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Botox for Chronic Migraines

I've suffered with chronic migraines for the past...

I've suffered with chronic migraines for the past 35 years, and I've taken all of the following medicines:

Divalproex ER 250MG, Oxycodone 5MG, Abilify, Topamax, Cafergot, Prozac, Depakote, Atenolol, Sumatriptan, Migranal Spray, and so many others that I can't even remember the names of them.

The Sumatriptan and the Migranal Spray work some of the time, but they both have side effects and have expensive med co-pays.

Tomorrow, I'm going to get Botox from a neurologist to see if it will help. The only thing that I'm really concerned about is that they injected it where they want it and not where you want it, as a dermatologists does. However, my headaches are so excruciating that I guess it will be OK, if it works. I'll let you know if I look weird and if it helps at all.

The neurologist will be injecting the Botox with about 30 shots in my face, temples, and neck. Luckily, my insurance will cover it because I have extensive, medical documentation records regarding all of the medicines that have failed to provide me with any relief. I've attach a drawing that is similar to where the doctor will be placing the injections.

I got the Botox injections done yesterday, and it...

I got the Botox injections done yesterday, and it only hurt a little bit. The pain is nothing compared to a migraine headache. The doctor told me not to lower my head for four hours, so no reading books, but using a computer was OK.

The doctor gave me an Rx for some pain cream, but I didn't have to fill it since the pain was only in a few spots and went away in about an hour.

The whole procedure only took about 1/2 hour once she started with the shots. It took the doctor more time to mix the medication before we started. She used five syringes, two giant ones with large needles, and three small ones with tiny needles. The large syringes were used for the back of my head and sides of my neck. The smaller ones were used for my forehead and temples. She started with the face injections firsts, then the temples, and did the back of my head and neck last.

I only have one small bruise on my face by my hair line, which can easily be covered with makeup. No pain anymore at all, and I don't see or notice any difference in the way my skin looks or moves.

The doctor said that it takes about one week for the shots to kick in, and that most people don't see any reductions in the amount of migraines they get until the second secession of shots, which are given in three months. I have a followup appointment in two months, and then a month after that I'll get the second set of shots.

I'll let you know in a week if any of my wrinkles smooth out since I know this Web site is really for beauty tips. I'm 52, so if they do, that it would be an extra plus, but I really, really want to get some relieve from my migraines.

The reason I decided to post here is because there are really no other sites that have honest user reviews about Botox, like the Real Self does. There are also no posts from people that have actually had Botox for migraines on this site, and all you can find on the Internet are articles about the procedure and some small, trial sample results.

I read all of the Botox posts here before my procedure, and I was thinking....I'm not going to do that, but once I got another terrible migraine, it didn't matter anymore.

It's been one week since I got my Botox...

It's been one week since I got my Botox injections, and, so far, no change in the frequency or durations of my migraines.

I'm very happy with my appearance, though. I look about seven years younger, and I don't have any droopy eyelids, mannequin face, or a giant forehead like the Martians in the movie "Mars Attacks."

The best outcome so far is something that I never expected...

I'm also partially deaf, due to a virus I got five years ago, and to make a long story short, I now have only 20% hearing in my left ear and 80% in my right ear. I wear hearing aids in both ears, and that helps a lot with the hearing loss. However, I also have terrible tinnitus in my left ear, and about three days ago, I noticed that the ringing and high-pitched whining, electric buzzing noises in my left ear have been greatly diminishing. If it stays like this now, a light seashore noise, than that alone will make the injections worth it.

For the past few days, it has been the first time in the past five years that I'm actually able to concentrate on projects, instead of trying to concentrate over constant ringing noises in my left ear. I'm going to mention it to my neurologist when I go to my follow-up appointment in two months. This is one side-effect that I don't mind at all!

It's been about three weeks since I had my first...

It's been about three weeks since I had my first round of Botox shots, and I've changed the rating to "Worth It" because it really is helping me.

I'm still getting headaches, but they are just regular ones and not excruciating migraines. The tinnitus in my left ear is still softer. My forehead wrinkles are less apparent, but on the outer sides where the doctor didn't use any Botox they appear worse because the middle of my forehead is much smoother. I can now see how when one fixes something on their face that they start to focus on something else and want to fix that, too.

I do have a constant stiffness in my upper back at the base of my neck that I'll have to discuss with my doctor, but a couple of Ibuprofen in the morning are all I need. I also have to splash water on my face the first thing when I wake up and use anti-itch eye drops, or my eyebrows seem, to me, to look too high. My husband doesn't notice any difference, so maybe it's just me, but I think it helps. Everyone says that I don't look any different at all.

I'm just so happy that this has helped my migraines so soon, and all the other minor neck and back stiffness is nothing compared to the migraines and tinnitus. The neurologist told me that I probably wouldn't get any relief until the second round of shots, and I'm just ecstatic that it didn't take that long!!!

I added some before and after pictures. The text...

I added some before and after pictures. The text that I added to the pictures got cut off in the upload. The first picture of my forehead was taken two days ago, three and a half weeks after the Botox, and the other, more wrinkled photo, was taken in 2007 when I was 47.

I was even more wrinkled-up a few weeks ago, as I'm 52 now.. I just happen to be putting these pictures into a photo album, they're both untouched. What a difference! Not only are my headaches better, but so in my tinnitus, and I look younger...I feel like I've won the Win, Place, and Show!

I just had my second round of Botox injections on...

I just had my second round of Botox injections on 12/21/2012, this time the neurologist did the 31 shot recommended protocol, and a couple of extra shots further back of the shots that I get in my temples. She said that this might help because my muscles are so large from grinding and clenching my teeth. I've been wearing a nightguard for the past 10 years, but sometimes I forget and only wear it a few times a week.

This second round was done 4 months after the first round, and about three weeks before the second round, I started to get terrible migraines again. The day after she did the second round, I got an excruciating migraine that lasted the whole day, but it could have been due to the stress of getting the shots. Who really wants to get 31+ shots in their face, temples, and neck.

The only side-effect that I had from the first round was that my upper back felt tight for about two months, it didn't hurt, but it was just uncomfortable, a couple of Advil helped. I told the neurologist about this and she used a lesser strength at the base of my neck, so hopefully, it won't happen again.

She does a lot of Botox for migraine patients, so I asked her if it helps them, too, and she said that she has found that it help her patients the most that are teeth grinders and who clench their teeth.

I wanted to have the second round at 3 months, but I was unable to get an appointment sooner. Luckily, I had been hording my Sumatriptan meds that I didn't need for the past three months. I only get 9 pills a month because of my insurance, and I used up my whole supply during the last month before my second round of shots.

I'll post another update next week when it kicks in.
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Recommend to first neurologist by a psychiatrist. The first neurologist tried many different meds on me, so many that I was beginning to feel like a lab rat. She then suggested Botox, which she doesn't do, and then referred me to a second neurologist that does do Botox.

Comments (34)

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Jazzyj329 4 May 2013
I am surprised that you saw benefits of the botox on your face, because I wish I had seen that on me, ha. I just had my first round of botox for daily severe migraines but my Dr. kept the injections close to my hairline. She does my second injections at 6 months. I thought she would say at 3 months but she said that the protocal is at 6 months. I hope she is not being too conservative. My migraine is actually worse the second day after the injections. Thank you for giving me hope because I have tried everything and nothing has worked so far.
chardy75 1 May 2013

I went through every medication that you can think of and felt like a lab rat as well. Thankfully my insurance pays for the Botox and I was able to enroll in the "BOTOX - Partnership for Access" program that's supposed to put your co-pays on a debit card that you can use for other medical expenses. I haven't received the card yet, but I'm hoping I do soon. I had my first Botox injections at the end of Feb, beginning of March 2013 and I've seen no change in the frequency or duration of my migraines. After the first injection I had a severe migraine that lasted for 2 days with a lesser migraine that lasted for another 3-4. The doctor and staff at the neurologist's office who've had Botox for migraines have said they all saw a difference after the second cycle, for me this is at the end of May. Here's to hoping! I saw the invoice for my Botox and my doctor's office charges $2400 for the Botox and $200 to administer the Botox.

Jo78056 25 Apr 2013

I have had migraines since I was 11, I'm now 35. They seem to have gotten worse in the last ten yrs. I was up to 300mg of Topamax a day and 100 mg of noritrptylan. I have went through all the meds Imitrex, Migranal, Depakote, you name it I tried. My migraine.es come on rappidly and very intense. Vision problems, vomiting, shakes and light sensitivity to name a few. About 3 yrs ago I started getting Botox every three months. The FDA recently approved 200 cc, about 35+ shots for migraines. Takes about 2 weeks to work and last about 7 weeks and then the last three weeks before my new injections the migraines get pretty intense. I give myself dehydrogotamine injections when I get a migraine and take 3 ketorolac pills with each shot. They seem to help but I'm up to 2 shots per migraine. It's a lot of needles but I don't know anything else to try at this point.

raindancer19 25 Apr 2013

I am so happy I found this web site! I am scheduled to go for Botox in a few weeks due to chronic migraines. I have tried 27 different meds (some prophylactic and some for acute pain relief) and nothing has worked. I now have a prescription for Oxy, Fiorinol, a muscle relaxant and Zomig nasal spray. They "somewhat" work but the side effects have been wreaked havoc on my liver and stomach. I have been very nervous about getting the Botox treatments done. I had pretty much come to the conclusion that there was NOTHING left for me to do and that this too would be a bust. Now that I have read some of these posts and heard that it has been successful for some it gives me hope. Luckily I am in Canada so our Health Care system is a bit different. Botox is not covered but almost all Insurance Providers accept it as a viable option and don't put up much of a fuss about covering the cost. My Neurologist just wrote out the prescription for two bottles of it and some saline and I went and picked it up from the drugstore. Thanks for all of the info! Hopefully it works!

blblonde 17 Apr 2013

My neurologist charges me almost $4000.00 each time I get Botox for my migraines? My insurance has paid about one half of that. Does anyone else get charged that much? I am curious as it seems like a lot of $ and I could get it done at a plastic surgeons office for much less. Any thoughts?

Jazzyj329 4 May 2013
I just had mine done and it was $1,000. After 3 appeals my insurance finally agreed to cover it
miss turtle 27 Feb 2013

After nearly 10 years, countless MRI's, CT scans, neurologist visits, etc....I will be having botox next week for the migraines. I cannot tell you how excited I am to see if it works! I suffer not only migraines at least have of the month, but daily headaches also. My last neurologist in Wi., who had me on about 6 different meds (i have been taking topamax for years), basically told me if those meds didn't work, I would be referred to the Diamond Headache Clinic, and was told I would have a large bill and miss extensive time from work. I almost felt like it was a threat from this doctor, and basically I "needed" to make the new meds work. I'm sure all you migraine sufferer's have also been on the wonderful merry-go-round of meds, or just plain being told there is nothing else they can do for you...so you'll just have to deal with it. I now live in Ga., and was referred to a pain management specialist, and I am so encouraged! Hopefully Botox will deliver some great results for me

MLCatfan 13 Jan 2013
Could you please let me know who your treating physician is? I am new to the Tucson area and am trying to find a new neurologist/headache specialist. I've had debilitating migraines almost every day for years, although I currently take 5 differrent preventative meds every day. I have exhausted virtually every other treatment option (triptans, ergot, caffeine, pain meds, nausea meds, antidepressants, antiseizure drugs, beta-blocker, calcium channel blocker, trigger point injections, steroid injections, spinal facet injections, vitamins, aromatherapy, etc.) Any info you could provide would be greatly appreciated!
Crnnurse12 28 Dec 2012
My insurance approved my Botox before I had it. Now they are trying to say it was not medically necessary. How can they do this and now I'm stuck with almost 2000.00 bill. I already paid 130.00. Enough to start my headaches back up. I was taking three imitrex shots daily and having chest pains from them. But the insurance claims they were not medically necessary. Wow!
MLCatfan 13 Jan 2013
Crnnurse, have you tried to appeal their decision? Most insurance policies have an appeals process you can use if they deny coverage or make an unfavorable determination. It is a giant pain, but you may be able to get them to reverse their decision if you submit evidence that the treatment was medically necessary (like records of the other treatment options you have tried and how your migraines impact your life.) If your insurance still won't pay, I would suggest negotiating with the provider's office to get your bill reduced. At most, you should only have to pay the rate your insurance company allows for the service rather than the amount the provider billed. Good luck!
muertobella 30 Apr 2013
What is your insurance provider? I have cigna and I want to make sure they don't do the same thing, I have been approved already and my appt is in June.
Megan P (Community Manager) 12 Sep 2012

Margo Zargo, I just read your Sept. 8th update! It made me soooo happy to hear your migraines have been helped!! I can only imagine the improvement in your daily life!! I also have to complement you on your attitude. Its great that even though you are still dealing with some other discomforts and headaches you are still able to see the good this has done. I really hope something is able to be done so you no longer have neck or back stiffness, and perhaps with your second round even the normal headaches will be minimized - hoping!! :)

gamesare1 12 Sep 2012
i am having the botox injections today.does anyone know, what im i expecting to notice anything different ,when you first get them ,i am so nerveous , im just so scared something will go wrong, i hear about the droopy eye lids ,and still people having bad headache , is it worth it and does it hurt, i said 31 injections in the head is a bit much i think,why so many injections, and what should i expect . the first couple of days
Migrainezilla 12 Sep 2012
Anxious to hear what your results are. I agree, 31 injections is frightening! Good luck today. I hope that you feel better.
Margo Zargo 12 Sep 2012
The temporary pain that you will have from the injections is no where near the pain of one minute of a migraine. After you have the shots, you can ask your doctor for an Rx for some numbing cream, but I just took a few Advil, and that was it. Make sure you don't lie down or do any exercises for a least 4 hours after the shots, so they don't move. I though I might have the droopiness after a few days, but I just splash cold water on my eyes in the morning, so it's more like puffiness and it goes away. The first few days after, I was still getting bad headaches, and now nothing. I hope your results are like mine.
EllisMarshall 9 Sep 2012
I love Botox. I just had no idea it could be used for migraines. I used to suffer from horrible, excruciating headaches. But since I gave up milk ( I use Silk milk now) and meat ( I still eat fish and sea products) I had not have one headache in 5 years. I also don't eat fast food anymore
atremin 24 Sep 2012

I dont suffer from chronic migrains but came on just to read about it and the stories are promising to say the least but you mentioning diet change really made sense. my daughter has suffered from migrains but eliminating lactose meat and gluten have made a huge difference. many migrains i suspect are food triggered.

tames_fish 7 Sep 2012
Long-term use of Botox has saved me from frequent, agonizing, migraine headaches! I survived a serious head injury (auto accident) that left me deaf in my right ear, fractured my skull in two places and left me with post-tramatic seizures and headaches. I suffered through headaches and my seizures lasted for 5 years then subsided. Frequent headaches were part of my life and I would often end up in the ER getting injections of Imtrex and Flexeril. 12 years after my accident (at the age of 30) I was introduced to Botox for cosmetic purposes. To my pleasant surprise, I noticed less and less headaches. I have regularly (every 4-5 months) received 30-40 units of Botox on my forehead and above my eyes and at the temple to alleviate my migraines. The biggest thing I notice is that once I get to about month 3, my headaches return with a vengeance! I have a Rx for Trexamet which, although it works, it certainly doesn't prevent the horrific headaches from occurring and ruining my day (or my job, etc). The medicine makes me feel tingly and knocks me out for nearly 8 hours after I take a pill. The downside is of course, the cost. I pay $11 per unit to receive my injections from a NP. She does a far superior job to the plastic surgeon and cosmetic surgeons who have injected me in the past. Nurses are always cheaper and tend to give shots regularly (hence their better technique). Surgeons are just that, surgeons, so they have little expertise in just giving shots.
I spend (out of pocket no insurance) about $800-$1000 a year to get these shots and although I have had to go up to 6 months in between because of budgetary constraints, I always return to the shots as soon as I can afford them because there is simply no substitute. I understand insurance companies make you go through all kinds of hoops to get the cost approved (plus I don't get headaches in the back of my head or back of my neck and don't like the idea of getting long needles put into the back of my head just so I can save a couple of hundred dollars). I hope this information is helpful as I don't know anyone (besides myself) who has actually used botox for 12 years and is a chronic migraine sufferer.
Margo Zargo 8 Sep 2012
Thank you for your insight. If my insurance didn't pay for the Botox, I wouldn't be able to afford it. The hoops that you have to go through to get them to pay are not worth it. I had to try out at least seven different meds before they would pay, and all of them had terrible side effects. One of the meds, ABILIFY, after I took a low dosage of it for only two days, made me fall over, get dizzy, see everything blurred, and made my hair fall out. It was so bad that I thought I was having a stroke, and it almost sent me to the emergency room. My hair finally grew back, but it took months, and an extra 15 minutes to style my hair every morning just so the new growth would blend with the rest of my hair. I also had to pay the co-pay for all of the doctors' visits and the meds. I'm sure it cost my insurance company a lot more than just letting me try the Botox in the first place. Too much red tape.
BuffyN. 11 Sep 2012
I just received my first injections of Botox today. My neck feels a little stiff.....is this normal? Is it okay to lie down (on my back) at bedtime?
Margo Zargo 12 Sep 2012
Don't lie down for at least 4 hours after your shots, so the Botox doesn't move. Using a computer is OK because you keep your head up, but reading a book and exercising is to be avoided for at least 4 hours. Once the 4 hours has passed you can do anything you want, lie on your back, go to sleep, bend and stretch, etc... Your doctor should have told you this, but, I know, they get busy and think that we know it by osmosis.
BuffyN. 24 Sep 2012
Thank you for the info. Tomorrow will be 2 weeks that I received my first Botox injections. The first few days after my injections my face & head were really swollen & sore. My headaches have gotten a little better, but I still have them everyday. I'm hoping that changes in my diet help in decreasing the number & severity of headaches that I have. I love hearing about everybody else's Botox experiences :)
Kathy00 7 Sep 2012
This is first site I've checked for Botox treatment for headaches. I had Translabyrinthine surgery to remove benign brain tumor in January 2012. I have had constant head pain ever since. Surgeon says I shouldn't have pain after this type of surgery .... I beg to differ. I am now seeing neurologist and after not getting relief from several preventive meds he is suggesting Botox and says that he has great results. it is now with insurance to get ok'd. I also have some minor paralysis with right eye and right side of mouth. Wonder if Botox would help this. I usually did not take anything for headaches previous to the surgery and it drives me crazy to take meds on a regular basis. But I am also thankful for them when the pain goes to 9-10. Right now Cambia Potassium powders give me relief but can only take them 9x a month. I appreciate everyone sharing their experiences and will share mine. Good Luck To All, Kathy
Crnnurse12 4 Sep 2012
I just had botox for migraines. My forehead wrinkles are better. I am having headaches still but the type headaches seem to have changed. My right eye is swollen in tbe corner. Calling my Dr tomorrow. I had the shots 9 days ago
jan1951 1 Sep 2012
I have had a second round of botox for my migraines. The first round my regular pain management doctor did the injections and with no problems. The second round was done by his partner because doctor # 1 moved 3 hours away. When I left the office I felt fine with little pain. I can say it has relieved the pain but by the second week my eye lids are drooping so bad I can barely see. What should I do? I see him again for a check up next week. I am having eye pressure pain in my right eye and it feels swollen. I really don't know if I should go to the ER or call my doctor before my check up. I am wondering if this will go away.

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