Migraines & Botox

I would be interested in hearing feedback from anyone that has used botox to treat chronic migraines…

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  1. I’ve had Botox twice for Migraines with no improvement, however I’ve a special circumstances sort of condition that didn’t really allow the Botox to work. I will say that I had increased nausea for three weeks after each treatment, and a Botox “headache” for a week after each.

    I’m probably going to get it in the future once they break the issue I’m having now. If you have any questions about the process or what it felt like, feel free. As for how well it works… that’s strictly an individual experience.


    • I am interested in it,sort of… I have serious questions about injecting my head with toxins to treat my migraines. But after 25 years of them, I’m becoming more open to extreme treatments.

      Where do they inject it?


      • Mine were injected all over… forehead, scalp, temples, neck, shoulders. You’re a good candidate for it if you have migraines for 15 days or more a month and other treatments have not worked. Many neurologists do it right in their office. My neuro did mine. It stings. I felt the same way… well FEEL the same way about injecting poison into my face. I did experience a drop in my eyebrows, but it wasn’t drastic. I noticed it- no one else really did. I think I had 100 units, 150 units, something like that. My insurance covered it. I had someone drive me to appointments and my husband came into the room with me my first time because I was terrified. I lived.


      • I have DHE self-inject. I’ve had migraines since I was eight and they are becoming more drug resistant each year. I have chronic migraines with high rebound rates. My neurologist hasn’t suggested Botox yet, but he is always willing to listen to my opinion on treatment.

        However, before I go to him and say “let’s try this”, I’m going to need a lot more information.


      • Your neurologist is the BEST source of information… or a neurologist who specializes in headaches. I’m sure you’ve seen the Botox for Migraines website that has some information. It’s purely a side effect of the intended use of Botox but the percentages were high enough that the FDA approved Botox as a treatment. Essentially the Botox works kind of like a baby nerve block in those areas that are aggravated by the constriction of blood vessels during your migraines. My doctor said that some patients receive relief from the needles themselves because it works sort of like a trigger point therapy. The needles are tiny, like acupuncture needles and can leave you looking a bit bee stung for a few days. You have to have the treatment every three months, and if it works for you, you continue on that schedule. My doctor did two runs prior to referring me to the Jefferson Headache Center in Philadelphia because of the resistant nature of my year-long intractable migraine. They have told me that once they break the pain cycle the may be able to start Botox again and it will actually “work” to reduce the frequency and severity of my chronic migraine issues. My headache specialist in my home city, the neurologist at Jefferson, and my regular neurologist have all said that in typical chronic migraine situations “3 is the magic number.” If three trials of Botox (so… three treatments, three months apart) don’t work… it isn’t going to work for you. They say that it takes a week to two weeks for Botox to begin working once you receive the injections. Keep in mind that it does not abort the headaches, merely acts as a preventative/severity reducer…. and I’m sure you’re on a lot of medications that do that.

        I highly recommend talking to your doctor about the Jefferson Headache Center. They are the front-line in headache research and can do accute inpatient treatment as well as help to teach you about biofeedback and pain management- stuff to avoid that pain medication rebound. I am being treated by them now. I actually go into their hospital next week.

        Sometimes regular neurologists aren’t equipped with the knowledge set to handle hardcore migraine cases. When you get to the point where you’re thinking injecting toxin into your head as a viable treatment option… it might be time to talk to your doctor about getting you in with a doctor who works for a research hospital or headache treatment center. There is no such thing as loyalty in medicine, there is your health and what helps you feel better. Doesn’t matter who that is.


  2. My neurologist is a migraine specialist who moved here from the Mayo Clinic, but I will definitely talk with him about all of it. If I’m willing to self-inject DHE, Botox doesn’t seem like that big of a stretch.



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