BOTOX® Treatment For Migraines
BOTOX® is only FDA-approved for chronic migraines, which means a headache on 15 or more days a month. BOTOX® is not recommended for patients who experience fewer than 15 headache days a month.
What is BOTOX®?
BOTOX® is a form of botulinum toxin, a neurotoxin produced by the bacteria that causes botulism. When the BOTOX® botulinum toxin is purified and used in tiny doses in specific areas, it temporarily reduces muscle contractions for approximately 3 months.
How Does It Work?
BOTOX® is injected around pain fibers that are involved in headaches. It enters the nerve endings around where it is injected and blocks the release of chemicals involved in pain transmission. This prevents activation of pain networks in the brain.
Who Uses BOTOX®?
The FDA approves the use of Botox to treat chronic migraines in adults who are age 18 or over. Botox is considered an “off-label” treatment if it’s used for children or adolescents. This means that a doctor can prescribe it, but insurance companies might not pay for it.
What is Treatment Like?
When you receive your first BOTOX® treatment from Dr. Saulny, expect the appointment to take about 20 minutes. Dr. Saulny uses a very small needle that feels like a pinprick. He will inject a small amount of BOTOX® into shallow muscles in the skin. Each treatment typically involves 31 injections in seven key areas of the head and neck.
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.