Conditions we treat with Botox®:

  • Chronic migraine (licensed indication)
  • Myofascial pain syndromes
  • Trigeminal neuralgia
  • Occipital neuralgia
  • Atypical orofacial pain
  • Traumatic trigeminal neuropathy
  • Jaw pain
  • Post-herpetic neuralgia
  • Chronic post-surgical pain

Please inform us if you:

  • Are pregnant or planning a pregnancy
  • Have a muscle disorder (e.g. myasthenia gravis)
  • Have had an allergic reaction to Botox® or any of its ingredients
  • Have an infection at the proposed injection site

Very common temporary side effects (may affect more than 1 in 10 patients):

  • Pain, tenderness or bruising at the injection site
  • Temporary facial asymmetry
  • Temporary drooping of the eyelid (ptosis)
  • Neck pain or temporary neck weakness

Common side effects (may affect up to 1 in 10 patients):

  • Temporary difficulty chewing

Uncommon side effects (may affect up to 1 in 100 patients):

  • Flu-like symptoms

Rare side effects (may affect up to 1 in 1,000 patients):

  • Temporary difficulty swallowing (dysphagia)
"In our clinical experience, around 7 out of 10 carefully selected patients with chronic facial or scalp pain experience worthwhile benefit from Botox®, with improvement often lasting several months."

Key Information:

  • Botox® causes temporary muscle weakness, which typically lasts 4–6 weeks.
  • It may take up to 4 weeks before you notice any benefit.
  • Pain relief often lasts much longer than the temporary muscle weakness.
  • Do not drive or operate heavy machinery if you feel weak, drowsy, or your ability to do so is affected.
  • The first procedure is a therapeutic trial to assess your response to Botox® and determine whether it is an appropriate treatment for you and how long any benefit lasts.
“Please ask us if you need more information during your consultation. Your GP or Practice A pharmacist may also be able to advise you further.”

Our Clinical Opinion:

Botox® is one of the best newer treatment options for many chronic pain conditions, especially when:

  • Other procedures are considered too invasive,
  • Steroid-based injections are unsuitable or carry increased risks,
  • Nerve pain medications have been ineffective or have caused intolerable side effects.

Although Botox® is only licensed for the treatment of Chronic Migraine, we have successfully used it off-label for over a decade in selected patients with a range of chronic pain conditions. While many patients benefit from treatment, responses vary between individuals, and no outcome can be guaranteed.