Treating migraine non-surgically falls into two categories:
1. Acute therapy
2. Preventative therapy
Does every victim of migraine need treatment is a very common question. Most of the migraine candidates are satisfied with their general practitioners. But a few are not. We are here to guide when migraine is not under control with pills. Medications for migraine though extremely effective, does not help address severe and refractory headaches.
BOTOX plays a vital role here. Botox known for its cosmetic role is unknown to many as a therapeutic remedy for a migraine. BOTOX falls under the preventative therapy for chronic attacks and a comparative study proves its safety, efficacy and tolerability of the other preventative measures. There are more significant advantages of Botox over the alternative preventative therapies with beta blockers, anticonvulsants and antidepressants.
CONSIDERATIONS WHILE EVALUATING THE TREATMENT PLANS:
Prevention plays an important role in treating chronic migraine. This involves educating the patient about their condition and counsel them to change their diet and lifestyle. Treatment plan begins with a thorough history like:
1. Is he or she using more acute medications than the recommended dose?
2. Is he or she responding properly to acute medications?
3. Is he or she meeting the treatment goals?
4. Has he or she properly followed the treatment regimen?
5. If he or she developed any complications for their previous treatment?
RECOMMENDED DOSE / NUMBER OF SITES:
- PROVEN DOSAGE: 155 Units
- PROVEN SCHEDULE: 2 sessions, 12 weeks apart, with further re-treatment every 12 weeks
- PROVEN SITES: 31 sites across 7 specific head and neck muscle areas.
3. Nape and sides of the neck
4. Upper shoulders
5. Back of the head
The most frequently reported adverse reactions after BOTOX injection is neck pain, headache, drooping of the eyelids, muscular weakness, musculoskeletal stiffness, bronchitis, pain and swelling in the injected area. Severe worsening of a migraine requiring hospitalisation occurred in approximately 1% of BOTOX treated patients usually within the first week after treatment.
BOTOX IS NOT AN OPTION FOR:
3. Children below 18 years
4. Uncontrolled diabetes and hypertension
5. Neuromuscular disorders
7. Hypersensitive reactions for the previous BOTOX