Botox for Migraines - Does It Work?

Botox has become a staple for migraine patients. Although a number of studies have come out showing benefits, and all of us performing the injections know the benefits, still, the use of Botox for migraines is off-label. When Reloxin comes out, the greater volume of distribution may be even more beneficial for patients with migraines than Botox.
Neurologic evaluation is always necessary before treating patients for migraines. You wouldn't want to treat a brain tumor with Botox!
The injections for migraines are in entirely different locations than conventional Botox for frown/crow's feet/forehead areas.

We have known botox to work well for migraines for many years, and Botox was officially approved for use in migraines by the FDA in 2010. Officially, the FDA recommends injecting 155 units over 7 different sites within the head and neck. That's a lot of needles and a lot of botox! Recently we have developed more targeted techniques to apply smaller amounts of botox to fewer areas with less needles, resulting in the same (or even better) results.  In addition to Botox, which requires injections every 2-3 months, there are precision surgical techniques that can permanently reduce or remove migraines. These procedures are being performed at a few specialized centers around the world.

It absolutely works!  It is FDA approved and many patents have seen an improvement in the frequency and severity of their migraines.  It is often covered by most major medical insurance companies.