Muscle Pain when Botox For My Migraines Wears Off

Question

I have had two treatments of Botox for migraines. I can tell when they start to wear off by the pain returning to my face. Right now is time to do it again but the pain is so bad in my left jaw muscle that I'm afraid there might have been some nerve damage? All my teeth on the left bottom ache also. I'm afraid to keep getting the shots. Can the injection cause nerve damage?

Ron Shelton, MD · Answer

If the nerve had been injured you would be expected to have had pain since the treatment despite not having migraines. The Botox is not an anesthetic so you would know if you had the nerve pain from Migraine treatment with Botox injections. See a neurologist. If you're still not sure or the neurologist is unsure, possibly nerve conduction tests could be done to determine if the nerve is injured.

David S. Rosenberg, MD · Answer

No Botox injections does not cause nerve damage.  It paralyzes muscle to reduce compression of the nerves that can trigger migraines.

Richard W. Fleming, MD (retired) · Answer

If Botox caused nerve damage you would have had symptoms when the injection was done, not when the Botox starts to wear off. First, I would consult with the neurologist or physician that treats your migraines; he may want to change your prescription routine.

Muscle Pain when Botox For My Migraines Wears Off

Answers (3)