In-office procedure
Botox for chronic migraine.
For patients with chronic migraine — 15 or more headache days per month — botulinum toxin injections can meaningfully reduce headache frequency and severity. We administer the FDA-approved protocol in-office.
Who is it for?
Chronic migraine is defined as 15 or more headache days per month for at least three months, with at least eight days having migraine features. Botox was FDA-approved for chronic migraine prevention in 2010 and has clinical trial evidence supporting an average reduction of roughly 8–9 headache days per month.
The protocol
The standard regimen is 31 injections across seven head and neck areas — forehead, temples, back of head, upper neck, and shoulders — for a total of 155 units. The procedure takes about 15 minutes and is repeated every 12 weeks.
What to expect
- Onset of effect: typically 10 to 14 days.
- Peak benefit: around four weeks after the first cycle.
- Most patients see meaningful improvement after two cycles.
Safety
Most side effects are mild and local — neck soreness, transient muscle weakness, or injection-site discomfort. Botox is not appropriate for patients with certain neuromuscular conditions or during pregnancy or breastfeeding; we screen for these contraindications at evaluation.
Insurance & authorization
Most insurers cover Botox for chronic migraine after a documented trial of preventive medications. Our team handles prior authorization. Call (561) 918-0003 to check your coverage.
Frequently asked questions
- Is this the same Botox used cosmetically?
- It is the same molecule (onabotulinumtoxinA) used at lower doses, but the indication, technique, and injection sites are different.
- How long until I notice a difference?
- Most patients begin to notice fewer or less-intense headaches 10 to 14 days after their first injection cycle, with peak benefit around four weeks.
- How often will I need treatment?
- Every 12 weeks for as long as it continues to help. Many patients stay on Botox indefinitely.
- Will my insurance cover it?
- Most plans cover Botox for chronic migraine after preventive medications have been tried. Our team will verify coverage and obtain prior authorization.
Educational content based on published clinical guidance. Not a substitute for medical advice. For evaluation or treatment, please schedule an appointment.