We offer expert chronic migraine treatment at Rejuvenating Solutions following NICE guidelines and adherance to The PREEMPT Protocol.
Treatment Type
Injection
Results Last
Medium Lasting
Treatment Time
30 Minutes
Price
On Consultation
Downtime
Minimal
Procedure By
Nurse Injector
Discomfort
Very Low
Skin Types
Suitable For All
Chronic migraine is defined as experiencing headaches on 15 or more days per month over a period longer than 3 months, with at least 8 of these days having migraine features. The frequency and severity of these headaches may be substantially affecting your daily functioning and overall quality of life.
This page explains neurotoxin (specify Botulinum toxin type A (e.g. “commonly known as Botox®”)) injections as a preventative treatment option available at Rejuvenating Solutions, intended to reduce the frequency of diagnosed chronic migraines. This treatment does not stop a migraine already in progress.
We’re regulated by the independent regulator of health and social care in England.
We’ve home to only the very best practitioners in the country to ensure quality care.
Our picturesque Berwick Upon Tweed clinic is an intimate and relaxed environment.
Susie Byass is a fully qualified advanced nurse practitioner and independent prescriber.
Chronic migraine is characterised by frequent headaches. To meet the definition, you must experience headaches on 15 or more days per month for longer than 3 months, with at least 8 of those headache days showing migraine features. Migraine symptoms often include –
Neurotoxin injections are an approved preventative treatment for adults who have been diagnosed with chronic migraine.
Mechanism – It is believed that the neurotoxin interrupts pain signalling pathways involved in the development of a migraine headache.
Treatment Protocol – The treatment involves injecting defined neurotoxin units into specific, shallow muscles following a set pattern (based on the PREEMPT study) across the forehead, temples, back of the head, neck, and upper back/shoulders.
Frequency – To maintain its preventative effect, treatment is typically administered by Susie every 12 weeks.
Goal – The aim is to reduce the number of headache days you experience each month and lessen the severity of migraines. For some patients, 2 or 3 treatment cycles may be needed to notice a significant reduction.
NICE* recommends botulinum toxin type A for adults with chronic migraine who have failed to respond to at least three different oral preventive treatments and whose medication overuse has been appropriately managed.
*NICE = National Institute For Health And Care Excellence
During your consultation appointment, Susie will carefully review your migraine history. This includes the pattern and frequency of your headaches and any previous treatments attempted.
Susie will assess your suitability for this preventative neurotoxin treatment based on established clinical guidelines. She will explain the specific injection procedure, potential benefits, possible side effects (including common but usually mild ones like neck pain, and less common ones like temporary eyelid drooping), and the treatment cost. This is your opportunity to ask questions and ensure you fully understand your proposed plan.
The neurotoxin treatment for chronic migraine prevention is administered by Susie according to the specific PREEMPT protocol*.
Using a very fine needle, Susie will inject small amounts of the neurotoxin solution into the predetermined muscle sites around your head and neck. The appointment for the injections usually takes approximately 15 to 20 minutes. Most patients tolerate the procedure well, reporting only mild, temporary discomfort during the injections.
*PREEMPT = Phase 3 Research Evaluating Migraine Prophylaxis Therapy.
Minimal downtime is expected after chronic migraine treatment. You can typically resume normal activities shortly after your appointment.
Potential side effects often include temporary neck pain or stiffness, or a headache following the procedure. Less commonly, temporary weakness in nearby muscles, such as eyelid drooping, can occur but usually resolves on its own. Susie will discuss these possibilities during your consultation. Adherence to the 12-week treatment schedule is important for maintaining the preventative effect.
If you have a confirmed diagnosis of chronic migraine and are seeking a preventative treatment option, please contact Rejuvenating Solutions. Call us to book in for a consultation with Susie to determine if neurotoxin injections are an appropriate approach for managing your migraines.
Based in Berwick Upon Tweed, Rejuvenating Solutions Ltd offers a wide range of medical aesthetic and skin treatments performed by Susie Byass, an experienced and fully qualified advanced nurse practitioner and independent prescriber with an interest in the fields of women’s health and dermatology.
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