Botox has been used successfully by neurologists and dermatologists for the past few years to treat migraines. However, just this month, the FDA officially approved Botox to treat migraines. While you'll now be seeing a lot more about this, in thi...
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Hello! I’m Dr. Neal Schultz and welcome to Derm TV. For the past three or four years, dermatologists and neurologists have been successfully treating migraine headaches with Botox in selected patients. In this past week, the FDA finally approved the use of Botox for migraine patients. That is really great news for the millions of migraine sufferers out there. Since we think that migraines are caused by a squeezing or spasm or contraction of blood vessels either in the face or head, Botox probably works either by paralyzing the muscles that those blood vessels go through so they can’t squeeze those vessels or perhaps even by neutralizing and paralyzing the muscles in the blood vessels so they can’t contract or go into spasm. But here’s the catch, the place where a migraine starts is called a trigger point. The trigger point is where you really have to get the Botox in order to get relief from your migraines. Well, that means that your trigger point has to be in a treatable location. Because Botox paralyzes muscles, your trigger point can’t be someplace where the muscle is important and useful, like the muscle in the middle of your cheek, you won’t be able to smile, or the muscle at the back of your neck which holds your head up. If you put Botox on that muscle, you’re not going to be able to hold your head up and your head is going to fall forward. This is the bottom line, if you’re a migraine sufferer or if you think you suffer from migraines, see a neurologist to find out if you’re a candidate for relief from your migraine headaches with Botox therapy. Please join me again at DermTV.com. If you have a question, please send it to me by visiting dermtv.com/question. I’m Dr. Neal Schultz and thank you for watching today.

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