Ask the MSK Expert: Can Botox® therapy help your migraines?


Dr. Craig says: Botox® is a medication that is injected to help prevent chronic migraine headaches. Because it is a medication designed to prevent migraine headaches, Botox® differs from acute/abortive medications that try to stop a migraine once it has started.

It has been approved for use by the Food and Drug Administration since 2010; since then, more than 100,000 patients suffering from migraines have been treated. On average, Botox® has been shown to prevent eight to nine headache days per month.  It is injected by a trained physician every 12 weeks and works to prevent migraine headaches before they start. 

Botox® for migraine headaches is indicated for patients with 15 or more headache days per month with each headache lasting more than four hours. In addition, patients must have previously tried two to three different categories of oral migraine medications – depending on their insurance – to qualify for this treatment. 

Physician Spotlight
James A. Craig Jr., DO, is a fellowship-trained interventional pain management specialist at Tri Rivers. In addition to Botox® therapy, he performs fluoroscopically guided injections, radiofrequency denervation and spinal cord stimulator trials, and he provides chronic pain management.

Dr. Craig sees patients in our BHS Crossroads Campus and Cranberry/Mars offices. To schedule an appointment with him, or any other Tri Rivers provider, please call 1-866-874-7483 or click here.