Neck soreness after Botox for migraine. Other than ice, is it OK to use heat?

Question

had my first botox treatment for migraines 4 days ago and feeling headache free for 2 days now but have neck and shoulder soreness it think from the injections. Other than ice is it ok to use heat? Tried ibuprophen and the pain meds the day after but dont think they really help just waiting it out. Looking online for neck exercises to do maybe?? Hoping the soreness goes away soon!

Jason Emer, MD · Answer

This should go away very quickly and ice/tylenol are the best options.  Ask your physician to use a smaller needle next time, I use a 32 gauge so patients get very little pain.  Best, Dr. Emer.

Hratch Karamanoukian, MD, FACS · Answer

Thank you for your question.Immediately after injury/needle sticks, etc., it is best to use ibuprofen for 48 hours.After that period, heat is best to bring more blood to the area which reduces inflammation and heals the bruises (internal and external) faster. Heat causes vasodilation leading to more blodd flow, more mononuclear and PMN to carry away injured blood products etc etc. If heat worsens the migraine, stop and convert back t ice.

Neck soreness after Botox for migraine. Other than ice, is it OK to use heat?

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Everything you need to know about Botox for Migraines

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Neck soreness after Botox for migraine. Other than ice, is it OK to use heat?

Answers (2)

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Recommended reading

Everything you need to know about Botox for Migraines

Our mission is to create a world where every investment in modern beauty is Worth It.