Migraine: First botox experience

Botox in the brain migraine

I have chronic migraine with aura. And they have become daily. This is not cool. Not cool at all. I don’t respond well to preventative medications and so one option is botox for migraine. It is a treatment for chronic migraines (15 or more migraines a month).

Botox is a neurotoxin, a poison made by bacteria called Clostridium botulinums. It can cause a deadly reaction called botulism if you eat it in spoiled food because it blocks signals from your nerves and paralyzes your muscles. WebMD

The studies suggest botox for migraine can reduce the frequency or intensity of migraine attacks

In a study of adults who get chronic migraine headaches, shots of Botox cut down the total number of days they had them or even other types of headaches. They also had more “crystal-clear” — pain-free — days each month, and they reported fewer days off work.

In another study, nearly half the people who took two rounds of Botox shots reported that the number of days they had a headache each month was cut in half. After five rounds of treatment, that increased to about 70% of the people WebMD

It is 31 shots around the forehead area, along the side of the head, the base of the skull, shoulder area… but not the neck (due to the effects of botox).

My experience with migraine botox

So getting needles in the head is decidedly unpleasant. Who would have thought it?

But I’m not afraid of needles or minor fleeting pain.

I am no sissy girl.

Okay, I did cry a little and there was some begging for mercy, but other than that, super cool.

Actually, it is unpleasant, but not so unpleasant it is not bearable. The needles are very thin and so that makes it quite tolerable. Just if your scalp is sensitive due to allodynia (skin pain due to migraine… like a burning pain or your hair hurts… then it is irritating to get poked with a needle)

So looks like I am going to have a numb forehead for six months. But that isn’t necessarily so. It may be this is the reaction I had This time but maybe it is just this time. As usually, one does not get this numb feeling throughout. Just lucky I guess.

Even if you scare the bejeebers out of me, I will not look surprised. The neuro warned me explicitly not to rub my head in the next 24 hours, or a might push the botox down and thus have an eyelid drooping for three months… not a sexy look on anyone really. And this makes me a little paranoid about sleeping… given I smoosh my head into the pillow and toss and turn erratically all night long. I just might wake up with drooping eyelids and an ear at my chin.

The neuro said we should see results in two weeks, although I should see some change by the time I go back to work. He said it works on 3 out of 4 people, although not everyone can afford it (400 bucks a treatment and even I’m not sure if I will see a refund). Of those that see a result 25% will be migraine free for the three-month duration, while others have varying results. So I can anticipate some sort of positive result, although I don’t think so much for the hormonal migraines. Depending on the results we might have to change my painkiller because Toradol so does not do much on acute migraines and seriously not so good on the tummy.

Anyway, as it kicked in I did lose my Spock eyebrow and that rather irked me. Since that is something I use in everyday expressions. And now my eyebrows are rather inert. So irksome.

See also

Migraine botox study

Let’s talk Chronic Migraine

Aimovig for migraine
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