Chronic migraine can be a debilitating condition for people affected, resulting in significant symptoms often for many years, which can affect work life, as well as home life. Migraines are often described as a severe throbbing pain, which typically affects one side of the head or behind the eye. They are commonly associated with difficulties tolerating bright lights or loud noises and may be accompanied by vomiting and visual disturbances. Some people have clear triggers for migraine, whereas in other people they can occur without cause.
We advise that if you have a headache syndrome that has not yet been diagnosed, you should consult with your GP in the first instance to ensure that further investigation / specialist referral is not required. If it is confirmed that you are suffering with chronic migraine then you may be eligible for this treatment via GP referral to a specialist in the NHS. We do not provide any services on behalf of the NHS, so any treatment with us would require funding privately.
Suitability for Botox would be assessed at your consultation with Dr. James. There are relatively few medical reasons that would mean you could NOT have Botox (for example if you are pregnant or breastfeeding, or if you have a history or neuromuscular conditions such as Myasthenia Gravis or Eaton-Lambert Syndrome), however there may be other more appropriate treatments that could be suggested first.
If you are felt suitable for Botox for chronic migraine then this can be undertaken the same day, or at a later date as per your preference. A Number of injections are required across various sites of the head & neck. Improvement in migraines should be felt within 2 weeks of the treatment and can be expected to last up to 12 weeks.
Studies assessing the effectiveness of Botox for chronic migraines have demonstrated a reduction of 7.8-9.2 headache days per month in those treated with Botox.