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Can Botox help headaches, migraines, or relieve sinus pressure?

Writer's picture: vivacaagvivacaag


Absolutely! Many patients who think they have chronic sinusitis due to significant facial pressure or headaches, oftentimes are really suffering from myofascial pain syndrome or tension-type headaches. And surprisingly, Botox injections can actually improve these kinds of headaches, and in some cases, completely eliminate them.

Botox for Migraine Headaches

There have been various studies showing significant improvement of headaches with Botox, but ultimately, these improvements will vary on a case-by-case basis. Botox was approved a decade ago as a recommended treatment for adults who get chronic migraine headaches. This is indicated for patients with a history of migraine headaches where they have headaches for more days of the month than not, and at least eight of those headaches are classified as migraine headaches (versus tension headaches).


More research is required, but many physicians believe Botox works for migraine headaches because it blocks neurotransmitters from carrying pain signals from the regions that hold tension (like your temples, sinus bridge, neck or shoulders) to your brain. It also relaxes or loosens your muscles. 


Can I Still Take My Normal Chronic Migraine Medicine?

You should discuss your treatment options with your regular physician as well as your Botox specialist — but in general, Botox is a preventative treatment whereas your regular chronic migraine medication is likely a reactionary or acute treatment. Botox prevents the migraine from coming versus an acute treatment reduces the pain or shortens the length of the migraine after it’s already begun.


Botox for Sinus Pressure and Allergies

Patients who suffer from seasonal allergies might also find some relief in Botox injections. Researchers find that the same mechanisms in Botox that control the muscles under our skin can also reduce the severity of nasal symptoms that accompany allergic rhinitis. When compared against a placebo, findings suggest that Botox helped with itching, sneezing and congested nose for up to eight weeks.


You should only receive Botox treatments from a doctor who’s trained to give these shots for symptom relief. Additional education and experience are needed, especially if the injection is not intended for wrinkles or other cosmetic uses.

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