Chronic Migraine Treatment
For adults living with chronic migraine, neurotoxin therapy (Botox / onabotulinumtoxinA) is an FDA-approved preventive option that may help reduce the number of headache days. Care at RANDALI is physician-directed and individualized, and whether it is appropriate for you is determined during a confidential consultation.
THERAPEUTIC NEUROTOXINS- Duration
- 15–45 minutesTreatment time per session
- Results
- Preventive benefit builds over cycles; often best assessed after two treatment rounds; individual response variesWhen you'll see changes
- Sessions
- Typically repeated about every 12 weeks, per your provider's planRecommended treatment plan
- Recovery
- Minimal; mild injection-site soreness or neck stiffness possibleWhat to expect after
What it is, and what it addresses
How it works
Botox is FDA-approved for the prevention of chronic migraine in adults, generally defined as a history of migraine with headaches on 15 or more days per month, with migraine features on at least 8 of those days. It is a preventive therapy, not a cure, and it is not intended for occasional or episodic headaches.
Treatment follows a standardized protocol: small amounts of neurotoxin are injected into specific muscles around the head and neck, typically repeated about every 12 weeks. The goal is to reduce how often migraine days occur over time.
Because migraine is a medical condition, a diagnosis and clinical evaluation come first. This page is educational; your provider determines whether you are a candidate and what is appropriate for you.
Benefits
- FDA-approved preventive option for chronic migraine
- Physician-directed, individualized care
- May reduce the number of headache days
- Quick, in-office treatment with minimal downtime
- Whole-person approach to your care
Questions, answered
Frequently asked questions
Is Botox FDA-approved for migraines?
Yes, Botox (onabotulinumtoxinA) is FDA-approved for the prevention of chronic migraine in adults. It is not indicated for occasional or episodic headaches.
What counts as chronic migraine?
Chronic migraine is generally defined as headaches on 15 or more days per month for more than three months, with migraine features on at least 8 of those days. A provider makes this determination during evaluation.
Is this a cure for migraine?
No. It is a preventive therapy that may reduce how often migraine days occur. It does not cure migraine, and individual results vary.
How soon will I notice a difference with chronic migraine treatment?
Preventive benefit builds over time. Providers often suggest assessing your response after two treatment cycles (about 24 weeks). Some patients respond sooner, and not everyone responds.
How often is treatment repeated?
Treatment is typically repeated about every 12 weeks, based on your provider's plan and your response.
What are the risks?
Most side effects are temporary: injection-site soreness, neck stiffness, or headache. Less common risks include muscle weakness or drooping. Your provider will review risks and limitations with you.
How much does it cost?
It's priced the same as our standard neurotoxin treatments, by the unit. This page is educational; it isn't a separate procedure with separate pricing. Your provider reviews the specifics with you.
How do I know if I'm a candidate for chronic migraine treatment?
Candidacy is determined during a confidential consultation that includes a clinical evaluation of your migraine history and goals.
The RANDALI difference
Physician-directed care
Every plan is overseen by our Medical Director: clinical judgment, never a questionnaire.
Whole-person, individualized planning
We weigh your full health picture to recommend the right treatment (or combination) for you.
Safety & compliance first
Care delivered to medical standards and in line with state and federal regulations.
Trusted since 2001
Two-plus decades of refined, natural results and lasting patient relationships.
Related care
Begin your Chronic Migraine Treatment consultation
A personalized, physician-directed plan designed around your goals.
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