Useful links and support

If you would like to learn more about migraines or find support, consider the following resources:

•  www.migrainetrust.org
•  www.nationalmigrainecentre.org.uk
•  www.nhs.uk

What are Chronic Migraines?

Chronic migraines are defined as headaches occurring on 15 or more days per month, with at least eight of these being migraines, for a period of at least three months. Symptoms may include:

• Severe head pain
• Nausea and vomiting
• Sensitivity to light and sound
• Visual disturbances (aura)

Migraines can significantly impact daily life, affecting work, social activities, and overall well-being.

How Does Botulinum Toxin Work?

Botulinum Toxin helps to reduce the frequency and severity of migraines by blocking nerve signals that contribute to pain transmission. It is injected into specific areas of the head, neck, and shoulders to relax muscles and prevent migraines from being triggered.

Who Can Have This Treatment?

Botulinum Toxin for migraines may be suitable for you if:

• You have been diagnosed with chronic migraines (at least 15 headache days per month).
• Other treatments, such as prescription medications, have not worked.
• You are generally in good health with no conditions that could interfere with treatment.
• You are not pregnant or breastfeeding.

Botulinum Toxin is not usually recommended for people who experience only occasional headaches or migraines.

What to Expect During Treatment

• The treatment area will be cleansed, and a fine needle will be used to inject Botulinum Toxin into specific areas of the head, forehead, temples, and neck
• The procedure takes around 20–30 minutes and requires no downtime.
• You can return to most activities immediately after treatment.

Aftercare Advice

To ensure the best results, follow these aftercare guidelines:

• Avoid rubbing or massaging the treated areas for 24 hours.
• Refrain from strenuous exercise for 24–48 hours.
• Avoid excessive heat exposure, such as saunas or hot showers, for 48 hours.
• Stay hydrated and maintain a healthy lifestyle to support migraine prevention.

When Will I See Results?

• Some patients notice an improvement in symptoms within 2 weeks, but full results may take 4–6 weeks.
• Botulinum Toxin does not cure migraines but can significantly reduce their frequency and severity.
• Treatment typically lasts 12 weeks, after which repeat injections may be necessary.

Possible Side Effects

Botulinum Toxin is a safe and well-tolerated treatment, but mild side effects can occur, including:

• Mild pain, swelling, or bruising at the injection sites.
• Temporary muscle weakness in the forehead or neck.
• Flu-like symptoms, such as fatigue or mild headache.

Serious side effects are rare but may include difficulty swallowing, breathing issues, or allergic reactions. If you experience any concerning symptoms, seek medical advice immediately.

Who Should Not Have Botulinum Toxin for Migraines?

Botulinum Toxin is not recommended for individuals who:

• Have had an allergic reaction to botulinum toxin in the past.
• Have neuromuscular conditions (e.g., Myasthenia Gravis or Lambert-Eaton syndrome).
• Are pregnant or breastfeeding.
• Have an active infection at the injection sites.

Follow-Up & Future Treatments

A follow-up appointment may be offered to assess your results. If necessary, additional treatments can be discussed.

To maintain results, repeat treatments are typically needed every 12 weeks.

Lifestyle Tips to Help Manage Migraines

In addition to Botulinum Toxin, the following strategies may help reduce migraine frequency:

• Maintain a consistent sleep routine and avoid sleep deprivation.
• Stay hydrated and avoid skipping meals.
• Identify and manage migraine triggers such as stress, certain foods, and alcohol.
• Practice stress management techniques, such as yoga or meditation.

Consent to Share

To ensure your medical records remain up to date, we recommend informing your GP about your treatment with us. This is important for maintaining continuity of care, particularly if you require hospital admission or are prescribed medication for other conditions. You will be asked for consent to share your treatment details with your GP, as this helps ensure safe and coordinated medical management.