Chronic migraines are extremely disabling and can significantly affect quality of life. They affect almost 2% of adults and are defined as headaches occurring on more than 15 days a month. Currently there is no cure for chronic migraine and the condition could be managed by life style changes, avoiding triggers and medications.
NICE - the National Institute for Clinical Excellence has recommended Botox type A for the treatment of adult patients suffering with chronic migraine whose headaches have not responded to taking at least 3 prior migraine preventative medications and whose condition has been appropriately managed for medication overuse.
Botox is thought to work by changing pain neurotransmitter release and impulse transmission in small nerves. It is administered in an outpatient clinic with patients requiring several injections into the muscles using tiny needles. NICE recommends that the injection is repeated every 12 weeks for suitable patients.
Two randomised control trials involving 1384 patients showed that at 6 months, after two cycles of treatment, patients had on average 8 less days of headaches every month. After 12 months 70% of those treated had <50% the number of headaches that they had originally.
Botox Injections are offered at New Victoria Hospital by Dr Prabhu Gandhimani, Consultant and Pain Specialist, Appointments can be made on: 0208 949 9020