At IGEA Brain, Spine & Orthopedics, our neurologist specializes in treating migraines and other related conditions utilizing innovative solutions, such as Botox injections. As a practice, we are committed to comprehensive, personalized care for all conditions of the brain, spine and neuroendovascular system.


Botox is the first and only FDA-approved preventive treatment option for chronic migraines. It works by blocking the pain signals from the brain to certain nerves in order to relieve migraine symptoms. The injections, done with a very thin needle, can be made into each of these specific points on the body:

  • Forehead
  • Temples
  • Bridge of the nose
  • Back of the head
  • Neck
  • Upper back

Symptoms are not permanently resolved, however. After several months, the nerves grow new pain fibers, and the headaches have a tendency to return. Therefore, these injections are administered once approximately every 12 weeks in 10- to 15-minute sessions and can be performed in the comfort of the physician’s office.

Who Would Benefit From Botox Treatments?

Botox injections are intended for patients living with chronic migraine headaches experiencing symptoms 15 days or more/month when all other treatment methods have failed. Botox treatment may relieve symptoms, including:

  • Nausea
  • Pain
  • Sensitivity to light, smells or sounds
  • Vomiting

Botox is also a good potential treatment for those who have side effects or are unable to tolerate certain preventive medications (e.g. Beta blockers, Calcium channel blockers, anticonvulsants, antidepressants).

Symptom relief from Botox is usually apparent one to two weeks after treatment. It peaks at about six weeks. After three months, another cycle of Botox injections is required. Note that treatment with Botox is not indicated for those with episodic migraines (fewer than 15 per month) or with other forms of headaches, such as tension-type.

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