Botox® (onabotulinumtoxinA) is the only FDA-approved preventative treatment for chronic migraine that prevents headaches and migraines before they even start. Dr. McCoy has received extensive advanced training in this procedure, and uses only Botox® brand medication.
How is it done? Using a fine, cosmetic-grade needle, tiny amounts of Botox® (one tenth of a milliliter) are injected into specific areas of the head and neck: 7 sites in the forehead, 4 on each side of the temples, 3 on each side of the back of the head, 2 on each side of the upper neck, and 3 in each clavicle area. The injections are very shallow, about 1/4-inch deep, and the entire procedure takes about 15 minutes.
Does it work right away? Usually, no. It may take several weeks before you notice a difference in your migraine pattern. Some patients might not experience relief until well after their second treatment.
How long does it last? The procedure is done every 12 weeks. It’s important to know that your response to treatment may vary, but that there is an observed cumulative effect, meaning response seems to improve with subsequent treatment.
Is it safe? For a variety of reasons, many patients can’t tolerate some of the side-effects associated with prescription medications. Treatment with Botox® is ideal in these situations because the medication does not circulate throughout the body. Side effects are rare, but they do exist. In clinical trials for migraine patients, the most commonly-reported side effects were neck pain (9%) and eyelid drooping (4%). Scroll down to the bottom of this page for full safety and side effect information.
Is it covered by insurance? While individual insurance plans vary, the short answer is, yes! We work closely with Botox Support Solutions to coordinate with your insurance company to make sure you’re covered, and what, if any, your out-of-pocket expense will be.
Got more questions? Not ready for a full eval? Or maybe you already have a provider taking good care of you who doesn’t offer this treatment (or hasn’t quite explained it enough)? Book a Botox Consult with Dr.McCoy. You get to ask all the questions, and she’ll help you understand all the answers. She’ll even show you how little that needle is!
[Botox Consults are intended for patient/consumer information only and do not include diagnosis or treatment. There is a flat $95 professional fee.]