Relief from Chronic Migraine with Botulinum Treatment

This treatment is especially effective for people who suffer from chronic migraine, defined as having headaches on at least 15 days per month, with eight or more of those days being migraine days.

Botulinum toxin works by blocking pain signals from nerve endings and reducing muscle tension in the treated areas. This can significantly relieve migraine symptoms and provide patients with a higher quality of life and more pain-free days.

Botulinum treatment is a safe and approved method for treating chronic migraines when performed by an experienced practitioner.

Benefits of Botulinum Treatment for Chronic Migraine

  • Reduces the frequency and intensity of migraine attacks
  • Improves quality of life by decreasing the number of pain days
  • Provides relief in areas of chronic tension, such as the neck and shoulders
  • May reduce the need for acute migraine medication

How is treatment for chronic migraine carried out?

Botulinum treatment for chronic migraine follows the approved PREEMPT protocol. This is a specific method in which botulinum toxin is injected into several carefully selected areas of the head, neck, and shoulders. Botulinum toxin is injected with fine needles into specific muscles in the forehead, temples, neck, and shoulders. The treatment is individualized, and we adjust the injection points according to each patient's specific pain areas. The results appear gradually and can last up to three months, after which the treatment can be repeated.

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At Vaasa Smiles, we offer medical treatment for chronic migraines following the evidence-based PREEMPT protocol (155 units, 31 injection sites).

The treatment is administered every 12 weeks—a total of four times per year—and is performed by a licensed dentist with extensive experience and special expertise in injection therapy.

 

What does the treatment include?
  • Individual consultation and treatment plan
  • Injection of 155 units of botulinum toxin (Botox®)
  • If needed: additional injections (e.g., in the masseter muscles)
  • Procedure performed in a medically sterile and safe clinical environment
     

    Treatment costs for 2025

After reaching the medication cost cap: The FPA's medication cap for 2025 is €626.94. Once this cap is reached, you only pay €2.50 per prescription for the rest of the year.

 

Example 1

First three treatments: full medication cost (3 × €250 = €750)
Medication cap reached, fourth treatment: only €2.50
Total medication cost after cap: approx. €627

Annual cost

Medication (after cap) approx. €627
Clinic treatment (4 times) €1,040
Prescription and registration €40
Total annual cost: approx. €1,707
Average monthly cost: approx. €142
 

Example 2 / Medication cap already reached
If you have already reached the FPA's medication cap due to other medications, the following applies:

You only pay €2.50 per session for botulinum toxin
Total: 4 × €2.50 = €10

Annual cost 

Medication €10
Clinic treatment (4 times) €1,040
Prescription and registration €40
Total annual cost: approx. €1,090
Average monthly cost: approx. €91

 

Frequently Asked Questions from Patients

Most patients experience only mild discomfort during injections. The thin needles and the short treatment duration usually result in minimal discomfort.

The effects of botulinum treatment for chronic migraine can start to become noticeable within 4–10 days. The full effect is usually reached after about two weeks and can last for up to three months.

It's normal to experience mild tenderness or tightness at the injection sites the same evening and the following day. This sensation usually subsides within 24 hours.

Yes, you can return to your normal activities immediately after the treatment. However, avoid intense physical activity and massaging the area during the first 24 hours for the best results.

Botulinum treatment for chronic migraine needs to be repeated every 3 months to maintain its effect.

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