Recent clinical studies have shown that people with chronic (persistent) migraine who received botulinum toxin injections experienced less headaches than people who received placebo (sham treatment). It remains unclear if this improvement was significant enough for them.
Further research is needed to understand whether botulinum toxin is a better option for migraine prevention than oral agents (drugs taken by mouth) . The evidence for botulinum toxin in people with episodic migraine was uncertain.
Top forms of migraine identified by clinicians
- Clinical studies supporting the use of botulinum toxin in the treatment of migraine
- Botulinum toxin use for non-mungrainous pain
- Basic Neurological Pain Scales
- Indications in neurology for
- botulinum toxin Top forms of migraine identified by clinicians
We categorize
migraine
NSAIDs and specific anti-migraine drugs are used for this? Treptans. But if the head hurts for more than 15 days and if there is a risk of using analgesics and anti-migraine drugs for more than 10 days, the patient should be given preventive treatment, which is aimed at reducing the number of days with a headache.
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The difference is fundamental because if we increase the doses of analgesics, it can cause addiction and then a headache will disturb the patient more often.
Dependence is manifested in the fact that the more often the patient takes analgesics (more than 10 days per month), the more often the head will hurt and the sooner the headache returns and the medication is repeated. Therefore, it is necessary to consider preventive therapy in time, which consists in the constant intake of certain drugs or the use of some long-acting drugs.
A terrible poison or an invaluable medicine: botulinum therapy in the treatment of migraine
And the use of certain antihypertensive drugs is included in the preventive treatment of migraine? Beta blockers, antidepressants, and some anticonvulsants? antiepileptic drugs. It also includes botulinum toxin type A, as a treatment for chronic migraine.
Clinical studies supporting the use of botulinum toxin in the treatment of migraine
Two studies have been conducted on the use of botulinum toxin in the treatment of migraine. In these studies, patients took injections of botulinum toxin for 5-6 weeks, where about 1400 people took part. These were studies on chronic pain syndrome, headache of migraine origin.
Botulinum toxin has been shown to be a safe treatment and significantly reduces headache days and 
In neuropathic pain, there are data on the effectiveness of botulinum toxin, in particular post-herpetic pain and also diabetic neuropathy. Sometimes the pain is myofascial, that is, the formation of pain is due to the so-called trigger points in the muscles. Then botulinum toxin can definitely help such patients. >
Basic pain scales in neurology
The most commonly used scale is the Visual Analogue Pain Scale. It consists in the fact that the patient is shown a segment 10 cm long, on which the numbers 0 (lack of pain) and 10 (unbearable pain) are marked. The patient should note on this segment exactly his pain, the position in which he feels pain. There are analogues of this scale, these are digital scales. This is when the patient in points from 0 to 10 says how many points his pain corresponds to. And accordingly, the severity of pain is assessed by the patient on such scales.
Indications in neurology for the use of botulinum toxin
There are several other indications, for example, spasticity – increased muscle tone that interferes with normal movement, which is common in cerebral palsy and in adults after a stroke.
Botulinum toxin injections into spastic muscles improve limb function.
Other indication – it is cervical dystonia or spastic torticollis. These are violent spastic contractions of the muscles of the neck, which lead to incorrect movements and positions of the head. This disease can be successfully treated with botulinum toxin.
Light Head or Botulinum Therapy for Migraine
Beloshitsky Vadim Vasilyevich
Consultation by phone: +380 98 119 76 77
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