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If you use Botox , plan on getting three treatments three months apart . My experience is that if it ’ s not effective after three treatments , it ’ s unlikely to help .
own for some , for others it may continue indefinitely . It is speculated that a virus is the cause , but the true cause of this unusual syndrome is still unknown . It is also very difficult to treat . Doctors typically attempt to treat it with the same preventive agents that are used to treat migraine .
— Mark Green , MD , Mount Sinai School of Medicine , New York City
AN INTERESTING WRINKLE
My wife has chronic migraines , and we are looking at Botox . What does your research or experience tell you about Botox for migraines ? — Trent M . Botox was approved by the FDA for the treatment of chronic migraine in late 2010 . Interestingly , it has not been shown to be effective with a frequency lower than 15 headache days per month . I inject Botox almost daily in my practice . Most , but not all , people experience a reduction in the number and frequency of their attacks . Although some become headache-free , this is unusual and should not be expected .
If you use Botox , plan on getting three treatments three months apart . My experience is that if it ’ s not effective after three treatments , it ’ s unlikely to help . But it should not be abandoned if the first treatment fails . Botox does not interact with the usual preventive headache medications , so those can be continued during the time the Botox is administered .
— Mark Green , MD , Mount Sinai School of Medicine , New York City
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www . headwisemag . org | National Headache Foundation 13