Botox injections

For spasticity, dystonia and migraines

What is botox?

  • Botox (onabotulinum toxin) is an injectable medication that may help with a variety of conditions including spasticity, cervical dystonia, migraine headaches, jaw pain, muscle pain, and excessive sweating.
  • It is an FDA-approved treatment for chronic migraines.

How is an injection performed?

  • Botox will be injected by your provider after you have an initial consultation to see if Botox might be the right treatment for you.
  • Your provider may use various modalities including ultrasound or other guidance to help perform your treatment.
  • Botox typically lasts for about 3 months and injections are performed up to four times a year

Botox for chronic migraine


  • Most people can walk around immediately after.
  • You should avoid strenuous activity that may cause sweating for 24 hours after your injection.
  • You may resume full activity the next day.
  • Mild bruising and soreness around the injection site may occur. 
    • Applying ice for a few days may reduce inflammation and pain
  • It may take 4-6 days before you begin to notice a change from the injection. Peak results are typically seen at 4-6 weeks.


  • Botox injections may cause temporary injection site pain or bruising.
  • In some cases patients may experience dry mouth, weakness or short-lived flu-like symptoms.
  • Be sure to talk to your provider about risk and side effects associated with Botox treatment before your procedure.
  • Please notify the provider if the injection site becomes infected (fever or drainage at the injection site) or inflamed (redness, swelling, pain at the site).

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