Botox day is a paradox for me, I’m getting Botox injections to help ease the frequency and duration of my chronic migraines. The paradox being that getting the injections themselves, gives me a migraine attack, the day of the injections continuing into the next day. If I’m already in a migraine cycle, then it’s a real doozy! Knowing this I can be prepared when I get home, with appropriate medications and my Migraine Hat, which works very well after Botox, since it covers the entire head. 

I am blessed with a Neurologist who is very good at giving the injections, he is the second Neuro in the clinic to do my Botox injections. The first Neurologist left the clinic after I had been seeing him for a little less than a year. When I switched to my current Neuro for the injections, I noticed that he was giving them in different areas than the other clinician. When I got home, I did some research and discovered that the pervious Neurologist hadn’t been giving them correctly. No wonder I hadn’t noticed any improvement! What a waste of time, money and use of expensive medication, not to mention I wasn’t receiving any benefits from the injections at all! 

I won’t lie the Botox injections can be quite painful and sometimes are worse than others, I think this has to do with whether I’m currently in a migraine cycle or not. My Neuro and I keep up a running conversation, this helps to distract me and works pretty well. Since he gives the injections properly, I have noticed a difference in my migraine attacks. I can’t honestly say that the injections have decreased to the number of migraine attacks. But I can say that the injections into my neck and shoulder area, take care of the pain, that I have in that area. Mostly from Fibromyalgia and Degenerative Disc Disease in my neck, which I’ve already had one Fusion at C5-6 for.  Neck pain is about 50% of my migraine attacks, taking away that much pain from my migraine attacks is huge to me. 

The main thing is to make sure the clinician doing your Botox injections, are doing them properly. Otherwise you are wasting your time, money and coming away with no relief! That is just not acceptable! Do your research, ask how and where the clinician will be administering the injections. Make sure they are a properly trained clinicians in the protocol of Botox injections.

“Botox (onabotulinumtoxinA) can be a very effective treatment for people with chronic Migraine. As with other treatments, it doesn’t work for everyone. One way in which Botox differs from oral Migraine preventive treatments is that its efficacy and safety can be impacted by the expertise of the person administering the Botox treatment and their appropriate observation of injection sites and the muscles involved”


This is from Teri Robert’s* newest article on Botox;  “Botox for Chronic Migraine: Knowledge of Anatomy Is Critical”

“An investment in knowledge pays the best interest.  Benjamin Franklin”


Live with hope,

*Teri Robert is a leading patient educator and advocate and the author of Living Well with Migraine Disease and Headaches. A co-founder of the Alliance for Headache Disorders Advocacy and the American Headache and Migraine Association, she received the National Headache Foundation’s Patient Partners Award and a Distinguished Service Award from the American Headache Society. Teri can be found on her website, and blog, Facebook, Twitter, StumbleUpon, Pinterest, LinkedIn, and Google+.