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Botox can be injected into the forehead, around the ear, back of the head, and neck muscles to help migraines. If you have chronic migraines I suggest being evaluated by a neurologist. I also recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer
Thank you for your question. I do not think that Botox will help with vestibular migraines, but it may and it wont hurt. The truth is, we don't completely understand why botox helps with migraines. It relaxes the muscles of the forehead, head and neck (where ever it is injected) but muscle relaxation alone doesn't explain how it helps migraines. I think of migraines like an electrical storm in your head, and a vestibular migraine is like an electrical storm in your balance center. Although I can't explain why it would work, it may. Some doctors are giving botox for depression and anxiety now, so there may be many benefits that we don't know of yet. Best of luckDr Rodman
The best way to find out if your insurance will cover Botox for your migraines is to contact them or your HR representative to see if it is a covered benefit. If it is they can also help you find injectors in your area that are in your network.
Insurance coverage for migraines will vary by carrier. The best way to find limitations and better understand coverage is to contact your carrier or HR representative for assistance. They can also provide the names of injectors in your area who are in your network.
What is done with the remaining Botox is a question only your doctor can answer. Once reconstituted the product can be used for up to 24 hours, longer in some situations if stored properly. Your should only be charged for the units that were injected.
