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BotoxBOTOX is the only FDA-approved, preventive treatment that is injected by a doctor every 12 weeks for adults with Chronic Migraine (15 or more headache days a month, each lasting 4 hours or more). BOTOX prevents up to 9 headache days a month. BOTOX therapy is not approved for adults with migraine who have 14 or fewer headache days a month.

Chronic Migraine is more than just frequent migraines.

A migraine is a type of headache that may begin as a dull ache and then turn into a constant, throbbing pain, often felt on one side of the head. When you have a migraine, you may be sensitive to light and sound and experience nausea and/or vomiting.

A migraine headache can last between 4 to 72 hours and may get worse by or cause you to avoid routine physical activities, such as walking or climbing stairs.

Your first treatment – For Chronic Migraine patients, the FDA has approved a specific dose and injection pattern for BOTOX treatment—31 injections are given over 7 key areas of the head and neck once every 12 weeks to prevent headache days.

Here’s what to expect during your first treatment:

  • Injections to 7 key areas of the head and neck
  • Very fine needles are used for 31 total injections
  • Injections feel like tiny pinpricks—you may feel mild discomfort
  • The most common side effect in Chronic Migraine clinical studies was neck pain experienced by 9% of BOTOX patients (vs 3% in placebo)¹
  • Other side effects include headache, migraine, slight or partial facial paralysis, eyelid drooping, bronchitis, musculoskeletal stiffness, muscle weakness, pain in 1 or more muscles, ligaments, tendons, or bones, muscle spasms, injection-site pain, and high blood pressure
  • This does not cover all the possible serious side effects of BOTOX®. Please see the Important Safety Information including Boxed Warning and Medication Guide and talk to your doctor
injection sites for migraine

When to expect results – In clinical trials, BOTOX provided a significant reduction in headache days after the first treatment. After the second treatment (at 24 weeks), BOTOX prevented up to 9 headache days a month (vs up to 7 with placebo injection).

Why commit to 2 treatments – Committing to 2 treatment sessions is important in order to see how BOTOX is working for you, since BOTOX showed significant reduction in headache days at 24 weeks. Talk to your doctor about your progress, and as you start to see changes in the amount of headache days you’re having each month, keep track with our Headache Diary.

What happens next: a 12-week treatment schedule – Based on your progress, you and your doctor will discuss re-treatment every 12 weeks. Remember: BOTOX is a preventive treatment, which means it’s taken to prevent headaches and migraines from occurring. So, it is recommended that treatment be given once every 12 weeks.

The best way for you and your doctor to know if BOTOX is meeting your treatment needs is to give it time to work, so talk to your doctor, and stay on track.

Ways to stay on track – Want to make sure you stay on schedule? Make your next appointment right after each treatment session—before you leave the office—so you don’t forget.


botox specialBOTOX for Chronic Migraine Patients – mention this article and receive 20 units for $ 159

We file medical insurance for TMJ / Migraine / Headache treatment using BOTOX.

Dr. Sneed is currently the FIRST and ONLY dentist in Tennessee certified to administer Botox and other facial fillers.

Learn more about facial rejuvenation without surgery on our Facial Esthetics page.