Is Botox the Answer to Migraine Pain? Exploring the Possibilities for Migraine Treatment

Migraine and Botox

Botox injections are a safe and effective treatment for chronic headaches, including migraines. Botox works by blocking the release of certain chemicals in the brain that can cause headaches. It can be used both as a preventative measure and to treat an existing headache. The treatment schedule typically consists of injections every 12 weeks. In some cases, you may need to take other headache medications in addition to the Botox injections. Your doctor can help you determine the best plan for your individual needs.

brunette woman suffering migraine - face in pain

“Botox Injections for Headaches and Migraines.” American Migraine Foundation, American Migraine Foundation, 19 Mar. 2020,

“Botox for Migraine: Uses, Benefits, Side Effects, and More.” Healthline, Healthline Media, 19 Aug. 2019,

Understanding Migraines and their Causes

Migraines are a type of recurrent headache disorder characterized by moderate to severe throbbing or pulsing pain, usually on one side of the head. The pain is often accompanied by nausea, vomiting, sensitivity to light, sound, and smell, and can last anywhere from 4 hours to 3 days. Migraines can be triggered by a variety of factors, including stress, anxiety, hormonal changes, certain foods, food additives, medications, and environmental factors.

Research studies have shown that women suffer from migraines more frequently than men, with women being three times more likely to experience a migraine. This is thought to be due to the hormonal fluctuations that occur in women, particularly during puberty, pregnancy, and menopause.

menopausic woman suffering migraine pain - face discomfort

Certain demographic populations are more likely to experience recurring migraines. These include adolescents, young adults, and women of childbearing age. Adolescents are particularly at risk of developing migraines due to the hormonal changes they experience, while young adults and women of childbearing age are more likely to experience migraines due to their increased exposure to environmental triggers. Additionally, those with a family history of migraines are more likely to develop them.

How is Botox used to treat migraine?

Botox is a type of treatment that is used to treat chronic migraines. It is a nerve toxin that is injected into the muscles of the scalp, neck, and shoulders. The toxin blocks the release of certain chemicals in the body that cause pain and inflammation associated with migraines.

The procedure is relatively simple. The doctor will first use a local anesthetic to numb the area where the injections will be given. Then, the doctor will inject the Botox into the muscles of the scalp, neck, and shoulders. The injections are usually given at intervals of approximately three months.

The effects of Botox usually last between three and six months. During this time, the patient should experience a decrease in the frequency and severity of their migraine headaches. It is important to note that Botox is not a cure for migraines, but rather a way to manage the symptoms.

It is also important to note that Botox is not a substitute for other treatments. It should be used in combination with other treatments such as medications, lifestyle changes, and stress management. Additionally, it is important to discuss any potential side effects with your doctor before starting treatment.

Botox injection sites for migraine

Botox injections for migraine treatment are typically administered in the forehead, temples, sides of the head, neck, and shoulders. According to the American Migraine Foundation, “Botox injections are most commonly used to treat chronic migraine, tension-type headaches, and cervicogenic headaches” (“Botox Injections for Headache Treatment”). The injections are typically administered in multiple sites on the head and neck, including the glabellar (between the eyebrows), frontalis (forehead), temporalis (temples), occipitalis (back of the head), and neck muscles (“Botox Injections for Headache Treatment”). The exact injection sites may vary based on the individual’s anatomy and the type of headache being treated.

Side effects of Botox for migraine pain

Common side effects of Botox for migraine treatment include:

  • Headache
  • Neck pain
  • Muscle weakness
  • Eyelid drooping
  • Flu-like symptoms
  • Injection site pain
  • Injection site redness
  • Temporary facial paralysis
  • Nausea
  • Vomiting
  • Difficulty swallowing
  • Allergic reactions
  • Unusual tiredness

“Patients may experience some side effects after treatment with Botox for migraine, such as headache, neck pain, muscle weakness, eyelid drooping, flu-like symptoms, injection site pain, injection site redness, temporary facial paralysis, nausea, vomiting, difficulty swallowing, allergic reactions, and unusual tiredness,” according to the American Migraine Foundation. (

How often to get Botox for migraine prevention

The frequency of Botox injections for migraine treatment will vary from patient to patient and is based on individual response to treatment. According to the American Migraine Foundation, “The average frequency of Botox injections for migraine is every 12 weeks. However, some patients may need more frequent injections, and some may require injections less often”. It is important to discuss the frequency of injections with your doctor to determine what works best for you.

Botox Treatment Paid by Insurance

Most health insurance plans, including Medicare and Medicaid, cover Botox as a treatment for chronic migraine since it is FDA approved. However, the FDA-recommended dosage of 155 units can cost between $300 to $600 per treatment. To help reduce these costs, Allergan provides a Botox Savings Card. In order to be eligible for this treatment, it is typically necessary to have already tried and failed to respond to two other preventative treatments.


How can we help?