Chronic migraine is a painful neurological condition that results in headaches for 15 days per month over a three-month period and for greater than 4 hours per day.
Approximately 2-4% of the world population suffers from chronic migraines.
Frequently Asked Questions
What is the purpose of this procedure?
The purpose of this procedure is to manage and help prevent migraine headaches, cervical dystonia, and TMJ or other significant pain secondary to muscle spasm.
How is the procedure performed?
You will be sitting upright and Botox is injected into multiple locations in key areas around the head, neck, and trapezius muscles.
How much time does the procedure take?
Botox injections typically take around 5-10 minutes.
What medicine is injected?
Approximately 5 units of Botox (onabotulinumtoxinA) is injected per injectioin site. A total of 31 injections are performed for migraines with a very fine needle. Most patients describe the injection feels like a small pinprick.
How long will it be before I get relief?
Many patients report gradual relief as early as a few days from getting the injection, however, it may take up to 2-3 weeks to notice optimum relief.
How long does the effect of the injection last?
Once the Botox has successfully blocked the nerve signals, which may take 2 weeks, most patients report up to 3 months or greater of pain relief.
What if the injection doesn’t work?
If there is minimal pain relief from the first injection, do not get discouraged. I may take a second injection before you begin to notice benefit.
What are the risks and side effects?
Like most procedures, they are not risk free and there is always possibility of side effects. Complications of Botox injections are rare. Uncommon reactions can include eyelid drooping, neck pain, muscle weakness and stiffness at the injection site, and headache. (use Tylenol for headache)
Post Procedure Instructions
- Avoid rigorous activity for 24 hours after injections, walking or low impact activity is fine
- Keep your head up and don’t lie flat for 2 to 4 hours, recliner is ok
- Do not rub or massage injection sites for 24 hours. Washing your face or applying makeup is fine