botox for post traumatic headaches patient experience case report

by Madelynn Johnson 8 min read

Botulinum toxin in the treatment of post-traumatic …

3 hours ago A 62-year-old woman with a history of major traumatic brain injury five years previously developed chronic tension-type headaches of an oppressive nature. The results of treatment with oral medication were not satisfactory. The patient was treated with local injections of 22 IU Botox® into the frontalis muscle and corrugator supercilii muscle. >> Go To The Portal


A case report in 1998 noted that frontal and periorbital headaches were relieved in a patient treated with BTA for blepharospasm [ 9 ], and in the same year, a publication on the use of BTA in tension-type headache reported it reduced the severity and frequency of migraine-type headaches [ 10 ].

Full Answer

How are post-traumatic headaches with botulinum toxin (Botox) treated?

No data on the treatment of post-traumatic headaches with botulinum toxin exist. A 62-year-old woman with a history of major traumatic brain injury five years previously developed chronic tension-type headaches of an oppressive nature. The results of treatment with oral medication were not satisfactory.

Can Botox be used to treat tension headaches?

Treatment of tension-type headache with botox: a review of the literature Botulinum toxin has been shown to effectively treat several types of neurological disorders. It has recently been evaluated for the treatment of tension-type headaches in patients who are unable to tolerate or cannot benefit from standard therapies.

How long does a headache last after botox?

Headache after Botox treatment. Some people experience a mild headache following an injection into the muscles in the forehead. It can last a few hours to a few days. According to a 2001 study, about 1 percent of patients may experience severe headaches that can last for two weeks to one month before slowly disappearing. At this time,...

What are the side effects of Botox?

Following a Botox treatment, some people experience one or more of the following side effects: headache. allergic reaction. rash. muscle stiffness. difficulty swallowing. shortness of breath.

What to take for headache after botox?

If you’re experiencing a headache following a Botox treatment, discuss your symptoms with your doctor who might recommend: taking an over-the-counter (OTC) headache remedy such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin)

What is botox treatment?

When you go to the dermatologist for Botox treatments, you’re actually going for botulinum toxin therapy, which is also referred to as botulinum rejuvenation. Botox is a brand name for botulinum toxin type A. Three of the most recognized brand names are:

How long does a headache last after Botox?

Headache after Botox treatment. Some people experience a mild headache following an injection into the muscles in the forehead. It can last a few hours to a few days. According to a 2001 study, about 1 percent of patients may experience severe headaches that can last for two weeks to one month before slowly disappearing.

What is Botox used for?

Derived from Clostridium botulinum, Botox is a neurotoxin that is medically used to treat specific muscular conditions. It’s also cosmetically used to remove facial lines and wrinkles by temporarily paralyzing the underlying muscles.

What are the side effects of Botox?

Following a Botox treatment, some people experience one or more of the following side effects: headache. allergic reaction. rash. muscle stiffness. difficulty swallowing. shortness of breath. muscle weakness. cold symptoms.

Can botox cause headaches?

possible impurity in a particular batch of Botox. Ironically, although some people experience a headache following a Botox treatment, Botox can also be used as a headache treatment: a 2010 study. Trusted Source. indicated that Botox could be used to prevent chronic daily headaches and migraine.

How long does a headache last?

Several studies show that the headache usually resolves within three months, however, in 18-65% of cases, it may last longer and is then referred to as persistent PTH 1,3,4,5,6 . A number of factors may increase the risk of persistent PTH including pre-existing headache, being female and family history of migraine.

How long does it take for a headache to go away?

According to ICHD, post-traumatic headaches are of “no typical characteristics.”. They must also occur within seven days of injury or regaining consciousness after injury.

How common is migraine after deployment?

For women, new migraine following deployment was about twice as common with a deployment-related concussion (21%) than without (8%). The increase in new migraine was particularly notable in men. Ten percent (10%) of men with a concussion have new migraine compared to 2% of men without a concussion.

How do you know if you have PTSD?

The main symptoms of PTSD include: 1) re-experiencing the traumatic event through flashbacks or nightmares; 2) avoiding reminders of the trauma; 3) increased anxiety and emotional arousal such as feeling irritable, jumpy, or being easily startled; and 4) feeling detached from others or emotionally “numb.”.

What is the cause of PTSD?

Childhood maltreatment, abuse, or violence may lead to post-traumatic stress disorder (PTSD) at a later age. PTSD is a condition that results from exposure to an event that caused feelings of intense fear, helplessness, or horror. Many traumatic stressors exist.

What is the prevalence of PTSD?

The individual’s response involves emotionally re-experiencing the event, numbing of affect, avoidance of stimuli associated with the event, and increased arousal. The 12-month prevalence rate of PTSD is about 3.5%, and the lifetime prevalence rate 6.8%. 1

What percentage of veterans have a headache?

Whether soldiers sustained injuries during deployment is not clear. Thirty-eight percent (38%) reported acute headache right after the injury.

What does abolition of headache mean?

Abolition of headache means complete relief of headache, indicated by a score of zero on a visual analogue scale (VAS).

How does headache affect health?

Headaches can cause a significant health burden with a direct impact on the quality of life of individuals, affecting their relationships, work attendance, productivity and their ability to plan for the future.1.

Can a chronic subdural haematoma be considered a progressive headache?

Chronic subdural haematoma should always be considered in an elderly patient with a progressive headache particularly if there is some cognitive impairment and/or mild focal signs. Open in a separate window. Weakness in one side of the body as a symptom was present in the largest single group in this report.

Is a subdural hematoma a post traumatic headache?

Post-traumatic headaches share many clinical symptoms including the clinical course of primary headaches. Secondary headaches (including those resulting from a subdural hematoma) are not as common, but should be considered in cases of post-traumatic events particularly if clinical symptoms progress. Clinical Features.

What is neck pain?

Pain is precipitated or aggravated by special neck movements or sustained neck posture. At least one of the following: Resistance to or limitation of passive neck movements. Changes in neck muscle contour, texture, tone or response to active and passive stretching and contraction. Abnormal tenderness of neck muscles.

Is a headache a post traumatic injury?

Comment:Chronic post-whiplash injury headache is often part of the post-traumatic syndrome. There is no good evidence that ongoing litigation, with settlement pending, is associated with prolongation of headache. It is important to assess patients carefully who may be malingering and/or seeking enhanced compensation.

Can chiropractic help with headaches?

Since many patients use alternative therapies, including chiropractic for the relief of their headaches3, a proper and prompt diagnosis of secondary headaches by all primary contact practitioners is crucial in ensuring proper management.