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BOTOX for migraines at LAOSS.

A proven preventive treatment for chronic migraine. When headaches strike 15 or more days a month, targeted BOTOX injections can reduce how often they happen and how severe they feel, so you get more good days back.

Woman holding her head during a migraine, illustrating BOTOX for chronic migraine prevention at Los Angeles Orthopedic Surgery Specialists

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Board-certified surgeons and podiatrists across eight Los Angeles area neighborhoods.

Book a visitOr call (323) 264-7600

Key takeaways

  • BOTOX is FDA-approved to prevent chronic migraine, defined as 15 or more headache days a month.
  • A quick in-office treatment: about 31 small injections across the forehead, temples, back of the head, neck, and shoulders.
  • Repeated every 12 weeks. Most patients see the biggest benefit after two or three treatment cycles.
  • Delivered by our Los Angeles pain management team. Same or next-day appointments often available. Call (323) 264-7600.

About BOTOX for migraine

BOTOX is part of the pain management care we offer at LAOSS. For people living with chronic migraine, it is one of the most effective preventive treatments available.

BOTOX (onabotulinumtoxinA) is thought to work by blocking the release of chemical signals that carry pain messages from nerves around the head and neck. Given as a series of small injections every 12 weeks, it can lower the number of migraine days each month and make the migraines you do get easier to manage.

Our pain management specialists start with a full evaluation, confirm that chronic migraine is the right diagnosis, and build a plan around your history and your goals.

Watch: How BOTOX treats pain

When we think of BOTOX, we often think of wrinkle reduction. But these injections have other uses. They also treat pain. Learn about BOTOX and the types of pain it can treat, including chronic migraine.

Animations licensed from ViewMedica · Swarm Interactive

What a BOTOX migraine treatment looks like

Most BOTOX migraine treatments take about 15 minutes and are done right in the office. There is no sedation and no downtime, so most patients drive themselves home and return to their day.

Here is what you can expect:

  • Consultation first. We review your headache history, confirm the chronic migraine diagnosis, and check your insurance coverage.
  • Day of treatment. You receive about 31 small injections across seven muscle areas of the head, neck, and shoulders. A very fine needle is used, so most patients describe it as small pinches.
  • Back to normal fast. There are no activity restrictions afterward. Mild soreness at the injection sites usually settles within a day.
  • A treatment every 12 weeks. BOTOX for migraine is given on a 12-week cycle. Benefit tends to build, with the strongest results after the second or third round.

Are you a candidate?

If most of these match your situation, an evaluation with our pain management team is the next step.

You may be

You may be a candidate if

These signs usually point toward BOTOX being a good fit for migraine prevention.

  • You have 15 or more headache days a month
  • Each migraine lasts four hours or longer
  • Preventive medications have not worked well or have caused side effects
  • Migraines are disrupting work, school, or daily life
  • You have a confirmed chronic migraine diagnosis
Evaluation

What your evaluation includes

Your first visit is built to give you a clear plan, not just another referral.

  • A detailed headache history and review of past treatments
  • Confirmation of the chronic migraine diagnosis
  • A walk-through of BOTOX, how it works, and what to expect
  • Insurance and coverage review before you commit
  • Same or next-day scheduling for your first treatment when appropriate

ImportantCall 911 or go to the nearest emergency room for a sudden severe headache unlike any before, a headache with fever and a stiff neck, weakness, numbness, vision loss, trouble speaking, or a new headache after a head injury.

What to expect

Your BOTOX treatment course.

BOTOX for migraine works over time. Here is how the first few months usually go.

  1. Visit 1

    Your first treatment

    The first session takes about 15 minutes in the office.

    • About 31 injections across seven head, neck, and shoulder muscle areas
    • No sedation and no downtime
    • Mild soreness that usually settles within a day
    • A follow-up scheduled at 12 weeks
  2. Weeks 1 to 12

    The first cycle

    Some patients notice fewer headache days within the first few weeks.

    • Track your headache days so we can measure the benefit
    • Continue any other migraine care your specialist recommends
    • Note any side effects to review at your next visit
    • Return at 12 weeks for your next treatment
  3. Cycles 2 and 3

    Building the benefit

    The strongest results usually come after the second or third treatment.

    • Migraine days often drop further with each cycle
    • Your specialist adjusts the plan based on your response
    • Treatments continue every 12 weeks as long as they help
    • We reassess regularly to confirm BOTOX is still the right choice
Risks & considerations

What to weigh before you decide.

We talk through the risks and benefits with every patient. Informed consent is a conversation, not a form.

Common

Common and usually mild

Most side effects are minor and short-lived.

  • Soreness or bruising at the injection sites
  • Temporary neck stiffness
  • A mild headache right after treatment
  • Minor muscle weakness near the injection area
Less common

Less common considerations

We screen for these and review them with you before treatment.

  • Temporary drooping of an eyelid or eyebrow
  • Not everyone responds, and benefit can take two to three cycles
  • BOTOX is not recommended during pregnancy or breastfeeding
  • Tell us about any neuromuscular condition or recent botulinum toxin treatment

Pain management specialists.

View all providers
3 providers
  • Accepting new patients

    Jose Antonio Acosta, MD

    Pain Management & Rehabilitation

    Speaks English and Spanish

    Habla español

    • Glendale
    • Encino
    • Valencia
    • +1 more
  • Accepting new patients

    Raj Desai, MD

    Pain Management & Rehabilitation

    • East Los Angeles
  • Accepting new patients

    Jason Kaushik, MD

    Pain Management & Rehabilitation

    • East Los Angeles

Migraine relief, close to home.

With same or next-day appointments at eight Los Angeles area offices, you will not wait weeks or months for answers about your migraines.

Our pain management team combines advanced treatments like BOTOX with a patient-first approach, coordinating every step of your care. Call or schedule online today to find out whether BOTOX is right for you.

Your BOTOX questions, answered.

  • For chronic migraine, yes. In large clinical trials, BOTOX reduced the number of headache days per month, and it is FDA-approved for this use. Most patients see the biggest benefit after their second or third treatment.

Book a visit at LAOSS.

Same-week appointments available across eight Los Angeles area offices.

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21 specialists · 8 offices
Greater Los Angeles
On-site X-raySame visit
Most insurers acceptedIn-network

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