Migraines and Botox | Episode 062

Episode summary introduction:

Botox isn’t just for wrinkles any more. The FDA approved botox in 2010 for treatment of chronic migraines. For adults, chronic migraine means having a headache for at least 15 days in the month, with at least 8 of those headaches being migraines that each last 4 or more hours for at least 3 months. We typically do not focus on one singular item for treatment, but this is something that we have heard a lot about and wanted to explore since it is a little unorthodox.

Topic 1:

Botox is a man made drug that comes from a toxin produced by the bacteria Clostridium botulinum. Botulinum toxin is a neurotoxin that is one of the most poisonous biological substances known. And yes, this is the same toxin as botulism, that causes life-threatening food poisoning.

Topic 2:

Botox enters the nerve endings at the injection sites and blocks the release of chemicals involved in pain. This essentially prevents pain signals from going to the brain, relieving migraines.

Topic 3:

Pros/Cons of Botox for migraines are discussed.


As we wrap up this episode I thought it would be fun to add in a couple of things botox can do in addition to help with chronic migraines.

  • Temporary smoothing of facial wrinkles and improving your appearance

  • Severe underarm sweating

  • Cervical dystonia - causes severe neck/shoulder muscle contractions

  • Blepharospasm - uncontrollable blinking

  • Strabismus - misaligned eyes

  • Overactive bladder








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