Botox is a safe and effective treatment for chronic migraines, with proven data supporting its effectiveness. Low doses of Botox (onabotulinumtoxinA) are injected into several muscles in the head and neck. The toxin temporarily prevents the release of a chemical transmitter called acetylcholine, preventing motor nerve activation of muscle. This blockade relaxes the muscle and is the basis for its use in cosmetics. More importantly, Botox also moderates molecules which can amplify pain signals in sensory nerves. These nerves are thought to be overactive, or ‘sensitive’, in migraine.
Botox is approved for use for migraineurs who experience more than 15 migraines per month. While the cost of Botox is not covered by OHIP, your insurance plan may cover all or a portion of the cost of the medication if you meet certain criteria (> 15 migraines a month; failing treatment with 2-3 different medications because of either lack of effectiveness or intolerance to side effects).
The cost of Botox for Chronic Migraines includes the cost of the medication (unless it is covered by your insurance), plus a $200 injection fee.
E-mail me directly at firstname.lastname@example.org if you would be interested in pursuing Botox treatments for your chronic migraines.