Botox Injections



Botox injections are not used just for cosmetic treatments, they are also very helpful when treating chronic pain and muscle spasms.  Botox is a neurotoxin.  A neurotoxin called Botulinum, paralyses the nerve in the surrounding area of the injection, this cause the muscle to relax for a period of time.   The Botox injections can be placed in the upper back and lower back, muscular area’s to help improve with chronic pain from muscle spasms.  In the case of Migraine headaches Botox can be used on the forehead, scalp, neck, and shoulders to help relieve the pain.  This injection is not placed near the spinal cord and is safe to be performed in the office setting without fluoroscopy.

Conditions that are treated with Botox injections are:

  • Muscle spasms in the back, neck, shoulders
  • Migraine headaches

For more information regarding Botox for chronic pain and headaches/migraines, click HERE

What Can you expect Before and After the Treatments?


  • This procedure is safe enough to do in the office setting and does not require any type of sedation
  • The area of the injection is cleaned with alcohol
  • A small needle is inserted in the muscle that is related to the pain
  • The Botox is then injected
  • This procedure can take 15-30 minutes, depending on how many sites are needed to be injected.


  • You will be able to leave the clinic after the injection
  • Soreness and tenderness in the area of the injection may be experienced for 24 to 48 hours after the injection.


Published Clinical Evidence

Rationale for use of onabotulinum toxin A (BOTOX) in chronic migraine.

OnabotulinumtoxinA for hemicrania continua: open label experience in 9 patients.

Effect of OnabotulinumtoxinA Injection on Depression in Chronic Migraine.