What is Botox?
Botox is a prescription medication that is actually a purified protein that is made from a type of bacteria called Clostridium botulinum type A. Although it is made from the bacteria that causes Botulism, not one single case of Botulism has ever been reported in a patient treated with Botox.
What can I expect during my treatment?
The physician will inject the Botox into 7 specific areas in the head and neck. There are a total of 31 injections, but since the physician uses a very fine needle, most patients tolerate the procedure extremely well. The procedure typically takes less than 10 minutes.
Am I a candidate for Botox injections?
You are a candidate for Botox injections if you are at least 18 years of age, have migraine headaches at least 15 days per month with each headache lasting 4 or more hours.
How does Botox work?
Although the mechanism of actions is not entirely understood, one theory is that Botox decreases the muscle contractions that may act as a trigger for migraines. Another theory is that Botox limits pain by reducing the expression of certain pain pathways of a particular neurovascular system.
How often will I need to repeat the injections?
Botox injections are typically given every 12 weeks.
Can I still take my migraine medications if needed?
Botox is a preventative treatment but may not stop every migraine headache. Therefore, patients are typically allowed to continue their medications, as necessary.
How long does it take Botox to work?
Although some patients experience relief more quickly, it may take 10 – 14 days to start to notice relief.
Stephen Pociask, MD
Southeast Pain & Spine Care