Do I Go to Dermatologist, Plastic Surgeon or Neurologist for botox migraine treatment?
How Do I Get Botox Injections for Migraines?
Doctor Answers (21)
Botox for Migraines
Interesting thing that a friend of mine just brought this up today. After proper diagnosis of the condition and if everything a neurologist does fails in treating migraines, botulinum toxin may be used with good success rates. Its not an all cure, but it does manage to cut down on the number of migraine attacks that you have. The injections are placed in certain areas and a person with a history of successfully treating the condition is able to administer the drug.
Botox received FDA approval for migraine treatment
Botox recently received FDA approval for migraine treatment meaning that most major insurance plans will cover the treatment. However, in order to be covered, it must be documented that you have failed most medical therapy which is usually prescribed by a neurologist. A doctor that is experienced in Botox injections for migraine treatment will be the best practitioner to visit for treatment. This may include dermatologists, plastic surgeons, facial plastic surgeons, and neurologists.
Treatment of migraines with Botox
I would encourage you to get a consultation with a neurologist if you've never seen one for your migraines and ask them about Botox. The number of units may be different from what many of us are accustomed to using for cosmetic reasons and the trigger points may be different in different patients.
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Botox for Migraines may work
Botox for migraine headaches is not a cure-all, but does work for a large number of people. Insurance will typically cover this treatment if you have a formal diagnosis of chronic migraines and have tried other medications (that don't work well).
If you have migraine headaches, you need to be under the care of a board-certified neurologist to guide your treatment.
If Botox improves your migraines, you may be a candidate for surgical treatment to permanently eliminate or minimize your headache symptoms. There are currently few surgeons in the country who perform this procedure, which can be remarkably effective.
Hope this helps,
Botox for treating Migranes
Treatment of migranes is a very individualized process. The first step is to see a qualified plastic and reconstructive surgeon that can understand and guide you through the multiple surgical and nonsurgical options. The patient must present with an active migrane. Only migranes that are triggered by compression of peripheral nerves can be treated with botox, luckily at least in my practice this includes the majority. A plastic surgeon with craniofacial experience can easily identify the possible locations of triggering and a diagnosis is made by stimulating and relaxing the muscles manually with special massage techniques or injecting a small amount of lidocaine near the triggering nerve. If the migrane is treated, the diagnosis is made and options are reviewed. The next step is to give the patient a trial of local muscular relaxation with botox administration which must not only significantly chemodenervate the local muscles, but also must be balanced through the face so as not to create an aesthetic deformity. depending on level of relief, duration of relief and patient preferences, most patients opt for a permanent treatment without recurring cost. The identified trigger nerve is decompressed in a quick in office surgical procedure and a small amount of fat is placed around the nerveto cushion and protect it from further irritation. Patient staisfaction is very high with this protocol. Remember there are many practitioners that will be willing to inject Botox for migranes who do not have the anatomical, physiological or surgical knowledge and experience to produce a result. I strongly recommend seeing a plastic and reconstructive surgeon who can guide you.
All the best,
Rian A. Maercks M.D.
Botox, Wrinkle Treatment, Beverly Hills Botox, Los Angeles Botox, Nasal Surgery, Beverly Hills Rhinoplasty
Any and all of the above would be able to give you Botox treatments. You may want to start with the Neurologist that treats you for your migraines and see if he/she is experienced using Botox.
Botox for Migraines
Many dermatologists are well trained in the administration of toxins for cosmetic reasons and have been performing this procedure for many years. Some of these dermatologists have been trained to treat migraine headaches with Botox. I suggest calling your dermatologists office and inquiring if they perform this procedure, if not, get a referral to a neurologist from your PMD.
A neurologist is likely your best choice for treatment of migraines with Botox
Although Botox is one of your treatment options for migraines, you should first be evaluated by a neurologist before you seek treatment. Dermatologists and plastic surgeons are experienced with the use of Botox for cosmetic purposes and for hyperhidrosis, neurologists are more experienced using it for migraines. You will also likely have better luck getting your insurance to pay if you go to the appropriate specialist.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.