The injections use a very fine needle and most patients describe them as mild pinches. The procedure takes 15 to 30 minutes and patients return to normal activities immediately.

Therapeutic Botox Injections

Botox for Migraines, Cervical Dystonia, TMJ & Muscle Spasticity

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. DVPSI manages the prior authorization process for qualifying patients.

Q: Is Botox for cervical dystonia covered by insurance?

Yes. Botox for cervical dystonia is covered by most major insurance plans and Medicare when the diagnosis is confirmed and documented. Prior authorization is typically required and DVPSI handles this process.

Q: Is Botox for TMJ or bruxism covered by insurance?

Botox for TMJ and bruxism is considered off-label and is not consistently covered by insurance, though some plans may provide partial coverage. DVPSI will review your specific plan before treatment.

Q: How long does Botox take to work?

Most patients begin to notice improvement within 1 to 2 weeks of treatment. For chronic migraines, full benefit is typically seen after 2 to 3 treatment cycles. For cervical dystonia and spasticity, peak effect is usually seen at 4 to 6 weeks.

Q: How often do I need Botox injections?

For most conditions, Botox is repeated every 12 weeks. The effects gradually wear off as nerve signals recover, so consistent treatment every 12 weeks maintains the benefit.

Dr. Todd Bromberg, board-certified in both Neurology and Pain Medicine, offers Botox injections for multiple medical conditions at DVPSI's three locations in Pennsylvania and New Jersey.

Conditions Treated with Botox

Botox (onabotulinumtoxinA) is a well-established treatment for several distinct neurological and pain conditions. At DVPSI, Dr. Bromberg's dual board certification in Neurology and Pain Medicine makes him uniquely qualified to treat this full spectrum of conditions with precision and expertise.

Chronic Migraines

Botox is a proven preventive treatment for chronic migraines in adults who experience 15 or more headache days per month. It works by blocking the release of neurotransmitters involved in migraine pain transmission. Injections are administered every 12 weeks using the PREEMPT protocol of 31 injections across 7 muscle sites in the head, neck, and shoulders. Most patients see improvement after their second treatment cycle, with continued benefit over time.

Cervical Dystonia

Cervical dystonia, also called spasmodic torticollis, is a neurological movement disorder that causes the neck muscles to involuntarily contract, resulting in abnormal head positioning, pain, and restricted movement. Botox injections directly into the affected neck muscles reduce abnormal contractions and provide meaningful relief from both the movement disorder and the associated pain. Injections are targeted to the specific muscle groups identified during evaluation.

TMJ & Bruxism

Temporomandibular joint dysfunction and bruxism cause significant jaw pain, facial tension, headaches, and wear on the teeth. Botox injections into the masseter and temporalis muscles relax the muscles responsible for grinding and clenching, reducing jaw pain and tension without affecting the ability to speak or chew normally. Many patients notice significant relief within one to two weeks of treatment.

Muscle Spasticity & Spasms

Muscle spasticity, characterized by stiff, tight, or involuntarily contracting muscles, can result from stroke, multiple sclerosis, spinal cord injury, cerebral palsy, and other neurological conditions. Botox injections into the affected muscles reduce spasticity, improve range of motion, decrease pain, and make physical therapy more effective by allowing muscles to respond better to rehabilitation.

What to Expect

Evaluation

Dr. Bromberg reviews your medical history, symptom pattern, and prior treatments to confirm you are a candidate and determine the appropriate Botox protocol for your specific condition.

Insurance Authorization

DVPSI staff manages the prior authorization process with your insurance carrier, including clinical documentation and any required appeals, before your first injection.

Injection Session

Botox is injected into the targeted muscle groups using a fine needle. Most sessions take 15 to 30 minutes. Patients return to normal activities immediately.

Ongoing Treatment

Botox effects last approximately 3 months. Most conditions require repeated treatments every 12 weeks to maintain results, with many patients experiencing continued improvement over successive cycles.

Conditions It Treats

Chronic Migraines Cervical Dystonia TMJ & Bruxism Muscle Spasticity Muscle Spasms

Why Choose DVPSI for Botox?

Dr. Todd Bromberg holds the rare distinction of being board certified in both Neurology and Pain Medicine, a combination that makes him uniquely qualified to treat the full spectrum of conditions responsive to Botox therapy. Most physicians offering Botox treat only one condition. Dr. Bromberg's neurological training means he brings a deeper understanding of the underlying mechanisms driving each condition.

Dual board certification in Neurology and Pain Medicine
Prior authorization managed in-house by DVPSI staff
Most insurance plans accepted including Medicare
3 convenient locations in Chalfont PA, Trevose PA, and Marlton NJ
Academic medicine background with published research

Common Questions

Frequently Asked Questions

Answers to common questions from our patients.

Is Botox for migraines covered by insurance?

Is Botox for cervical dystonia covered by insurance?

Is Botox for TMJ or bruxism covered by insurance?

How long does Botox take to work?

How often do I need Botox injections?

Does Botox hurt?