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Who Makes Botox For Migraines

Botox Is Completely Safe For Migraines

Botox for Migraines

Some people might be skeptical about whether this type of treatment is safe or not since it involves an injectable toxin. You should feel assured that once you are at the clinic, you will be given detailed information regarding the treatment so that you can make a decision based on your knowledge. Botox for migraine treatment has been cleared by the FDA so you can go for this type of treatment option without any reservation. Botox has been found to be well tolerated through several studies. The injection provides relief from excruciating headache for at least a period of 3 months. After that, if it recurs you can always go for a second dose. It is a safe treatment with very few known side effects and people who have had it in the past report complete satisfaction with the results.

How is it Performed

Headache is something that becomes unbearable after a certain threshold is reached. And when its migraine, it brings many other symptoms with it including vomiting, nausea, lack of appetite, lightheadedness, and so on. People who suffer from this condition know just how difficult it is to cope with such an ache. At Jacobs Pain Centre, qualified specialists are available to help out in this regard providing Botox for migraine Toronto. They provide consultation to all patients and record their medical history before performing any procedures to ensure a safe and speedy treatment.

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It’s A Little Different Than The Botox You Receive From Your Esthetician

Though the same drug is used for both migraine prevention and cosmetic purposes, the amount and placement of Botox varies depending on your goals.

You may find some level of relief when you get Botox for cosmetic purposes. However, when you receive Botox from an esthetician, you’re not getting injections in the same spots as you would in a doctor’s office. This means you’ll miss the drug’s full migraine-busting effect.

Is Botox A Permanent Solution

The Botox injections are not a permanent solution and last about 2 ½ months. According to the American Headache Society, the national standard in treating migraines with Botox injections is every 3 months. Some individuals require an additional form of headache treatment for that interim two weeks.

Botox alone helps many people alleviate their chronic headache pain but others require additional medications.

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How Does Botox For Migraines Work

Botox is a neuromodulator, and neuromodulators can block the signals made between nerves and muscles. When it comes to wrinkles, Botox can block the nerve signals telling the muscle to contract. It forces the muscle to relax, which in turn forces the skin above it to relax. This is how the injectable smooths out wrinkles and fine lines.

So, how does Botox work for migraines? Doctors believe that the neuromodulator stops the brains pain signals from reaching the nerve endings in the head and neck. When those pain signals dont reach the nerves, the nerves dont respond with the inflammation and sensitivity that precede migraines. Botox essentially disrupts the sensory pathway and keeps the area more relaxed.

In addition to blocking pain signals, Botox can also relieve some of the muscle contraction associated with migraines. It forces the muscles in the head and neck to relax. In this scenario, the benefit of this relaxation isnt smoothing out wrinkles on the surface its preventing the muscles from tensing unconsciously and causing pain.

Getting Botox Treatment Paid For By Insurance

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In general, the FDA-recommended dosage of 155 units costs between $300 to $600 for each treatment. Because Botox is FDA approved for chronic migraine, its covered by most plans, including Medicare and Medicaid. Allergan offers a Botox Savings Card, which offers patients reduced fees.

Please note that before your insurance company will approve Botox as a treatment for your chronic migraine, you typically must have tried and failed to respond to two other preventative treatments. These might include anti-seizure medications, antidepressants, or blood pressure medications that are typically used to prevent migraine.

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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.

Botulinum Toxin Injections For Preventing Migraine In Adults

Bottom line

People with chronic migraine treated with botulinum toxin injections had two fewer migraine days per month than people treated with placebo . It is unclear if this improvement was large enough to make a meaningful difference to their lives. More work is needed to show whether botulinum toxin is better than oral treatments , that prevent migraine. The evidence for botulinum toxin for people with episodic migraine was uncertain. Treatment with botulinum toxin did not cause many side effects.


Migraine occurs in three in 20 adults and three in every four sufferers are female. People who have 15 or more days of headache in a month, with eight or more of those days being migraine, have chronic migraine. People with fewer than 15 days of headache in a month have episodic migraine. We included trials that compared botulinum toxin treatment with placebo injections of salt water, different doses of botulinum toxin, or other oral treatments to prevent migraine. We collected information for the following outcomes: number of migraine days in a month migraine severity use of medications for migraine symptoms disease-rating scales quality-of-life scales side effects and cost effectiveness of treatment.

Trial characteristics

Key results

Disappointingly, there was not enough detail in the trial reports about many important measures of disease for us to study them.

Quality of the evidence

Description of trials

Botulinum toxin versus placebo

Dosing trials

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Medicare Coverage For Botox

Medicare does not cover the cost of injecting Botox for cosmetic reasons. However, Medicare does cover the cost of Botox treatment if it is deemed medically necessary.

For instance, Medicare does not pay for Botox injections to remove signs of aging for aesthetic reasons.

Medicare coverage for Botox

However, Botox is also deemed medically necessary by doctors to prevent or treat several health conditions.

In such cases, Medicare usually covers the cost of Botox injections. Medicare covers the cost of Botox injections to treat severe, chronic migraines.

If you suffer from daily headaches for at least 3 months, then you are eligible for Medicare benefits.

It is important to prove a significant decrease in the frequency of headaches and improvement in functions after receiving the Botox injections.

Additionally, you also need to prove that you suffered noticeable disability due to the severity of the chronic headaches.

Summary Of Possible Side Effects:

Botox for Migraines – WVU Medicine Health Report
  • 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.

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Some Clinicians Will Prescribe Botox For High

“I think clinical experience trumps any meta-analysis,” said Dr. Robert Cowan. “High-frequency episodic patients who failed multiple preventive therapies were not specifically studied in the PREEMPT trial, but my clinical experience has shown Botox to be equally effective for HFEM and Chronic Migraine.”

What about tension headaches? Dr. Cowan warns, “However, I strongly doubt Botox would be effective or appropriate for episodic tension-type headache.”

Is Botox Right For Treating My Migraine Attacks

If youre thinking about Botox treatment for your migraine attacks, here are some questions you might consider and talk with your doctor about:

  • Are your migraine attacks chronic? Chronic migraine is defined as taking place 15 days , on average, out of every month. If your migraine attacks arent chronic, its unclear whether Botox would be helpful for you.
  • Are you okay with multiple treatments? Botox might not be effective to treat migraine after your first treatment, and even when it works, it isnt permanent. Youll need to plan to get regular Botox treatments every 3 months if Botox becomes your long-term treatment plan.
  • Will your insurance cover it? Your insurance may only cover Botox for migraine if you can document that youve already tried other treatments. Even then, you may have a hard time getting approval from some insurance providers. If you dont have insurance, Botox can become costly, especially when you add up the cost of multiple treatments.

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What You Need To Know About Migraine And Botox

Weve all heard of Botox, responsible for generations of smooth foreheads in Hollywood. But Botox has also brought relief to many people who suffer from chronic medical conditions. In 2010, Botox was approved for use with chronic migraine, and many patients are reporting success. What do you need to know before considering it?

How Much Does Botox For Migraines Cost

Botox For Migraine

The cost of Botox treatments can vary somewhat, so its important to ask your healthcare provider upfront what you will be charged.

In general, each treatment session will use a total of about 155 units of Botox, and that can cost anywhere between $300 to $600, or even more. Because these treatments can be expensive, you should search for coupons or savings plans that are available to help lower the cost. For example, the manufacturer of Botox, Allergan, offers a savings card and a patient assistance program to help reduce costs or even make it free for patients.

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Does Botox For Migraines Actually Work

Finding solutions for migraines can be a difficult process. Today, well does if Botox for migraines is a sustainable treatment option.

While more commonly known as a cosmetic injectable, Botox was not originally discovered or developed to soften crows feet and complement face lifts. Botox is a neurotoxin first researched and developed for the treatment of strabismus, a misalignment of the eyes, and has since been used to treat different neuromuscular conditions, especially muscle spasms and migraine.

Botox is the shorthand for onabotulinumtoxinA, or Botulin A, a drug derived from the rod-shaped Clostridium botulinum bacteria, which causes the potentially fatal condition botulism.

There is functionally no difference between the drug Botox and the toxins that cause botulism, aside from dosage and administration. Only four types of botulinum toxin are currently used for medical purposes, including three types of Botulin A and one type of Botulin B. Under the supervision and guidance of a medical professional, properly diluted and administered Botox can treat:

  • An overactive bladder
  • Urinary incontinence caused by neurological issues
  • Anal sphincter disorders
  • Spasms caused by cerebral palsy
  • Involuntary neck and face movement
  • Excessive sweating
  • Strabismus
  • And more.

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.

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The Medical History Of Botox

Botox injections are commonly recognized as a solution for wrinkles and fine lines, so it might surprise some to find out that it has a long medical history. The main ingredient of Botox, botulinum toxin, was first used in the 70s to treat crossed eyes . This was before the product Botox even existed!

The injectable Botox was officially introduced to the market in 1989, which means we just passed the 30th anniversary of Botox. Since its inception, Botox has been used to address a variety of medical conditions like neck spasms, overactive bladders and, of course, chronic migraines.

When Will You See Results With Botox For Migraines

How Botox treatment for migraines has changed lives

When can patients expect to see results? When it comes to Botox for migraines, the results are not instantaneous. Patients may see improvements within four weeks of their first appointment. However, it could take longer to feel any significant results.

Patients who dont see any improvement after their first session shouldnt give up on the treatment entirely. They should give themselves some more time. Its often recommended to wait through three cycles of Botox to see positive results. According to Migraine Canada, 10% of patients only notice improvements after their third session. These patients often have severe cases of chronic migraines.

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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.

Why Might I Need Botulinum Toxin Injections For Migraine Treatment

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.

Sashank Reddy says, Botulinum toxin injectables are part of a comprehensive suite of options that neurologists and headache specialists have for treatment of chronic migraines. While no single option is best for all cases, an approach that includes several different treatments can often reduce headache frequency and severity.

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What Causes Migraines

Migraine is a term used to describe severe throbbing pain, usually on one side of the head. The general difference between a regular headache and a migraine is severity and unilaterality. Other differences include that migraine attacks are often recurring and can last hours at a time.

Migraine can occur with or without aura, or visual disturbances. These include strange colors, flashing lights, and blind spots. Other physical symptoms aside from pain may also be present during a nausea attack, including photosensitivity, nausea, tingling, numbness, or difficulty speaking.

Migraine attacks are generally split into multiple stages. There are four at most, but not everyone who experiences migraine experiences all four. These are the:

  • Pre-migraine stage, or the prodrome stage
  • Aura stage
  • Attack itself
  • Post-drome stage
  • Depending on how many stages a person goes through, their migraine attack may last anywhere from 4 to 72 hours in total.

    The mechanism behind migraine attacks is not completely understood by medical science just yet. We do know that genetics are heavily involved, and that migraine attacks can be hereditary. Chemical imbalances in the brain may be key to the cause, especially involving serotonin and CGRP, and the communication between the brainstem and the trigeminal nerve in the head.

    Aside from hormone changes during menstruation, other common migraine triggers include food, certain drinks, changes in sleep and schedule, changes in weather, and excessive stress.

    What You Need To Know

    Botox and Migraines: Your Questions Answered
    • The injectables used to treat migraines are the same kind used by aesthetic surgeons and dermatologists to minimize facial wrinkles.
    • Licensed medical professionals treat migraines by injecting botulinum toxin into multiple areas around the head and neck.
    • The treatments are approved for select people age 18 and older who experience 15 or more migraine days per month.
    • It may take four weeks or more after treatment before you see a reduction in the frequency of your migraines, and more than one set of injections may be needed.

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    What Are We Seeing In This Image

    The possible impact of botulinum toxin injections at the location and relation between the suboccipital muscles to the C1 vertebra the Atlas, and the C2 vertebra the Axis and the path of the occipital nerve is illustrated. Upper cervical spine instability at C1-C2 can cause pressure on the base of the spine resulting in the contraction and spasm of the suboccipital muscle. This can cause headaches, migraines, and occipital neuralgia.

    What Are The Risks Of Using Injectables For Migraines

    Botulinum toxin injectables should be avoided by pregnant women and nursing mothers, as well as people with an allergy to proteins in cows milk.

    When given by an experienced and qualified health care specialist, botulinum toxin injections are relatively safe. However, some people experience pain, bruising or swelling where the drug was injected. Other possible side effects are:

    • Headache or flulike symptoms
    • Drooping on one eyelid, eyebrow or side of the mouth
    • Drooling

    Very rarely, if the toxin accidentally spreads into your body, other, more serious symptoms might occur over the course of hours or days. :

    • Vision problems
    • Inability to control the bladder
    • Difficulty breathing

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