Single-Site Botulinum Toxin Injection for Elimination of Migraine Trigger Points
This issue has come up quite frequently with the increased use of plastic surgery and botulism injections. Essentially, treatment of one facial muscle above the eye, whether paralyzing with injection or cutting with plastic surgery, shows drastic reductions or elimination of migraine headaches.
Regular readers of Updates know that I feel a great number of tension headaches are misdiagnosed as migraines. In my years of practice I’ve seen many headache patients and usually get excellent results. I feel that true migraines are more electrical in nature (a classification of seizures, actually). However, the impact of an intervention on a muscle would suggest one of two things.
First, our idea of what a migraine truly is is wrong; or (more likely), many of these migraines are misdiagnosed in the first place and are really tension headaches. Either way, I will now be sure to include treatment to the ocular muscles in any headache patients from now on.
Single-Site Botulinum Toxin Type A Injection for Elimination of Migraine Trigger Points – Headache, Vol 43, Issue 10, pp. 108..