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botox side effects - neck pain?

By alhuff26 on 24 Sep 2011

when used medically two of the most common side effects of botox are headaches and neck pain. obviously we know a lot of us have experienced the botox headache but what about the neck pain? I had my botox about 36 hours ago and my neck is killing me. I'm trying to tell myself its just because I had injections in my neck so the muscles are sore because I'm terrified that its a side effect that will last the next three to four months. I dont know if i could handle that! does anyone else have experience with neck pain from botox?

Comments (27)

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pitoca 14 Oct 2011
Hi,

I'm just wondering if your neck pain has gone away. I've had botox for the first time over a week ago and I'm also experiencing the same pain.

Thank you
jschool 12 Feb 2012

I had botox a couple weeks ago for migraines. I am having neck stiffness and soreness too. I've been searching around to see if this is common and I haven't found a lot of other complaints, so I guess maybe it's kind of rare. I'm hoping this won't last for months. So far the headaches haven't let up a lot either. I guess I'll give it time and try not to get discouraged.

pitoca 13 Feb 2012
Hi jschool,

My neck pain went away after 2 weeks so i think you will be ok. I also had the pain around 2 weeks later. Let us know how you're going.
alhuff26 14 Feb 2012
well, I hate to tell you but the botox didnt help my headaches one bit and the neck pain lasted all three months that the botox was effective...but as soon as I regained use of my eyebrows my neck started to feel a ton better. I also got a new headache specialist and he said he is familiar with botox causing neck pain in migraine patients. so, the good news is, its only temporary. the bad new is, temporary is a few long months. at least it was for me.
alhuff26 15 Oct 2011
Pitoca,

well, i had neck pain before i got the botox to begin with, but Nope, this SEVERE neck pain never went away, and its been just over three weeks, so it is defenitly a side effect from the botox. both the FDA and botox dot com list neck pain as a side effect. Im currently experimenting with trigger point injections to help with the pain. so far i've had two trigger point injections at the top of my neck where my neck meets my skull and it seems to have helped a little bit, but it also left the area tender from the injections so i'm not sure if i will have any more or not. plus steriod injections come with thier own bag of side effects, so its kind of a no win situation. I honestly dont think the pain will really go away until the botox wears off, then I'll just have my normal neck pain again.
Wafik A. Hanna, MD 16 Feb 2012

There are some common side effects for Botox Some of them are......
Anxiety
back pain
drowsiness
dry mouth
facial pain

 

Megan P (Community Manager) 16 Feb 2012

Thanks for adding this info Dr. Hanna, we appreciate you sharing your knowledge.

Sparkyschick 31 Mar 2012
I've been searching for weeks trying to find anyone who had the same symptoms/reaction I did! Had Botox done for my migraines approximately 7 weeks ago. I don't mind needles at all, so I didn't think it would be a big deal. I was told I would be slightly sore for 2-3 days. The day after was accurate, the next day my pain progressed, the day after that my neck muscles started to hurt, and finally after that the muscles were so compromised I couldn't hold my neck up on my own. I had to hold my head up with my left hand to brush my teeth, to do the dishes, to do laundry. I had to bring an airplane pillow to work because I couldn't hold my head up straight to do my desk job, all the while in much more unbearable (burning-type) pain than I was in before the injections. I called the clinic to explain how I was feeling to ask if they could do anything for me and got the brush off. It took me two weeks before I convinced them that something was seriously wrong. The muscle weakness finally went away after a month but tremendously burning pain remains. I don't know when it will go away. My life has been truly compromised since I got the injections, I feel disabled yet I can't call in sick to work. I give all my energy to work, only to come home and absolutely collapse every day.

The pain clinic I am seeing will do feset injections next, but they refuse to do it until all the Botox works it's way out of my system, which won't be for at least another month. So I'm stuck in misery. They are giving me some pain medication, but it really doesn't make a dent.

I do believe Botox can work for many people, just make sure you are well informed of the potential side effects.. If I could have taken a leave of absence from work since the injections, I would have, that's how bad the pain has been. But I couldn't afford it and I don't think my work would have granted it to me. Best of luck to all of you!
smirvin 22 May 2012
Sparkyschick...I too have had the same problems you are describing after having the injections 2 weeks ago. I didn't want to have them done, but my neurologist was sure this would help my daily headaches/migraines. Now, I have had the two weeks of muscle pain, stiffness, weakness, pain, (like on fire as you describe) and a feeling of something choking me constantly. When I rest and can take pain medications and muscle relaxers, it dulls it enough that I can live with it to get up and do some household duties. But at work, which I work 12 hour night shifts in a hospital, almost kills me. By the end of my shift I am crying in pain. The Dr. has never had anyone react like this before and doesn't really know what to do but wait and see if the botox works its way out of my system. So I too am stuck in misery until then....I hope we all feel better soon. I have spent all of my days off the last 2 weeks in bed or on a recliner because the pain has taken over....not a way to live a life.
atticu 21 Apr 2012
hello
atticu 21 Apr 2012
the pain in my neck is excruciating. my headaches r better but i have to lay down all the time to relax the muscles in my neck. even the Valium the dr. gave me doesn't help.
alhuff26 25 Apr 2012
I had all the symptoms both of you talk about.....I know how terrible it is. I know laying down is the only thing that helps and how much it sucks. I also had to carry around an airplane pillow and that is what I would reccomend to you, atticu. the best thing I can tell you is that in three months when the botox wears off your neck will feel sooo much better! I also can say that I let my neurologist talk me into trying botox a 2nd time, but this time I didnt have ANY of it done in my neck, and I'm happy to say it helped my headaches a ton, and I had no side effects whatsoever.
jajsquared 28 Apr 2012
I just had Botox for my migraines for the 4th time and this is the first time I have had the neck pain. I had it done 4 days ago and the neck pain just gets worse each day. It is a constant burning pain with some spasms. I was trying to bend over and do some yard work but could not hold my head in that position without making the pain even worse....crazy.
Sparkyschick 29 Apr 2012
It's been almost 3 months for me and there is still no way I could do yard work. The burning sensation and muscle fatigue is gone, but some of the pain still remains and there just feels like there is something "stuck" in the back of my head whenever I bend my neck backwards. I'm still holding out hope that it will go away, but I just don't know...:(
xtophr5150 6 May 2012
I had botox three weeks ago for migraines. I think it has helped with the severity, but not the frequency of my headaches. However, I've had severe cramping in my neck ever since, with some definite loss of strength. Some days are worse than others. Massage seems to help for a couple hours. Any relief obtained on the migraine front isn't worth the pain in the neck. Sorry so many of you have had the same result.
jajsquared 7 May 2012
I had the botox 2 weeks ago tomorrow. Still having the burning, cramping & muscle spasms in my neck. The more I do, the worse it gets. My neck can't seem to support my head for a long time without spasming; especially if I am bent over to pull weeds or get clothes out of dryer etc. This is getting old fast but since this is the 4th time I have had botox and the 1st time I have had the reaction I will most likely do it again. The only thing my dr. told me to do when I called about the side effects was to try some ice!!!! Did anyone find anything that was helpful; besides the massage, which is helpful!
Caughtindream2 18 May 2012
I just got botox injections for the first time yesterday. Shortly after, I started to have pain in my neck, kind of like how it feels after getting a flu shot. Today it is very consistent and very irritating. I wanted to see if other people had this reaction, since my doctor assured me that "out of all the patients he has injected, there have been 0 side effects reported." Now I'm somewhat scared since some of you have said that your neck pain never subsided.
xtophr5150 18 May 2012
I can update my experience. It's been a month and my neck pain is much improved. I would say that I still have a touch of weakness, and a little stiffness in the mornings, but mostly normal. Hope that is encouraging.
pb123 21 May 2012
Thank you for your words of encouragement. I can't hold my head up because it feels like the back neck muscles feel paralyzed. Its been two weeks and no relief in sight. I would like to feel that it will get better.
xtophr5150 21 May 2012
Something I neglected to mention: my neck pain did not slowly get better; it got a lot better in about 24 hours. Our bodies are all different, certainly, but I thought that information might give reason for hope.
pb123 22 May 2012
That's what I thought would happen. The botox medication would wear off and then I would get those "paralyzed-feeling" neck muscles back. I just want them back, sooner than later. I don't think I would ever have those shots in my neck again. Now I'm deciding whether to even have the ones in the forehead.
juneleaf 21 May 2012
oh no, this is so discouraging and scary! I had Botox injections for migraines this past Thursday and by this morning (starting yesterday afternoon and through the night) I am having terrible neck pain going straight down my spine into my mid-back area. this is truly terrible, I can barely lift my head. calling doctor ASAP.
like others say, it's as if I am unable to support my head. I can feel a cascade of muscle spasms that has started at the base of my skull moving down my back. I'm a 40 year old woman who is desperately trying to get her life back after struggling with multiple health issues the past 4 years. and to top it off, I've had two monster migraines since Thursday.
this truly sucks. I had high hopes for Botox helping with these cursed headaches.
I hope this neck pain wears off. argh.
Sparkyschick 21 May 2012

I'm so sorry to hear what several of you are going through. It is now about 3 1/2 months since I had my injections, and I am about 85% back to "normal" (which was not fabulous, considering what I had the injections done for in the first place - migraines!). The head muscle fatigue went away in about 3-4 weeks and I was able to hold my head back up on my own. The worst part of the back of the head burning, searing, fire-like pain went away at about the 2 month mark. At about the 3 month mark, I had some tingling pain as I could feel the Botox starting to wear off. All is really fairly back to normal now except that I still can't really bend my head backwards, as if to sit down and do yardwork. It's hard to explain why. Combination of head exhaustion and a small bit of pain. I'm hoping it's the last little bit of residual Botox that still needs to wear off; I need it to as I miss doing yardwork! Best of luck to you all. I'm sure that Botox can be helpful to some people, but my Primary Care Physician actually decided to put it on my chart as an "allergy," so that it will never be administered to be again.

sus1550 24 May 2012
I had botox injections two days ago and today have fairly severe neck pain. I have had botox in the past and do not recall neck pain but do recall headaches. I'm relieved to hear that others have had the neck pain and it may be associate witht the botox injections.
cindy6 26 May 2012
I had botox over a three weeks ago for my head tremors put in both sides of my neck.I am now having severe neck and shoulder pain.It also did not stop the tremor.I had the botox once before about four months ago just helped a bit.can anyone help me with this bad neck and shoulder pain.,any suggestions?How many other people are having the same experience.please let me know.

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