Botox is a well-established, safe, and effective preventive therapy for chronic migraine. It works by calming nerve activity involved in pain signaling, requires injections every 12 weeks, and can significantly cut down the number of headache days. Botox (onabotulinumtoxinA) is an FDA-approved preventive treatment for chronic migraine. It’s not used for occasional headaches, but rather for people who have frequent, severe attacks.
How Botox Works for Migraines
Botox is a purified neurotoxin that temporarily blocks the release of certain chemicals involved in pain transmission.
It reduces overactive nerve signaling around the head and neck that contributes to migraine attacks.
The goal is prevention: fewer headache days and less severe attacks, not instant pain relief.
Who Is a Candidate?
Adults with chronic migraine (defined as: headaches on 15 or more days per month, with at least 8 of those being migraines, for at least 3 months).
People who have not found enough relief from oral preventive medications (like beta-blockers, anticonvulsants, or antidepressants).
Treatment Procedure
Performed in a doctor’s office, usually by a neurologist or headache specialist.
Involves a series of 31 small injections with a fine needle.
Injections are given in specific areas: forehead, temples, back of the head, neck, and shoulders.
The session takes about 15–20 minutes.
Effectiveness
Benefits are typically seen after 2–3 treatment cycles (each cycle is every 12 weeks).
On average, people experience 8–9 fewer migraine days per month compared to baseline.
Many patients report less severe attacks and improved quality of life.
Get Pain Relief Today
Understanding the underlying cause of your pain is fundamental to tailoring the treatment plan that will work best for you. Our Pain Specialists take a proactive approach to diagnosing and treating a wide variety of pain-causing conditions, using the latest technologies and most advanced equipment.