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botox treatment for migraine

Botox for chronic migraine
BOTOX® is licensed for the treatment of chronic migraine. You are considered to have chronic migraine if you have experienced 15 headaches per month over a three month period, of which at least eight days have migraine features, including; nausea, light or noise sensitivity, pulsating or lateralised pain and lasting hours or more in duration.

How does Botox work for migraine?
It is thought that Botulinum Toxin (Botox) gets into the small nerves that carry pain from the head to the brain, known as C-fibres. This reduces the amount of chemicals released from the nerve ending and therefore interrupts the feedback pathway that perpetuates migraine and headache.

How is Botox given for migraine?
BOTOX ® is given as a series of 31 to 39 tiny injections under the skin or into the muscles in and around the head, the forehead, above the ears, and into the neck and shoulders. The injections are repeated every 12 weeks until the patient no longer has chronic migraine, or until it is clear that treatment is not working. 

How effective is Botox for migraine?
The goal is not to become completely free of headache or migraine, but to improve quality of life and to convert migraine from chronic to episodic. Studies show that 47% of patients had a 50% or greater reduction in the number of days with headache.
Response is usually seen after the first or second set of injections. One in four people respond well to the first or second set of injections, and half need more than two sets of injections to get a good response.  
The biological effect of Botox on nerves takes several days or a few weeks to work. You should not expect chronic migraine to improve properly in less than 4 weeks. Some patients do not start to improve until after their second set of injections which is given 12 weeks after the first set of injections.
Around 1 in 4 patients do not respond to the injections at all and only 1 in 10 people respond to a third set of injections if the first two sets of injections fail.

Who can’t have Botox for migraine?

Tell your Practitioner if you:

What are the side effects from using Botox for migraine?

Less than 1 in 10 patients experience each of the following side effects:

Less than 1 in 100 may experience:

How can you get Botox treatment for chronic migraine? 
You do not need a GP referral, you can self-refer to see an Aesthetic Practitioner. The Practitioner must have had advanced training to treat migraines. If you book in for a consultation your Practitioner will discuss your medical history to assess if this is an appropriate treatment for you.

How much does Botox for migraine cost?
A full Allergan Botox treatment as licensed and recommended by NICE involves injecting 155 units over 31 sites and costs £550 per set of injections. This treatment is performed by Aesthetic Nurse Moira Grobiki.

Can migraine be treated with regular Aesthetic Botox?
It is now recognised that patients can achieve migraine and headache improvement from treating the frown and the forehead using Aesthetic Botox. This involves less injections and less units of Botox and is therefore a lower price; however it may not be as affective and it is not a licensed treatment for migraine.

Prices for Aesthetic Botox with our practitioners can be found here.


 
 

 

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Middlewich Chiropody Clinic, Juvederm Cheshire, Laser hair removal Cheshire, Tattoo and Red vein removal Cheshire, Cheshire. Aesthetic Skin Clinic Cheshire. Profhilo, Microblading and Electrolysis. Last updated 28-Mar-2019 18:41