Pain Resource Blog

What is the success rate of Botox for migraines? Approximately 65% of people see improvement in their migraine symptoms following Botox headache treatment. In fact our patients have had such success with Botox treatment that the percentage realistically is closer to 95%!

What are the side effects of Botox for migraines? 

However, there are some side effects of Botox injections for migraine, including neck stiffness and muscle weakness. Other side effects are less common but can occur.

Common side effects of Botox for migraine include:

  • redness, soreness, or swelling at the injection site.
  • bruising.
  • chills.
  • fatigue.
  • dry mouth.
  • neck stiffness.

Does Botox for migraines work immediately? After you receive Botox injections, it may take 10 to 14 days or longer for you to experience relief. In some cases, you may not experience any relief from your symptoms following your first set of injections. Additional treatments may prove more effective.

Can Botox for migraines make them worse? For some people, botulinum toxin injections (Botox®) will help relieve a good portion of their headache symptoms, headache severity, and headache frequency. For some people, botulinum toxin injections will make their headache symptoms, headache severity, and headache frequency worse.

What happens if Botox hits a nerve?

The botulinum toxins cancel nerve signals to the muscles, creating paralysis that can last for months. Given its extraordinary toxicity, doses are typically measured in trillionths of a gram, and targets are carefully chosen to silence only the desired motor nerves.

What should you not do after Botox for migraines?

The don’ts
  • Do not rub or massage the treated area and avoid make-up if possible.
  • Avoid sleeping on your face the first night.
  • Do not exercise or partake in any strenuous activity for the next 12 hrs.
  • Avoid excessive alcohol consumption for the next 24hrs.

Can Botox cause neurological problems?

FDA has reported adverse events after BoNT injection affecting nervous system far from initial site of injection such as speech disorder, nystagmus, restless leg syndrome, and even coma. Central nervous system involvement included 23.5% of serious and 24.9% of non-serious events (1).

Are headaches common after Botox?

Headache after Botox treatment

It can last a few hours to a few days. According to a 2001 study, about 1 percent of patients may experience severe headaches that can last for two weeks to one month before slowly disappearing.

What are the side effects of Botox in the forehead?

However, there are some common side effects that you should watch out for:
  • Bruising. Bruising and discoloration on the skin are one of the most common side effects of a Botox injection.
  • Eyelid Drooping.
  • Headaches.
  • Muscle Weakness.
  • Allergic Reaction.
  • Flu-like Symptoms And Fatigue.

Can Botox for migraines cause neck pain?

The most commonly reported side effect after Botox injection for chronic migraine headaches is neck pain. Other adverse effects may include focal pain at the injection sites, unwanted muscle weakness, blurry vision, dry mouth, swallowing difficulties and some patients even report diffuse fatigue.

What should you not do before Botox for migraines?

You don’t need to do anything to prepare, but your doctor may ask you to stop taking certain medications a few days prior to the injection. You should also inform your doctor if you’ve had a Botox injection in the past four months, even if it wasn’t an injection for migraines.

Who is a good candidate for Botox for migraines?

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.

Where do they put Botox injections for migraines?

Botox is injected into 7 specific muscle areas around your head and neck to help prevent migraine headaches or migraine attacks before they start. Areas include the forehead, bridge of the nose, the temples, the neck, the back of the head, and just above the shoulder blades in your upper back.

How often can you get Botox for migraines?

Botox Treatment

You’ll get several shots of Botox around your head and neck once every 12 weeks to dull or prevent migraine headaches. You may need 30 to 40 shots in all, and you’ll get an equal number on each side of your head. If you have migraine pain in one particular spot, you may need more shots there.

How many units Botox for migraines?

Bottom Line. The recommended total dose of Botox (onabotulinumtoxinA) for chronic migraine prevention is 155 Units administered intramuscularly (into the muscle). This is given as 0.1 mL (5 Units) injections divided across 7 specific head and neck muscle areas, for a total of 31 individual injections per session.

Is Botox for migraines the same as cosmetic Botox?

Botox Cosmetic and Botox come as separate products but are both prescription medicines that contain the active ingredient onabotulinumtoxinA. The number of injections needed for migraine prevention are more than the number needed for wrinkle treatment.

Does Botox help with sinus headaches?

Botox for Sinus Pressure and Allergies

Patients who suffer from seasonal allergies might also find some relief in Botox injections. Researchers find that the same mechanisms in Botox that control the muscles under our skin can also reduce the severity of nasal symptoms that accompany allergic rhinitis.

Is Botox good for tension headaches?

Background: Botulinum toxin is approved to treat chronic migraine and has been shown to confer significant benefit in refractory cases. Due to its effect on pain by sensory modulation, there may also be efficacy in its use in chronic tension-type headache (CTTH).

Is Botox covered for tension headaches?

Because Botox is FDA approved for chronic migraine, it’s covered by most plans, including Medicare and Medicaid.

Can Botox mess with your sinuses?

Botox has not been directly linked to causing sinus infections, especially when injected with sterile technique and with proper skin prep prior to the injection. The sinus cavities are deeper than the dermis muscle where Botox is injected and should not be affected by the injection.

Who shouldn’t Botox?

If you are in poor general health, your skin is very thick or you have existing muscle weakness in the proposed injection site, you may not be a good candidate for Botox. Patients with sensitive skin may experience an allergic reaction at the injection site.

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