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Chronic migraine is a debilitating headache affecting daily activities. It is painful and leads to missed opportunities in life. For patients who are grappling with chronic migraine, effective treatment is hard to find. One of the possible options that has been shown to be effective in treating chronic migraine is Botox injections. It has become a viable treatment, providing relief for many migraine sufferers. In this blog, we will delve into the utility of Botox, its effectiveness, and what to expect after the treatment.
The international classification of headache disorders defines chronic migraine as a headache occurring 15 or more days per month, with at least 8 of those being migraines for more than three months. Chronic migraine can be persistent and negatively impact a person's quality of life. Generally, the headache feels throbbing, and it is associated with nausea and light or sound sensitivity.
OnabotulinumtoxinA (Botox) is a neurotoxin that when injected in small doses, can paralyze the muscles temporarily. Its effect is generally noted within two weeks of the injection, and it is effective for approximately 2 to 3 months. It is believed that it blocks the release of inflammatory molecules from nerves that are involved in pain transmission. By doing so it prevents activation of neural networks in the brain responsible for pain.
Botox is injected according to a specific protocol for chronic migraine. It is administered by a health care provider around the head, neck, and shoulders targeting specific areas that are predetermined by the protocol. The procedure lasts about 5 minutes, and it is performed in the office. During the procedure, you may feel a slight sting or discomfort at the injection sites, but this is generally well-tolerated.
Studies have shown that it takes approximately two to three rounds of Botox before its effects are noted. In numerous clinical trials, patients experienced a significant reduction in the number of headache days per month after receiving Botox injections. Generally, it reduces severity and frequency, with severity improving first. Some people in the trials had even complete resolution of their headaches. It is important to understand and have the expectation that the effects and benefits of Botox occur cumulatively and over time.
Before a decision is made between the patient and the healthcare provider to pursue Botox for the prevention of chronic migraine, a thorough consultation has to take place to review the patients’ medical conditions as well as medications trialed before. On a subsequent appointment, Botox is administered in the office. After the procedure is completed, patients resume their normal activities. Some of the most common side effects include neck pain, temporary muscle weakness, and injection site tenderness, which will be short lived.
Botox is generally recommended for adults who experience chronic migraine and have not found relief with any treatments. In other words, it is not the first treatment option. Patients who are pregnant or breastfeeding and those with certain neuromuscular disorders or allergies to any ingredients of Botox should avoid this treatment.
As with any medical treatment, it's crucial to discuss your medical history and current medications with your healthcare provider to ensure Botox is a safe and appropriate option for you.
Overall, Botox injections can provide a beacon of hope for any chronic migraine sufferer who has trialed numerous different medications to no avail. Although it is not a cure, it can relieve the pain and suffering that is associated with chronic migraine. Come and see one of our providers at the Maasumi Headache and Spine Care for a consultation to explore if Botox could help reclaim your life from chronic migraines.
