On or off-label? The FDA approved indication has 31 different sites that are injected. However, "off-label" injections, which can be just as or more effective, depend on physical examination findings and the distribution of your headaches. Typically, 6 sites can be injected in this way. However, "off-label" injections are not covered by insurance and should only be done by experienced headache surgeons.
Head/Neck Muscles. Generally there are muscles in the head and neck that are treated to give your relief from your migraines.
31 sites total. The recommendation to cover all sites is 31 injections of 5 units each. This is not a cosmetic procedure. There are clear points in the neck and occipital plus the temporal muscles and forehead that need to be injected.
31 sites . To completely treat all possible sites a total of 31 injections are performed.
Head muscles. Depend upon the distribution of headache..........Mostly in temporal, frontal muscles are included rest depend upon the distribution.........
Well defined sites. There are 31 defined sites to completely cover the involved muscles in the neck and scalp.
Trigger points. These migraine triggers need to be localized with the patient so the Botox can eliminate the starting focus of the headache. This may be just right or left of the medial brow, in the corrugator muscle, or in the occipital muscles at the nape of the neck. Dosages in the 20 to 40 unit range have been effective for 3 to 6 months for my patients.
It's possible that 2 months after Botox for migraine was injected. .. can cause shortness of breath?
Unlikely. If you were to develop shortness of breath due to Botox it would happen most likely about 1 week after the injection. Peak of activity and adverse events is between 4-6 wks, so 2 months post injection it's therapeutic as well as potential adverse effects are close to wearing off and some patients even require q2 month re-injections. Read more...
When bent over I cannot lift my head up. When I stood up, I can. Some swelling on neck back. Am 10 days post botox inject neck for spasms/migraine.
Speak to your doctor. I utilize Botox for cosmetic indications but am aware of the multiple medical indications including uses for muscle spasm, headache and chronic pain. Clearly neck muscle injections designed to selectively decrease muscle activity may limit muscle function and thus lessen neck muscle activity (i.e. Motion of the head). 7-10 days is when the effect should be full or near full. Check with your md. Read more...