Botox Treatment for Migraine Headaches

Did you know Botox can be used as an effective treatment to prevent chronic migraine headaches in adults? When injected at recommended doses in specific locations of the head and neck, Botox can produce relief from the onset of debilitating migraine headache symptoms which can last up to three months depending on the individual patient.

So what is the definition of a chronic migraine headache?

If you experience headaches which last 4 hours a day or longer on 15 or more days per month, then you suffer from chronic migraine headaches and are a candidate for Botox treatment.

Often, patients who suffer from chronic migraine headaches mistakenly self-diagnose their symptoms as regular tension headaches and treat themselves with drugs that offer quick, but temporary, relief. Botox is the first recognized medication that treats the headache symptoms before they even begin.

It is estimated that roughly 80 percent of those who meet the definition of Chronic Migraine have not received an accurate diagnosis and, as a result, may be unaware of their treatment options.

To read more about Botox treatment for Chronic Migraine Headaches and see if Botox treatment is right for you click here



39 thoughts on “Botox Treatment for Migraine Headaches

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  • aesthetic surgeon singapore

    glad to drop by and read your articles, honestly im looking for some reviews over the net about the experience they had on doing a botox, yet find me curious on your post.

    With long day job all they, sometimes it triggers my migraine. If this can help i will try to take one. with two benefits to me. to avoid the migraine and to be so beautiful.

  • marsha bolles

    Dr. Zadeh, I have been getting botox injections for daily occcipital migraine headaches that I have had for more than 20 years. I am concerned about a toxic dose. I have had two treatments and the first was 100 units (divided in many areas) and the second was 200 units. If my neurologists wants to give me 400 units on my next visit—is that safe. So far, it has not been effective. I have to take an anti-inflammatory pill every morning to avoid my daily headaches.

    • Zadeh Surgical, Inc.

      Hello Marsha,

      Thank you for your question. Your concern is perfectly understandable. How far apart have your treatments been? The recommended dose for treating chronic migraine headaches is 155 Units administered across multiple specific areas depending on the region of the headache. This can be repeated every 3-4 months. Occasionally doses higher than this may be needed, but Allergan (the company who makes Botox), does not recommend using more than 360 Units over a 4 month period.

      Excessive doses of Botox may produce neuromuscular weakness with a variety of symptoms such as excessive muscle weakness, muscle paralysis, and difficulty breathing. Symptoms of overdose are not likely to be present immediately following treatment and may occur hours to weeks after the initial injection.

      If treatment has not been effective for you, there are several things I would look into. How long have you been seeing this neurologist? How often has this neurologist used Botox to treat migraines? What are his results? Is he using the proper techniques, and injecting in the proper places? For some patients Botox just does not work for their migraines, especially those in less common locations like occipital migraines. So I would definitely make sure all your questions are answered prior to your next treatment.

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  • Helga Graefe

    I am 70 years old and have been a migraine/tension headache sufferer since I was 14 years
    old . About 8 years ago I had a Botox treatment for cosmetic reasons .This Doctor did about 6-8
    injections on my forehead and 2 on each side of my eyes .
    I don’t know why since then all of my headache problems had disappeared . Also my severe wrinkles in my forehead were since then were a lot less noticeable . I had 2 more treatments
    2 years apart . Now it has been 4 years plus since my last injections and both types of headaches came slowly back during the past 3 month .
    I am suffering on average 3 headache a week now. Was the drastic improvement totally
    coincidence or was it truly due to the Botox injections ?
    I would love to have an answer for the possibility .
    I would love to receive an answer . Thank you !

    • Zadeh Surgical, Inc. Post author

      Hello Helga,

      It was no coincidence. Botox has been proven to improve symptoms associated with Migraine Headaches. The treatment is temporary however, and only lasts for about 4 months, which explains why your headaches have returned.

  • Avril

    Every one of us have questions about a cosmetic treatment, especially if we’re talking about botox, doses and sessions…..
    I think only an experienced doctor can calculate the right amount of botox for each patient and we should listen all his advice.
    The only problem is choosing the right doctor, and usually going to the best clinic in town can solve it. When I decided to have a treatment for excessive sweating, i chose the best botox clinic in Toronto and needless to say it was a real success.
    I think this is the only solution to have a nice and effective cosmetic treatment, not just botox.

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  • Jackie

    Hello Dr. Zadeh,

    I have sufferd with cronic migraines for two years. I have tried every medicine my neurologist could think of and nothing has workeds. He recently tried the botox treatments which I had good results with. I believe he used 165 units, which did not last 3 months. It only lasted about 9 weeks and the head aches came back strong! I suffered for 3 weekes before my insurance company would pay for the injections again. I just had my second treatment but I’m not getting the same results?? Why would this be?? Now I have to wait another 3 months before I can get any help. I’m willing to pay out of pocket. Would it be safe “medical” to find a specialist in my area that could maybe, for lact of better words, turn be up prior to the 3 months? I have headaches everyday. Somedays are bad others are unbearable. Could you refer me to a doctor or doctors in the South Florida area that specialize in the treatment of botox for migraines.

    • Zadeh Surgical, Inc. Post author

      Hello Jackie and thank you for your question,
      Botox injections for migraine headaches take a lot of technique. The average dosage is 155 units injected at 31 different sites which target seven specific muscles of the head and neck area. So it’s important that you have someone who’s experienced in providing these treatments. Some people may require more than the 155 units, and even still will not experience relief for the entire three months. You should consult with your physician about using Botox in addition to other treatments for migraine headaches such as certain medications. These may work together to provide you with more relief than you’re currently getting. In addition to neurologists, surgeons, and ENT physicians also provide Botox injections.

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