Chronic Migraine London, ON

Botox® Therapeutic


Migraine Headache

Migraine (severe headache) sufferers can now have some relief with the treatment of Botox® Therapeutic. Chronic migraine headache is more common than you think and also one of the most disabling. This condition can be present more than 14 days a month and can have a significant impact affecting family, work and social life.

Recognizing that you suffer from migraines and getting an accurate diagnosis is extremely important. By talking to your doctor you can learn more about headache types and determine the appropriate treatment. Selecting the appropriate treatment is dependent on several factors such as symptoms, severity, occurance and frequency.

At Synergy Centre, Dr. Maria Tetelbaum along with our team of healthcare professionals can accurately diagnose and treat headaches to find out how acute, preventive and alternative treatments may benefit your type of migraine. If you or someone you know suffers from migraine headaches and are interested, please call (519)266-3600 or email [email protected] for further information or to schedule an appointment.

Many private health insurers will cover the costs involved with headache treatment.

Botox® Chronic Migraine Patient Support Program

Allergan Inc., makers of Botox®, are pleased to provide financial assistance towards your Botox® therapy. Botox® is used to prevent headaches in adults with Chonic Migraine. This program will provide up to 20% coverage toward the cost of each Botox® treatment for a maximum of three treatments within a 12-month period.

What is Considered a Chronic Migraine?

Chronic Migraine

As with many who suffer with Chronic Migraine, you likely experience headaches a number of days each month, and these headaches likely last for hours at a time. Your doctor may have prescribed BOTOX® to help prevent these headaches.

The following information is intended to help you if you are considering BOTOX® Therapeutic for the management of your chronic migraine headaches.


Migraine with 15 or more headache days per month over the past 3 months.

At least 8 headache days meet criteria for migraine without aura. To meet the criteria for migraine without aura the migraine sufferer will be experiencing two of the following symptoms:

  • The headache is on one side of the head only.

  • The headache has a throbbing or pulsing quality to it.

  • The headache is moderate to severe in pain intensity.

  • The headache is aggravated by or causes avoidance of physical activity and is accompanied by one of the following: nausea and/or vomiting or sensitivity to light or sound. And/or the migraine sufferer will have treated or relieved their headache with.

Treatment & Injection Sites

The recommended dose of BOTOX® is 155 units administered intramuscularly in 31-39 sites in 7 specific head and neck muscle areas. Based on your symptoms, some or all of these areas may be contributing to your headaches.

Additional injections may be administered for any predominant pain locations (three specific muscle groups) to a total maximum dose of 195 units.

The number of injections and muscle groups to treat your specific condition will be determined by Dr. Tetelbaum following complete assessment and diagnosis.

What you can Expect Following your Treatment

You may experience pain or inflammation in a muscle or muscles that have been injected with BOTOX®. You may also experience bleeding, swelling, or bruising in the area injected.

Schedule an Appointment

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Synergy Centre is proud to serve Southwestern Ontario, including London, St. Thomas, Ilderton, Strathroy, Sarnia, Grand Bend, Exeter, Dorchester, Ingersoll, Tillsonburg, Stratford, St. Mary's and all surrounding areas. Our services & products include: botox cosmetic, dermal fillers, hyperhidrosis, migraines, skin care laser, eyelash treatments, cosmetic mole removal, vein care, juvederm, dark eye circles, teosyal and dysport.