I just recently had them in June. It was my first time and I don’t know if it takes more than one treatment? I suffer more than 20 days a month with migraines and the neurologist is reluctant to try pain meds even though I'm struggling to even sleep a full night without waking up vomiting.
Anyone had Botox injections for migraines and how long did it take to notice any benefit..?
Question posted by S40R733 on 18 Aug 2013
Last updated on 17 October 2021 by Shazmoss
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30 Answers
I just had botox for my migraines 10 days ago bit's a goal but I'm still getting headaches not as severe but I'm still getting them so far
Whether Botox will help depends on your own migraines triggers and how your migraines manifest. I’ve been getting Botox for years — some of it for aesthetics, but most for migraine. I have damaged cervical vertebra and had a complicated pain loop going for years, between my neck, upper back and head. A prolapsed disk was pressing on a nerve. I was getting severe migraines based in my trigeminal nerve, which was exacerbated by my TMJ disorder. So I now I get Botox in my maseter muscles (jaw). I get them between my eyes and in my forehead, too, which relaxes my face, which helps to calm my entire body. My first Botox was strictly for migraine, and was between my eyes. TBH, it did not help much. You need to address what triggers and prolongs YOUR migraines. Not all migraines are the same.
Yes, it takes at least 2-3, sometimes more, rounds of botox injections to see improvement. So be patient and continue the treatments to see if it will work.
I have had these botox treatments for three years now every three months. I find that they are about 97 percent effective for me. I don't think they are overly painful to get, its a tiny needle and the benefits for ME far outweigh any other option. I also have a good regimen cocktail for meds I take daily to prevent migraines Verapamil and Gabapentin x 2 times a day . I use Rizatriptan as an abort med., and pain meds for breakthrough migraines that do happen occasionally.
I’ve had Botox for migraines for two years now. I’ve had debilitating migraines for 30 years. I went to a neurologist who specializes in headaches. I have 200cc’s injected every three months. At first, I had little relief. The doctor explained that the everybody metabolizes Botox differently. It took 3 rounds for me to fully feel the benefits, but worth it! I don’t get daily migraines anymore and use Imitrex when I do get them (about 3-4 and month and are hormonal). If you are a migraineur, it’s important to remember that your cranial and cervical nerves are much more likely to be inflamed and irritated which will mean the you’ll be a bit more sensitive to the injections in different parts of your neck and cranium. Like others have posted, it’s super important that you see a neurologist who specializes in migraines/headaches. They’ll know the correct spots to inject.
I just went through my 5th round of botox today. I went from 3-4 migraines a week down to 1 or 2 a month. I am no longer on meds for my migraines either.
It takes a couple rounds of botox to notice relief but it is amazing!
When I first got botox shots for my migraines, I didn't think they worked very well. but as I got more and more, they seemed cumulative, and they work well. I also got the shots in the back of my neck. and all on the side of my face etc. The shots were not that painful. but everyone's pain levels are different. I wouldn't come here and say they were horrible. its a small needle, insulin syringe. like a mosquito bite,, but that's just me. And let me tell you, I actually didn't care about the shots. I just can't handle migraines anymore. I still do get breakthrough headaches and use sumavel dose pro. I wont lie. they are painful. but still better than any migraine. you give it yourself, like a shot in the belly. its not a needle system. it uses air to push the 'imitrex' into you. you can get manufacturers coupons too. I am not able to leave my job if I get a migraine. so I carry the sumavel dosepro with me.
Once injected, the migraine is gone in 10 minutes. no word of a lie. but like I always say, this is my story. not anyone else's.
I have not had Botox so I can't help you there.
I had a continuous headache with eye pressure and redness. For years !
I received the good advice from a nurse to try Imitrex.
Within 20 min it was gone! The ear ringing , the grimacing, insomnia !
It was my silver bullet !
It's not for prevention though.
I'm down to 2-3/ month.
Be well
:-)
I've had two rounds of injections . They really help me. But it has been very hard to get insurance to approve it. It's been over a year between injections but each time it worked well. The only part that hurts to me is the forehead.
I too had migraines 20+ days a month. My insurance made me try 4 other drugs for a year before they approved the botox injections . I had my first and only set of injections in june 2017. I suffered every side effect possible, droopy eye lids, swollen forehead and nose, severe chronic neck , shoulders and back pain, vomiting, and 7 months later still suffer worse than the migraines. I will gladly take them back. I still have the migraines. Neurologist said less than 3% have any side effects, I got them all.
I'm really in shock how many on here think the BOTOX injections were really painful. I just had them, and I was prepared for the worst. The injections felt like tiny needle pokes with a short burning right after the poke. I didn't experience much pain at all, and it was done in less than 10 min. 31 is standard treatment. I'm hoping for the best, because I need to be able to be reliable to every one who counts on me. Best of luck to all of you. Migraines are truly life-stealers!
I am 3 1\2 weeks out from my first 31 Botox injections for my migraines. I have suffered for 10+ years. It took me a year before my insurance would pay for it, but they approved me for 4x a year. My Dr is a very reputable neurologist. The pros..I have been migraine free for 2 weeks..BUT the cons... I now have droopy eyes and unbearable neck and back pain. I look like the Grinch with a permanent frown. I have to wear a neck brace as I cannot hold my head up. And some difficulty chewing. The Dr told me only 10% get the side effects... it's going to be unbearable until it wears off.
I just had it done. I've had migraines nearly every day. My neurologist sends his patients to a nearby plastic surgeon since they are much better at doing it with little pain. There was a slight pinch at each injection and only one made me twitch. I am hoping to see improvement. The plastic surgeon got all the details from my neurologist and handled the insurance for me.
Hi Schiachia,
I'm so glad you found relief. It DOES also affect your ability to sleep.
I had constant headaches from the moment I woke up to the moment I went to bed(if I did sleep). I have permanent lines from grimacing.
I was taking meds for pain relief from an unrelated problem. Opioids didn't even work. The MRI showed migraine patterns.
After 12 years I just accepted it.
I was in the hospital for something else when my nurse told me about Imitrex.
My doc ordered it and within 20 min my headache was totally gone!
I told her she changed me life!
It's a drug that's been around for a long time but figured it wouldn't work with all my docs, it would have been tried.
Initially, I took it daily for 2 weeks.
I went to get it refilled and the insurance only paid for #9 tabs per month.
Apparently it is not good on a daily chronic schedule for dementia reasons.
It's also quite expensive.
I paid for the first month.
I then tried to decrease the second month to twice a week. My headaches were gone! I take it now 2-3 times per month.
Sumatriptan (Imitrex) 25mg daily for those who don't like needles.
I was getting Botox injections in my forehead every 3 months for about a year with no change in my migraines. My doctor encouraged me to continue a bit longer and the next time a different doctor injected me. He did it completely differently and seemed awkward. During the following two weeks I was having trouble with my eyes blurring and watering. I couldn't read. I slept a lot. Finally I looked in the mirror and saw that my eyebrows had dropped down onto my eyeballs!! I immediately called the neurologist and they said that can't happen but I researched it and it can! I was hoping it would improve as the Botox wore off but it didn't. I have permanently dropped eyebrows which cause my eyelids to fold over my eyelashes. It cuts out a lot of light and ... well, it's a big problem. I have Kaiser Permanente and am trying to get them to fix the problem, but they won't admit they caused it. I suppose it's rare so you probably shouldn't not do it but I'd ask the doctor about it.
You need to give it more than 1 time, to work well. After the 2nd time of injections, you should see a better response of helping receive them.
I had botox injections for migraine, at first, it didn't work well, after the 2nd time, it worked wonderful. My prescription plan will not pay, so right now, I have gone for almost 3 months with no more injections, but migraine returned, working b on getting them covered so I can start them again. Was so helpful, they are not painful, if the Dr. Performs them correctly. Maybe a pinch felt, but not that unbearably uncomfortable. If it is, you need to find a reputable Dr. Who has done these injections before.
Yes, it can take 2-4 rounds of botox injections for it to work. In some people it can take longer. One thing you have to make sure of is the doctor must be trained and approved to inject botox as a therapy for migraines. You can check that by going to the botox website.
Related topics
botox, migraine, pain, injection, treatment
Further information
- Botox uses and safety info
- Botox prescribing info & package insert (for Health Professionals)
- Side effects of Botox (detailed)
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