BOTOX® Injections

Onabotulinumtoxin A (BOTOX®) is FDA approved for the treatment of chronic migraines, spasticity and cervical dystonia in adults. It is a medicine that is injected into the affected muscle(s). BOTOX® is the most common neurotoxin derived from the toxin Clostridium botulinum, the same bacterium that causes food poisoning. While this bacterium may be fatal in large doses, in small, medically regulated doses, it has been found to be an effective therapeutic tool in relieving chronic pain.

In regards to chronic migraine headaches, eligible patients must have 15 or more days each month with headache, lasting 4 or more hours each day. BOTOX has been studied to reduce headache days every month, preventing up to 9 headache days a month (PREEMPT trial).

The positive effects of BOTOX injections may be felt for several months, but they are not permanent. When these injections are helpful, it is usually recommended that they be repeated every 3 or 4 months for continual relief of symptoms. Physical therapy is often recommended after injections to restore flexibility and muscle function.


If you would like more information about Treatments or to schedule an appointment, feel free to fill out our convenient contact form or call us directly at (760) 753-1104.

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During this COVID-19 pandemic, our goal at Pacific Pain Medicine Consultants is to provide patient’s with quality pain management treatment while still optimizing the health and safety of our patients, providers, and staff.

We are providing telemedicine visits for new and established patients. Patients with severe pain that warrant more urgent treatment with injections will be considered on a case-by-case basis. We will need to evaluate the patient’s age, medical comorbidities, and risk factors as well as potential symptoms of respiratory infection in making a determination. Elective pain procedures and injections are deferred at this time in order to minimize the potential spread of the coronavirus and to ration personal protect equipment so it may be available where it is most critically needed.