Botox treatment of chronic migraines 2017-11-28T13:43:26+00:00

Botox injections can decrease dramatically the frequency and the severity of chronic migraines.

The National Institute for Health and Care Excellence (NICE) has published final guidance on the 27 June 2012, which recommends Botox injections to prevent headaches in adults who experience a chronic migraine.

NICE recommends Botox (known chemically as botulinum toxin type A) as a treatment option for a chronic migraine in adults:

  • whose condition has not responded to taking at least three prior preventative medications
  • whose condition has been appropriately managed for medication overuse
  • who have more than 15 days of a headache per month?

Botox injections for chronic migraines are performed in an outpatient setting. Botox migraines are performed in the different area. The temporal area, the forehead, the frowning line, the nuchal area at the back of the head, the neck and the shoulders are the main sites targeted by the injections. The injections are personalised with injection into the most painful sites.

The treatment is well tolerated only with transient side effects such as pain at the site of injection, worsening of a headache the first week following the injections, rarely neck weakness. It’s not indicated in pregnant women.

The mechanism of action is not fully understood; it’s thought to limit the release of chemical substances involved in pain.

For more details, click to the link of a recent review of the Mayo clinic group:

Dr. MH Marion is specialised in the use of Botox in medical conditions, and has already some years of experience in treating migraines with Botox.

She offered this treatment in her London headache clinic at Wilbraham place, and at Parkside Hospital in Wimbledon.


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