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If you’re one of the 28+ million Americans who suffer from migraine headaches, no doubt you’ve tried every trick in the book to end them quickly and prevent their return. If the standard changes in lifestyle and medications currently available just don’t work well enough for you, here are some resources that may give you new hope.
One option that has been available for several years is treatment with BOTOX® Cosmetic. As reported by otolaryngologist Dr. William Binder more than 15 years ago, the same overworked forehead muscles that cause dynamic wrinkles also contribute to migraines. Relaxing the muscles with BOTOX injections smoothes the forehead and, for many, relieves migraines for several months. When headaches return, most patients find they return gradually, signaling that another treatment may be in order.
In 2002, a Cleveland board-certified plastic surgeon, Dr. Bahman Guyuron, and neurological colleagues teamed up to take treatment one step further. They used BOTOX injections to identify patients who could be helped by targeting forehead muscles for deactivation. Patients were treated with BOTOX as a screening procedure, and 22 of 29 who experienced relief were then chosen for surgery to remove corrugator supercilii muscles—the same ones that cause vertical forehead wrinkles. 21 of the 22 patients reported improvement; almost half of those reporting complete elimination of their migraines.
At the annual American Society of Plastic Surgeons (ASPS) conference in Seattle taking place this week, a paper will be presented that gives even more evidence that the one-two punch of BOTOX injections and surgery can help many migraine sufferers. The paper highlights a five-year study of 100 patients who were first treated with BOTOX. 89 of the men and women reported improvement in their symptoms for at least four weeks; those patients then went under the knife to have the offending forehead muscles deactivated. The ASPS surgeons reported that 22 of the group found their migraines eliminated entirely, 49 patients noted a significant decrease and only 8 experienced no change.
The day after this paper is presented at the ASPS conference, member surgeons will be invited to attend a class on using BOTOX and surgery to help migraine patients. This means the combination treatment will start to be more widely available soon. If this option appeals to you, seek out a board-certified plastic surgeon who’s a member of the ASPS. And visit the ASPS Web site, www.plasticsurgery.org, to follow the news.
If you’re just getting started researching migraines, check out www.migraineheadaches.org. This site, presented in FAQ form, gives a good overview.
For a more in depth look at migraines and other headaches, you may want to get to know, at least electronically, Dr. Randolph W. Evans in Houston. This chief of neurology at Baylor College of Medicine and self-styled “headache specialist” has compiled an amazing body of research on headaches. Visit his site at www.rwevansmd.com and you can learn about “Exploding Head Syndrome,” “Airplane Descent Headache” and even “Orgasmic Headaches.”
If you’re a veteran “migraineur” (a term used by Dr. Evans), it may seem to you that the medical world’s understanding of headaches and discovery of effective treatment have proceeded with a snail’s pace. It appears that may be about to change.
Add a Comment3 Comments
Exploding Head Syndrome is a medical condition in which the sufferer occasionally experiences a load noise from the inside of his head. Read more about its causes & treatment from http://www.whatisall.com/psychology/what-is-exploding-head-syndrome.html
July 17, 2012 - 5:27amThis Comment
Thanks for your comment, Diane. From the bit of research I've done, it sounds to me that the surgery I mentioned is promising. I believe it's a fairly minor outpatient procedure, and it seems clear that those who get at least some relief from Botox injections also get relief through the surgical procedure. If your friend hasn't heard about the procedure, you might suggest she visit www.plasticsurgery.org and search on "migraine." I bet more news will be forthcoming in the months and years ahead.
October 26, 2009 - 9:15amThis Comment
I have a best friend who has suffered with severe migraines for years. She participated in a clinical trial for Botox injections and has gotten some relief. Her trial is over now but the results were promising enough that her insurance company has now agreed to pay for her Botox treatments once every three months for two years to see if the relief continues. That started about six months ago; so far, she is at the same level of relief but the migraines have not gone away entirely; in fact, this weekend she had one that took at least two doses of her migraine medicine. A good month for her is when she has had only two or three migraines all month. She is continuing the Botox treatments with the hope that they will continue to help, but also isn't super-excited about having to get 31 (31!) small injections each time (in the forehead and back of the neck). Migraine treatment continues to be a rough road, with different things working for different people. Thanks so much for this post; I hope we hear from some other women who have some experience with this.
October 26, 2009 - 8:14amThis Comment