I receive Botox injections for migranes. Can Botox cause an abscess, and pain at the injection site?

Question

Since the 3rd day post botox injections for migrane. I have a puffy mass between my left neck and shoulder area. I'm also experiencing headaches and sharp pain in the same area. I have had similar symptoms since my 2nd. treatment, but the symptoms have been getting worse. Now I have this puffy mass under my skin causing worse pain. My treating Dr. insist the symptoms are not related to the Botox. What can I do?

Jason Emer, MD · Answer

This is difficult to answer without an in-person evaluation. If it persists, I recommend following up with your Doctor for a formal evaluation. Keep in mind, final results with Botox take 1-2 weeks. Best, Dr. Emer

Bruce Beard, DDS · Answer

HI and thank you for your question. I’ve never seen that occur. It is not unusual to get some bruising and/or irritation at the injection site. Thank you and best of luck!

Lisa Jenks, MD · Answer

Anytime a needle is put into the skin it is possible to develop an infection and/or abscess.  This is not due to the Botox per se, but to the fact that a needle had to be used to inject it.  Once the skin's surface is punctured, germs are potentially able to enter.   I recommend that you have the area evaluated immediately.

I receive Botox injections for migranes. Can Botox cause an abscess, and pain at the injection site?

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I receive Botox injections for migranes. Can Botox cause an abscess, and pain at the injection site?

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