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Video of Botox Injections

This video was taken a few years ago by a neurologist, not a headache specialist. At the time, I had to see him for Botox for insurance reasons and now my specialist does it.

There are 31 injection sites for Botox. Most people start with 100 units that cover all the sites. I use 200 units. In the video, you only see the injections in the front of my face and temples, however there are multiple sites along the occipital nerve in the back of the head. As the doctor and I discussed using a little Botox to break up my shoulder muscles, that is now part of my standard injections, which helps.

It may be hard to tell, but I am in a considerable amount of pain. Not from the injections, but from the constant migraines. The injections are painful for me around my brow bone. Sometimes my eyes tear up, but I try to breath through it. Ones in the scalp are less bothersome. Most doctors have a numbing cream they can use if it’s really uncomfortable.

I get a round of Botox every 3 months and have for the last five years. I do notice that it makes a difference. It has a life cycle of its own, so it takes a week or two to settle in and then the effects can wear off as I get closer to my next appointment. This is just one of many treatments I use for chronic migraines.

The entire process takes about five minutes. To learn more about Botox for Migraines, check out “Botox Basics“.

This article represents the opinions, thoughts, and experiences of the author; none of this content has been paid for by any advertiser. The team doesn’t recommend or endorse any products or treatments discussed. Learn more about how we maintain editorial integrity here.

This article represents the opinions, thoughts, and experiences of the author; none of this content has been paid for by any advertiser. The team does not recommend or endorse any products or treatments discussed herein. Learn more about how we maintain editorial integrity here.


  • marti
    3 years ago

    I had my first round of Botox 5 days ago. Yesterday we had thunderstorms, and for the first time in as long as I can remember, I DID NOT HAVE A MIGRAINE! I waited for the pain to start, but it never happened.
    I had 400 units, and the injections were uncomfortable, but tolerable. My shoulders ached for a couple of days, but if it continues to work, it’s worth it.

  • Katie M. Golden moderator author
    3 years ago

    Wow, that’s fantastic! 400 units is a lot, but your system seems to be adjusting to it very well. That’s really exciting. Thanks for sharing!

  • SandraLee
    3 years ago

    Fortunately the Botox wasn’t painful for me but neither did they work. I told my doctor the Botox hadn’t worked but he denied my statement during a subsequent appointment. No longer see him and have had trouble finding a caring neurologist. Even though I’m on government disability for migraines, I’m now 28 days w/o having to take an Imitrex. A combo of restricted diet, inactivity, meditation, niacin and cold baths are doing the trick.

  • DonnaFA moderator
    3 years ago

    Hi SandraLee, it’s wonderful to hear that you’ve had nearly a month migraine free! Thanks for sharing some of your tips. I’m sorry to hear that your doctor was not open to your experience. You may want to check out Is It Time For a New Migraine Doctor? for help in finding a doctor that helps you feel heard.

    Thanks for being a member of the community! -All Best, Donna ( team)

  • BethBlue
    3 years ago

    My doctor’s injections are quicker — I think that’s why they don’t seem to be too painful. Also, he does them with me sitting up, not lying down. When it’s time to do the back, I lean forward on the table. I receive 200 mg., and I’m done in a few minutes. Yes, it hurts, but not unreasonably.

  • Leilani Siplon
    3 years ago

    I am tearing up as I watch your face in this video. I can feel your pain and I’m so sorry, but glad that you have something that’s helping you. I am too scared to get these shots because 1) it might not work, and 2) it’s botox.

    I hope you continue to have success with your symptoms!

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