox â Beauty Clinic Dr. Tameh

Botox injections themselves are almost painless. You may experience a very small sting or slight burning sensation with each injection.

Each session will last between 10 and 15 minutes. During the sessions, your doctor will inject multiple doses of Botox into specific points along your head and shoulders.

After the treatment, most patients are able to continue their day as usual without any issues.

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Who Qualifies For Treatment

Dr. Downey says that not everyone who struggles with migraines may be eligible to receive Botox treatments. Botox is only recommended for people who fit the following criteria for chronic migraines:

  • Experience headaches for more than 15 days a month where at least 8 days involve migraines that last at least 4 hours each
  • Struggle with the above for at least 3 months
  • Are at least 18 years old

Depending on your symptoms, your doctor may recommend you try other medications or treatments before trying Botox.

Botox Side Effects On Brain

Botox is a drug that paralyzes muscles, preventing them from contracting. In some cases you may have noticed this side effect on TV or in magazine ads for Botox its when people say their words come out sounding like they are being garbled by an alien abduction!

Botulinum toxin type A , causes paralysis and distortion of speech patterns through injection into certain parts the vocal chords mainly though also including those responsible for respiration control.

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Will Botox Work To Treat My 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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