Chronic Migraines
The headache that never lifts finally lifts.
Chronic migraine is headache on 15 or more days a month, held over months, with throbbing pain, sensitivity to light and sound, and often nausea. Rescue medication treats an attack once it has started. Prevention works on how often the attacks come at all, and preventive Botox is the treatment Catherine uses for this pattern.
Chronic Migraines
The headache that never lifts finally lifts.
Chronic migraine is headache on 15 or more days a month, held over months, with throbbing pain, sensitivity to light and sound, and often nausea. Rescue medication treats an attack once it has started. Prevention works on how often the attacks come at all, and preventive Botox is the treatment Catherine uses for this pattern.
CONCERN & CAUSES
What Is Driving the Headaches
Which symptoms dominate, the pain, the light and sound sensitivity or the nausea, shapes what gets treated. A sudden severe headache, new neurological symptoms, or any change from your usual pattern should be seen by a physician before a prevention plan starts.
01
Neurologic Sensitivity
In chronic migraine the nerve pathways around the head and neck stay easier to set off than they should be. Ordinary light or loud noise can start a cascade that ends in throbbing pain on one side.
02
Muscle Tension & Posture
Tight muscles across the neck and scalp feed the same pain pathways. A long day at a screen keeps them switched on for hours when they should have let go, and that tension shows up in how often attacks build.
03
Hormones & Triggers
Estrogen shifts, skipped meals, thin sleep and a change in the weather all show up on headache diaries. Over months a sensitized nervous system answers the same cues faster, so the list of things that set you off gets longer.
04
Medication Overuse
Reaching for pain relief on too many days a month can turn on you. That is medication-overuse headache, and it blends into the migraine pattern underneath it until the pain never seems to fully lift. It is one of the reasons prevention gets raised.
Treatment Benefits
Targeted Relief for Fewer Severe Migraine Days
Preventive Botox reduces how often migraine attacks reach full intensity, so fewer days each month are lost to severe pain. Catherine trained other injectors for the Allergan Medical Institute from 2021 to 2026.
Botox for Migraines
Botox placed at the fixed injection points of the chronic migraine prevention protocol, running from the forehead and temples back over the scalp and down into the upper neck.
Keeping Migraine Days Down Between Treatments
Botox works on the pathway that carries the pain. It will not clear your triggers or fix a sleep pattern that broke years ago, and both of those still decide how many days a month you lose. What follows is what holds a good cycle together.
Work With Your Neurologist
Track Your Triggers
Support the Basics
Watch Medication Use
Keep the Follow-Up
After Your Migraine Injections
The First Twenty-Four Hours
Keep your head upright for a few hours, skip the gym until the next day, and leave the injection sites alone. Relief builds over the days that follow. If the skin at the sites feels tender, a cool compress and a plain barrier cream stocked at the office are enough.
The Beauty Bank
What Membership Is For
Members pay less per unit.
Neuromodulators are $15.50 per unit. Catherine goes through the options at a complimentary consultation. There is no deposit. Members pay less per unit; the figures are on the Beauty Bank page.
One fee each month, with no deposit
Use it at either office, Bronxville or Bridgehampton
Your complimentary consultation is with Catherine Curtin, MSN, FNP-C
A full-face assessment comes before any single treatment.
Complimentary consultation. No deposit. A card holds the time.
FAQ
Common Questions About
Botox for Chronic Migraine
For many people with chronic migraine, yes. Botox is FDA-approved for this use, and the injections calm the pain pathways that carry an attack so fewer of them build to full strength. It is prevention, so the measure is how many days a month you get back.
Coverage is between you and your plan, so check the terms with them before you book. It helps to have a chronic migraine diagnosis from your neurologist or primary care physician and a headache diary, and to ask your plan whether prior authorization is required. Catherine goes through what the treatment costs at your consultation.
A cycle is repeated about every twelve weeks, because the effect fades as the nerve endings recover. How much relief each cycle gives depends on how often attacks were landing before treatment and on how your physician is managing your other migraine medications.
Most people do. The goal is fewer severe days and a month you can plan around. When Catherine reads your response she looks at how often attacks land, how hard they hit, and how much of your life opened back up.
Same medication, different purpose. The migraine protocol has its own points and its own dosing, and it is followed for symptom relief. Any softening of a line along the way is incidental to that.
Some people feel the forehead sit heavier for a few weeks, because the migraine map runs across it. Catherine places to the medical points and checks how your brow sits at your follow-up. If the balance needs changing, that is what the next cycle is for.
Usually yes. Botox works ahead of the next attack, so the rescue medication you take when one lands still has a job, and any daily preventive you are on is your physician's call to change. Tell them you are having migraine Botox.
Botox for prevention is reserved for the chronic pattern. Below that, physicians usually work through the other preventives first, including beta blockers and the newer CGRP drugs. Catherine is glad to read your history with you and speak with your doctor before a path is set.
Botox is $15.50 per unit; the Beauty Bank page lists member figures. A migraine cycle uses a set number of units, so the figure for a whole cycle can be given once Catherine has seen you, and it holds cycle to cycle. The consultation is complimentary and there is no deposit.
It can. A headache in the first day or two after treatment is common and passes on its own. Botox is working on the weeks that follow, so those first days say very little about how the cycle will go. Most people leave the appointment and go back to their day.