Creekside Physical Medicine and The Migraine Center

    Treatments

    BOTOX® & Injections for Migraine

    A Front Range pioneer in BOTOX® for migraine since 2005. FDA-approved, evidence-based, and expertly administered.

    Administering BOTOX® for migraine since 2005

    BOTOX® for Chronic Migraine

    OnabotulinumtoxinA (BOTOX®) is FDA-approved as a preventive treatment for chronic migraine — defined as 15 or more headache days per month. It works by blocking the release of pain-triggering neurotransmitters from peripheral nerve endings, reducing the input that sensitizes the trigeminal pain system.

    Clinical trials (the PREEMPT studies) demonstrated that BOTOX® reduces the number of headache days per month significantly in chronic migraine patients. Many patients experience a 50% or greater reduction in headache days.

    Creekside has been at the forefront of BOTOX® for migraine on the Front Range since 2005. We offer extensive expertise in injection technique, dosing protocols, and managing the nuances of response — including atypical cases where standard protocols need adjustment.

    Other Injection Therapies

    • Greater and lesser occipital nerve blocks
    • Supraorbital and supratrochlear nerve blocks
    • Sphenopalatine ganglion block
    • Trigger point injections
    • Cervical facet injections
    • PENS (percutaneous electrical nerve stimulation)

    Who Is a Candidate?

    • Chronic migraine (15+ headache days/month)
    • History of episodic migraine that has transformed
    • Insufficient response to oral preventive medications
    • Seeking to reduce reliance on abortive medications
    • Atypical or treatment-resistant migraine presentations

    What to Expect

    Treatment involves a series of small injections across the head and neck every 12 weeks. Most patients notice improvement after 2–3 treatment cycles. We monitor response carefully and adjust protocols as needed.

    Is BOTOX® Right for You?

    Our providers will evaluate your migraine history and determine if BOTOX® is appropriate for your situation.

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