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Side effects are minimal but may include neck pain, a worsening of headache the first few days after injection, and temporary eyelid droopiness, which usually goes away after three months.
Exactly how Botox works to treat migraines is not entirely understood, but it appears to work by blocking the release of certain chemicals involved in transmitting pain signals. Treatments can ...
Migraine surgery is an outpatient procedure which addresses peripheral nerves through limited incisions. Depending on the symptoms of the patient and the screening results following nerve blocks or Botox, different areas of the head and neck may be addressed to treat the nerves found to be the migraine trigger in a given patient.
The toxin is injected into the head and neck to treat these chronic headaches. Approval followed evidence presented to the agency from two studies funded by Allergan showing a very slight improvement in incidence of chronic migraines for those with migraines undergoing the Botox treatment. [166] [167]
Symptoms can also worsen while the patient is walking or during periods of increased stress. Other symptoms include muscle hypertrophy, neck pain, dysarthria and tremor. [2] Studies have shown that over 75% of patients report neck pain, [1] and 33% to 40% experience tremor of the head. [3]
The procedure to fix it involves a doctor injecting 50 to 100 units of Botox − more than twice the amount often used to smooth forehead wrinkles − into the upper cricopharyngeal muscle.
Rescue treatment involves acute symptomatic control with medication. [4] Recommendations for rescue therapy of migraine include: (1) migraine-specific agents such as triptans, CGRP antagonists, or ditans for patients with severe headaches or for headaches that respond poorly to analgesics, (2) non-oral (typically nasal or injection) route of administration for patients with vomiting, (3) avoid ...
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