Botox is quickly becoming a popular chronic migraine treatment – and perhaps it is easy to understand why. A Botox treatment often helps reduce chronic migraine pain without surgery. Plus, Botox for migraines has been shown to help patients stop chronic migraine headaches.

How Does Botox for Migraines Work?

Botox for migraines involves the use of a neurotoxin derived from Clostridium botulinum bacteria. It is injected into the skin to temporarily stop nerve cell signals from reaching the muscles.

Botox paralyzes muscles that otherwise contribute to abnormal muscle contractions that cause migraine pain. It is injected in small doses into the muscles and usually delivers migraine pain relief for about three months.

Are You Eligible for Botox for Migraines?

The U.S. Food and Drug Administration (FDA) has approved Botox to treat chronic migraines in patients age 18 and over. If an individual experiences a migraine attack for the first time, he or she can visit a primary care doctor for assistance. However, if migraine pain occurs for a minimum of 15 days per month, a patient may require extra help. At this point, meeting with a neurologist is ideal. A neurologist will evaluate a migraine patient, and if necessary, provide a chronic migraine diagnosis. He or she may also prescribe migraine medications to treat a patient’s migraine symptoms.

Migraine medications fall into three categories: preventative, abortive and rescue. They help treat pain at all stages of a migraine attack. But in some cases, migraine medications cause intolerable side effects. Or, migraine medications sometimes fail to alleviate migraine pain. In either of these instances, migraine medications are ineffective. And at this time, a chronic migraine patient may be eligible for Botox.

Is Botox a Surefire Treatment for Migraines?

Although Botox is a safe, effective treatment for chronic migraines, it offers no guarantees. However, if a chronic migraine patient tries Botox and finds the treatment does not work, minimally invasive migraine surgery may provide a viable alternative.  

Like Botox, migraine surgery is available to chronic migraine patients. Migraine surgery treats muscular or nerve trigger points that cause migraine pain. These trigger points are located inside of the nose and around the face, scalp and neck.

Migraine surgery is complex, and each procedure is tailored to a patient’s migraine trigger points. It is an outpatient procedure usually performed under general anesthesia and requires between one to five hours to complete. Also, migraine surgery can be used to treat one or more migraine trigger sites.

The side effects of migraine surgery are generally minimal. Some scarring may occur, and the size and visibility of post-surgery scars varies based on the surgical site. Patients may experience swelling and bruising for one to two weeks after migraine surgery, and antibiotics may be prescribed for the first week after treatment.

Most migraine surgery patients can return home the same day as surgery. In certain instances, migraine surgery patients may require stitches. Surgical drains are sometimes required, too.

To date, at least 90% of chronic migraine patients have reported a significant reduction in migraine frequency, duration or intensity after minimally invasive migraine surgery. Additionally, nearly 50% of chronic migraine patients were migraine-free following surgery.

Find Out If You Qualify for Botox or Surgery for Migraines

Dr. Jonathan Cabin of The Migraine Institute is a board-certified head and neck surgeon with dual-subspecialty training in facial plastic and reconstructive surgery. His goal is to help chronic migraine patients permanently address their migraine pain. To accomplish this goal, Dr. Cabin requests a consultation to evaluate a chronic migraine patient and determine the best treatment option.

Each consultation is a valuable learning experience for Dr. Cabin and his patient. Dr. Cabin reviews a patient’s migraine history and learns about his or her migraine symptoms. He also uses doppler testing, steroid nasal spray and other assessments to verify a patient’s migraine trigger points.

If Dr. Cabin determines a patient is a good candidate for Botox or surgery, he next crafts a personalized treatment plan for this individual. Dr. Cabin explains all aspects of treatment, and in doing so, helps a patient make an informed treatment decision.

Of course, if a patient has concerns or questions about Botox or surgery for migraines, Dr. Cabin is happy to respond to them. Dr. Cabin also works closely with a patient throughout the course of a migraine treatment. He tracks a patient’s progress to ensure a migraine treatment is delivering the best-possible results. Dr. Cabin will adjust a migraine treatment as needed so a patient can achieve his or her desired results as well.

Schedule a Migraine Treatment Consultation with Dr. Cabin Today

Chronic migraine pain sometimes makes it tough to work, go to school or enjoy everyday activities. Fortunately, Dr. Cabin helps chronic migraine patients who find that their current medications fail to address migraine pain. By meeting with Dr. Cabin, a chronic migraine patient can find out if he or she is a good candidate for Botox or migraine surgery. Then, Dr. Cabin can develop a custom treatment plan to deliver long-lasting migraine pain relief.

Dr. Cabin is available to meet with a patient and discuss treatments for chronic migraines. To schedule a consultation with Dr. Cabin, please call us today at 310.461.0303.

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