Headache & Migraine Management

Botox for Chronic Migraines

Q: Is Botox for migraines covered by insurance?

Yes. Botox for chronic migraines is covered by most major commercial insurance plans and Medicare Part B when the patient has 15 or more headache days per month and has tried two or more preventive medications without adequate relief.

Q: How quickly does Botox work for migraines?

Most patients see improvement after the second treatment cycle (24 weeks). Some patients notice benefit after the first cycle. Full benefit is typically seen after 3 to 4 cycles.

Q: How many injections are in a Botox migraine treatment?

The FDA-approved PREEMPT protocol uses 31 injections across 7 muscle sites in the head, neck, and shoulders. The total dose is 155 units.

Q: How long does Botox for migraines last?

Each treatment cycle lasts 12 weeks, after which the injections are repeated. Most patients receive ongoing treatment every 12 weeks to maintain results.

Q: Does Botox for migraines hurt?

The injections use a very fine needle and most patients describe them as mild pinches. The procedure takes 15 to 20 minutes and patients return to normal activities immediately.

FDA-approved Botox injections for the prevention of chronic migraines, offering patients who experience 15 or more headache days per month a proven long-term solution.

What Is Botox for Chronic Migraines?

Botox (onabotulinumtoxinA) is FDA-approved for the prevention of chronic migraines in adults who have 15 or more headache days per month. It works by blocking the release of neurotransmitters involved in migraine pain transmission. Botox injections are administered every 12 weeks and have been shown in large clinical trials to significantly reduce the number of headache days per month.

How It Works

Botox is injected into specific muscle groups across the head, neck, and shoulders using a standardized protocol of 31 injections at 7 muscle sites. The medication blocks pain signals from reaching the brain and reduces the sensitivity of pain receptors involved in migraine generation. Most patients see improvement after their second treatment cycle.

Assessment

Your physician reviews your headache diary and confirms 15 or more headache days per month, qualifying you for the PREEMPT protocol.

Injections

31 Botox injections are administered across the forehead, temples, back of the head, neck, and shoulders. The procedure takes 15 to 20 minutes.

Follow-Up

Botox is repeated every 12 weeks. Most patients see continued improvement with each treatment cycle.

Conditions It Treats

Migraines Neuropathic Pain Trigeminal Neuralgia

Why Choose DVPSI?

Dr. Todd Bromberg, who has specialized expertise in headache medicine and pain neurology, administers Botox for chronic migraines at DVPSI. DVPSI follows the FDA-approved PREEMPT protocol and manages insurance prior authorizations for qualified patients.

FDA-approved protocol administered by headache specialists
Prior authorization management handled by DVPSI staff
Covered by most insurance when 15 or more headache days are documented
Combined with other headache treatments for comprehensive care

Common Questions

Frequently Asked Questions

Answers to common questions from our patients.

Is Botox for migraines covered by insurance?

How quickly does Botox work for migraines?

How many injections are in a Botox migraine treatment?

How long does Botox for migraines last?

Does Botox for migraines hurt?

Take the First Step

Ready to find relief?

Our board-certified specialists are ready to evaluate whether Botox for Chronic Migraines is right for you. Same-week appointments available.

Book an Appointment Call (215) 489-9170