Thursday, March 16, 2023

Before And After Botox For Migraines

Must read

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.

When Botulinum Toxin Injections For Headaches Make Your Symptoms Worse

Article outline:

  • Why were you or why are you being recommended for botulinum toxin injections then?
  • Two-thirds of people will get a more than 50% reduction in headache from botulinum toxin injections some of the time. One-third of patients will not.
  • Still, some uncertainties and concerns were issued regarding botulinum toxin A injections.
  • Study: For people with episodic migraine, we remain uncertain whether or not is effective.
  • Botulinum toxin A does not afford any additional benefit over acute medical withdrawal alone in study patients with migraine headaches.
  • When botulinum toxin injections are said to work, are they long-lasting? How long do they last?
  • The effect of three Botox® injections every month for upwards of 33 months on migraines
  • There is no headache in the world that is caused by botulism toxin deficiency.

How Botox For Migraines Works

BOTOX, or Botulinum Toxin Type A, disrupts the normal function of the neuromuscular junction, blocking the release of acetylcholine, a neurotransmitter. Researchers believe that by blocking acetylcholine, BOTOX disrupts pain pathways. Research continues to discover the exact mechanism that makes BOTOX so effective on chronic migraine pain.

Also Check: Differences Between Headaches And Migraines

How Well Does Botox Work For Migraines

Botox is a preventive medication that helps to stop a migraine headache before it starts. In studies, Botox was shown to prevent on average 8 to 9 headache days a month .

Botox is approved to be used in adults to prevent chronic migraine headaches that occur on 15 or more days per month and that last for at least 4 hours. At least 8 of the headache days must be associated with migraine.

Because Botox is an injection you receive every 12 weeks, you wont have to remember to take a daily pill for migraine prevention. You can combine Botox with oral medications for acute migraine treatment to help reduce pain once a headache has already begun, if approved by your doctor.

In studies, researchers found the most common side effect when Botox was used for migraine prevention was neck pain in 9% of patients . Other side effects included headache, droopy eyelid , and muscle stiffness or weakness.

How Is Botox For Migraines Different From Cosmetic Botox

Botox For Migraine

The Botox used for migraines and the Botox used for cosmetic procedures is actually exactly the same. “Basically, young and middle-aged women were getting for cosmetic purposes, and thatâs the most common person that has migraines, and thatâs how they figured out it was helpful,” Ravitz tells me. Women were getting Botox for aesthetic reasons and happened to notice relief from their migraine symptoms, and doctors began looking into it as a direct treatment. In fact, women are disproportionately affected by migraines â about 85 percent of chronic-migraine sufferers are women, and the condition affects 28 million in just the U.S.

The only difference between the two procedures is that with Botox for migraines, they may do a few more shots in areas where the pain is experienced. Personally, I usually get between 30 and 40 shots, concentrated mostly on the right side of my head where the pain occurs, at the base of my skull, and on my neck and shoulders, where I tend to hold tension, as doing so can cause a migraine. Botox for migraines can have the same aesthetic effect that cosmetic Botox has, which kills two birds with one stone for people who may desire that effect. “We do it along wrinkle lines and keep it symmetrical,” says Ravitz, which explains the erasing of lines and temporary plumping of wrinkles.

You May Like: What Is Post Traumatic Headache

You May Look A Bit Different

Many people are drawn to Botox for the perceived cosmetic benefit, but the Botox for migraines injection sites are different from those used for cosmetic purposes. So you can’t count on looking like a movie star if your goal is migraine prevention.

As anyone who’s tried Botox for migraine will tell you, your forehead may feel heavier after the injections are done, where the nerve endings are in essence frozen.

In my case, my usually expressive face didn’t track with my emotions: no raised eyebrows of surprise or delight or shock. So people told me I looked tired, overlooking the grape-sized purple bruise smack dab in the center of my forehead .

Yes, I have noticed my eyelids have drooped, I can live with that for now but am looking into surgery for that since it is a ‘medical’ issue, said Silja P. on Migraine Agains Facebook page.

If it works, though, looking a bit tired or different is a small price to pay for a few more days each month of migraine freedom and function.

Application Of Botox Injections For Migraines:

  • The application of the Botox injection, using a small needle, takes about 20 minutes.
  • 31 injections are included in each treatment, which is applied in 7 areas of the neck and head.
  • 6 months are needed for the effect of the treatment to be visible, meanwhile one can continue the normal medication without the fear of any interference between them.
  • The treatment can be administered to the adults above the age of 18. Since it is considered off-label when used for the treatment of children or adolescents, the insurance companies may not pay for it, in spite of being prescribed by the doctors.

Read Also: How To Relieve Headache Naturally

Safety Of Botox For Cosmetic And Medical Uses

Botox is considered safe and effective for its approved uses and off-label applications as long as they are done by an experienced provider. But while it is a nonsurgical procedure, it still comes with minor side effects that lasts for a few days and these can include:

  • Pain, swelling, bruising, and redness at the injection site
  • Flu-like symptoms such as sore throat, cough, runny nose
  • Neck pain or soreness
  • Urinary tract infection

Unwanted adverse reactions are rare and they may happen only if the toxin has spread to other areas in the body. You should immediately seek medical help if you experience allergic reaction, muscle weakness, trouble breathing, difficulty swallowing or speaking, vision impairment, and loss of bladder control.

Headache After Botox: What You Should Know


While Botox is considered a safe and effective drug when injected properly, side effects may still occur. One usually mild and short-lived side effect is headache. This side effect is primarily experienced after Botox is injected into the facial muscles for wrinkle reduction or migraine prevention.

Botox is well-known for its cosmetic use in smoothing out facial wrinkles in order to achieve a more youthful appearance. It is also used therapeutically to prevent chronic migraine and to provide relief from health conditions, including blepharospasm , spasticity , and overactive bladder.

Botox contains very tiny amounts of a toxin derived from the Clostridium botulinum bacterium. This botulinum toxin works by impairing nerve functioning. Since your nerves are responsible for sending signals to your muscles, when Botox is injected, the targeted muscle relaxes and becomes paralyzed.

This article will discuss headache as a side effect of Botox, including how it can be eased, and when you can expect it to resolve. Other potential side effects of Botox will also be briefly reviewed.

Rick Gomez / Getty Images

Recommended Reading: Why Do I Get Headaches

The Wrinkle Smoother Also Treats Migraines

The same BOTOX that smooths facial wrinkles also prevents the muscle contractions that can trigger migraines. Now you can receive BOTOX for migraines at Migraine Relief Center.

BOTOX, highly diluted botulinium toxin, works to prevent migraine by blocking the release of a chemical in muscle cells that transmits the signal to contract to muscle fibers. Research into using BOTOX to treat migraines began after patients receiving it for other conditions reported improvement in their migraine symptoms. In 2010, after years of research and collecting clinical data, the FDA approved BOTOX for treating chronic migraines.

BOTOX is administered about every three months, and must be injected at the site of each nerve trigger, relaxing the surrounding muscles so that they wont compress the nerve and trigger a migraine. It is a potent drug, and we only recommend using it if other preventative treatment options havent helped you. It is generally only administered to patients who have at least 14 headaches a month, or dont respond to other treatments.

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.

About the Author

Paul Rizzoli, MD, Contributor

Recommended Reading: Headache In The Temple Area

How Does Botox Help With Migraines

Generally, the way that Botox injections work is by inhibiting the reception of the neurotransmitter that causes muscle contraction. This allows the muscle to relax and the overlying skin to smooth. Migraines and chronic headaches, though, don’t seem to be caused only by muscle tension. Though Botox is injected into certain muscles of the head and neck, it is believed that the botulinum toxin may spread from these muscles to the nearby nerves that extend from the spinal cord. The absorption of the substance may work by interrupting the pathway of the neurotransmitters associated with the headache.

Botulinum Toxin A Does Not Afford Any Additional Benefit Over Acute Medical Withdrawal Alone In Study Patients With Migraine Headaches

Botox for chronic migraine

A May 2019 randomized controlled trial outcome studying the impact of acute withdrawal, medication overuse, and botulinum toxin A in chronic migraine was published in the medical journal Brain by researchers at the Department of Neurology, Leiden University Medical Centre in the Netherlands. Here are the summary points.

Botulinum toxin A is widely used as a treatment of chronic migraine. Efficacy in studies, however, was only modest and likely influenced by unblinding due to Botulinum toxin A-induced removal of forehead wrinkles. Moreover, most study participants were overusing acute headache medications and might have benefitted from withdrawal.

What the researchers are saying is that studies may not be accurate because the Botulinum toxin A was given into the forehead and the blinded researchers started to recognize that some of the studys patients had fewer forehead wrinkles and thus assumed it was those patients who were getting the botox injections and this could have skewed results. Another problem identified was that many of the headache patients in this study were overusing medications.

The goal then of this study was to see if in a double-blind, placebo-controlled, randomized clinical trial whether add-on therapy with Botulinum toxin A enhances the effectiveness of acute withdrawal of medications in patients suffering from headaches.

Don’t Miss: What Crystals Help With Headaches

When Should You Consider Botox For Migraine Treatment

Botox injections aren’t a first-line treatment plan for chronic migraines and should only be tried if other options have failed. This medication isnt recommended for people who have less than 15 migraine attacks per month. Even though they are generally safe and well-tolerated, various disorders and diseases may make their use unsuitable or require more monitoring and medical attention.

Before you go to the treatment center, make sure you’re eligible for Botox injections. If you’re breastfeeding, pregnant, or have been diagnosed with nerve disorders, you can’t get Botox injections. An allergic reaction to Botox may also present some risk factors. To avoid adverse effects from your Botox injection treatment, speak with your health care professional about your health history and current conditions for proper medical advice.

Get Your Own Forehead Botox Before And After Pics

Look younger and more rejuvenated by getting your own forehead Botox before and after transformation. Learn more about forehead Botox by scheduling a FREE consultation with the Advanced Rejuvenation Center. Advanced Rejuvenation Center is the leading provider of forehead Botox treatments in Purchase, NY. We are dedicated to offering men and women in Stamford, Greenwich, and White Plains the best cosmetic care. Call us today at 914-251-1200 or fill out the online form to book your appointment.

Read Also: Best Essential Oils For Migraines

Why Do Botox Treatments For Migraine Backfire

Botox injections are popular for their anti-aging capabilities. Aside from being the go-to anti-aging regimen, these neurotoxin injectables are also a great treatment option for chronic migraine. But like many medical and cosmetic procedures, Botox for migraine is also associated with certain risks that patients should be aware of like headache and neck stiffness.

So why do some patients experience aggressive symptoms after Botox treatments for migraine? Patients may experience headaches after their Botox treatment because of the over-contraction of the treated facial muscles, potential impurities in the neurotoxin injectable, or muscle atrophy in the treated site. To minimize the adverse effects of the treatment, patients need to ensure theyre a good candidate, find a qualified provider, get the right Botox dose, and follow the doctors aftercare instructions.

Migraine As A Rare Complication Of Botox Treatment

BOTOX for MIGRAINES REVIEW: Side Effects & What to Expect After Injections

Botox injections contain a purified form of the botulinum toxin, which is a substance produced by the Clostridium botulinum bacteria. It contains strong muscle relaxing properties, and it usually works by blocking the release of chemicals to stop muscle contraction.

In cosmetic Botox procedures, a botulinum toxin injection is administered to paralyze the muscles that cause wrinkles and fine lines, thereby improving their appearance and temporarily stopping new creases to form on the skin. When safely done by an expert, the common side effects of Botox cosmetic only include injection site reactions like swelling, bruising, and pain.

However, there may be instances when the neurotoxin works counteractively and causes certain facial muscles to contract excessively and create tension. This can trigger symptoms of severe tension headache which can be discomforting and disruptive to a persons daily work and activities.

But not every Botox patient will experience this adverse reaction. According to a study done in 2001, at least 4 out of 320 subjects who were given Botox for cosmetic use only reported feeling severe headache pain after the procedure.

It is suggested that chronic pain after Botox may also be due to poor injection technique where the needle hits a nerve or the forehead bone during injection. In some cases, it may be due to the botulinum toxin substance being contaminated before injection.

Read Also: Headache That Does Not Respond To Painkillers

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.
  • Effectiveness Of Botox Therapy For Migraine

    Botox has been approved by the US FDA for preventive treatment of chronic migraine in 2010. It helps a migraine sufferer by blocking the release of chemicals and pain signals that are active in pain transmission.

    When these chemicals and signals are disrupted, you will experience a significant reduction in the intensity of your migraine symptoms. Botox migraine treatment works best as a preventive measure and it can decrease chronic migraine attack and headache day occurrence.

    The injections for Botox migraine prevention are placed in the neck and head muscle areas which are most sensitive to headache pain. These areas are the forehead, neck, top of the nose bridge, temples, back of the head, and the shoulder blades in the upper back. Its a quick in-office procedure and it can be finished in about 15 to 20 minutes.

    As long as it is done by an expert injector, Botox for migraine comes with little side effects and almost no serious complications. Its common to feel some swelling and pain at the injection site which can be easily managed with a cold compress.

    Some people may also feel neck pain, muscle weakness, and minor headache after the procedure. Serious side effects like an allergic reaction, droopy eyelids, and shortness of breath are very rare but medical attention is required if you begin experiencing these.

    Recommended Reading: Headache And Earache At The Same Time

    More articles

    Popular Articles