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BOTOX FOR MIGRAINES: FAQ’S

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

Why Does My Back Hurt?

Why does my back hurt?

If this is a question you keep asking, the specialists at Southeast Pain & Spine Care may be able provide an answer.

Many people struggle with back pain that limits what they can do. Often, pain can affect not only work and home life, but the overall quality of life. With constant pain, people just don’t feel like themselves.

Your first step in treating back pain.
Your pain may be constant, or one that comes and goes. It may be isolated to the back, or radiate down into the legs. The pain may even be made worse with certain activities. Your first step in addressing back pain may be talking to your primary care provider, as this is often a clinician you have an established relationship with and trust. More often than not, your primary care provider will begin conservative treatments to treat your pain. Common treatment plans include such things as physical therapy and/or a non-steroidal anti-inflammatory drug (NSAID). This initial conservative treatment approach is often effective for many patients.

When to see a specialist.
Controlling and treating pain is complicated. If despite your primary care physician’s best efforts, the initial treatment does not help, or the pain goes away and then comes back, it may be time to see a specialist. Unless you’re having leg weakness or bladder problems, a pain and spine specialist may be able to offer a diagnosis and additional nonsurgical treatment options to treat your back pain.  If you are having leg weakness or bladder problems, a neurosurgeon should be consulted.

Many of our patients come to us after struggling with back pain for years, as it can be difficult for primary care physicians to establish a diagnosis. From arthritis or a compressed nerve, to a muscle that cannot relax, there are many potential causes of back pain.

The pain and spine specialists at Southeast Pain & Spine Care can help answer the question “Why does my back hurt?” In today’s advanced medical world, patients experiencing continued back pain, despite conservative treatment options, have access to a specialist for additional testing and evaluation to help uncover a diagnosis. Diagnostic testing recommendations may include an X-ray or advanced imaging such as an MRI.

After a diagnosis is established, your pain and spine specialist can start answering your back pain questions:

How long your pain last?

Are there things you do (or not do) on your own to ease the pain?

What other treatment options exist to treat my pain?

To schedule an appointment for your back pain call 1-866-258-3008


Written By: Jon-David Hoppenfeld, MD

Medical Director Southeast Pain & Spine Care

Author of Fundementals of Pain Medicine 

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Contracting with SEPSC
Southeast Anesthesiology Consultants developed Southeast Pain and Spine Care in 1997 because they saw the need for patients to receive quality, nonsurgical pain relief. Southeast Pain and Spine Care’s clinical model optimizes revenue, provides ancillary revenue opportunities and allows patients to receive top of the line care by physician anesthesiologists and neurologists. Want to learn more about how we can help your hospital earn additional revenue. Request a consultation with our administrative team.

New Patient Appointment Call:
866-258-3008

Corporate Office:
Southeast Pain and Spine Care, 927 East Blvd.
Charlotte, NC 28203

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