
Botox has been shown to help prevent chronic migraines.
- Stages
- Four
- Focus
- Prevention
- Option
- Botox
A physician referral is needed for medical coverage of Botox for chronic migraines. Ask your family doctor to refer you to Dr. Guo.
The four stages of a migraine
- Prodrome: a day or two before the attack, with subtle signs such as mood changes and neck stiffness.
- Aura: visual disturbances such as bright spots or flashes of light, just before or during the attack.
- Attack: the headache itself, often with nausea, vomiting and sensitivity to light and sound.
- Post-drome: fatigue after the attack has passed.
Causes and risk
Common migraine triggers include:
- Hormonal changes in women
- Certain foods and drinks
- Stress and fatigue
- Excessive sensory stimulation
- Certain medications
Genetics also play a role. Anyone can develop migraines, and those with a family history may get them more often.
Treatment options
- Pain-relieving medications such as aspirin and ibuprofen ease symptoms during an attack.
- Preventive medications such as propranolol and certain antidepressants can reduce the severity and frequency of migraines.
- Botox has been shown to help prevent chronic migraines.
A physician referral is needed for medical coverage of Botox for chronic migraines. Ask your family doctor to refer you to Dr. Guo.

Begin with
a referral.
Contact the clinicMigraine treatment frequently asked questions
What is a chronic migraine?
Chronic migraine generally means having headaches on 15 or more days a month for more than three months, with migraine features on at least 8 of those days.
How does Botox help with migraines?
Botox is used to help prevent chronic migraines. It is injected into specific muscles of the head and neck and works by blocking nerve signals involved in migraine pain.
How often is Botox given for chronic migraines?
Treatments are typically repeated about every 12 weeks.
What triggers migraines?
Common triggers include hormonal changes, certain foods and drinks, stress, fatigue, strong sensory stimulation and some medications. Genetics also play a role.
What other migraine treatments are there?
Pain-relieving medications can ease symptoms during an attack, and preventive medications can reduce how often and how severely migraines occur.