Treatment For Chronic Migraines

Chronic Migraines affect millions of people in the U.S., 4 million of whom deal with daily pain. Chronic migraines can severely inhibit ones daily life, and when one starts to feel like their bad days are outnumbering their good, it’s usually time to find a new treatment. Botox injections might just be the solution that you’re looking for!

How is Botox/Xeomin for migraines different from cosmetic Botox/Xeomin?

The Botox/Xeomin used for migraines and the Botox/Xeomin used for cosmetic procedures is actually exactly the same. But over the recent years patients that were getting these injections for aesthetic reasons happened to notice relief from their migraine symptoms, and doctors began looking into it as a direct treatment.

The only difference between the two procedures is that with Botox/Xeomin for migraines, they may do a few more shots in areas where the pain is experienced. Typically patients get between 30 and 40 shots, concentrated mostly on the side of patients  tend to hold tension, as doing so can cause a migraine. Botox/Xeomin 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. *

How does it work, and how effective is it?

Though there’s still more research to be done on Botox/Xeomin for migraines and doctors aren’t yet completely sure why the procedure is effective, they have some ideas. What these injections do is paralyze nerve terminals. Essentially, nerve terminals transmit pain, but they also produce pain substances while they’re doing that, and it completely paralyzes that process.and  it stops the process of pain patterning and it also relaxes the muscles. *

We have found that  it’s very effective among a large sampling of our patients and is usually very well tolerated. Some patients find that it even eliminates the need for medication, which is a huge deal. However, in about 7 to 10 percent of  patients, we find that it’s not effective and they actually feel worse during that time. As with any medical procedure, everybody (and everyone’s actual body) is different and will respond to treatment differently, and it’s best to do a Free Consultation and  thoroughly talk to Dr. Hudes about your body and medical history before making a decision. *

What are the potential side effects?

The side effects of Botox/Xeomin typically don’t happen at the doses prescribed for migraines, and even if the scary-sounding side effects you read about online do occur (such as one-side paralysis and eye droops), they aren’t particularly dangerous and last four to six weeks. *

Most commonly, people have pain because you’re dealing with a bunch of shots in your head, and sometimes you can get a headache from the procedure.

Some patients experience a headache after the procedure, that can be attributed to the amount of tension and anxiety that comes from anticipating pain but that usually subsides within 24-hours of the treatment. *

After the treatment, what comes next? How long does it last?

Some doctors and dermatologists recommend lying down and resting after a treatment, but Dr. Hdues says that he doesn’t think there’s any need for downtime unless a patient experiences pain during the treatment. It can take about two weeks to work, though some patients start to feel relief from chronic migraines sooner than that. If it’s going to work for a patient, one round of the treatment typically lasts for around three months.Though everybody metabolizes it at a different rate, getting it done every three months or so has been found to be effective. *

How much does it cost, and does insurance cover it?

In rare cases your insurance company may cover this treatment. We would recommend that you contact your insurance provider and find out if that is a possibility. However, we do  not accept Insurance plans in our office. We are happy to complete your treatment and supply you with a cash receipt to turn into your provider for reimbursement. Additionally, as we are a medical practice, should you have an HSA or HRA card, it can be used to cover this treatment.  *

*Individual Results May Vary

Botox for Migraines

Botox is only FDA-approved for chronic migraines, which means headache on 15 or more days a month. “The more frequent the headaches, the better the patient does with Botox,” per Dr. Brian Hudes