The same BOTOX that smooths facial wrinkles also prevents the muscle contractions that can trigger migraines.
BOTOX, highly diluted botulinium toxin, works to prevent migraine by blocking the release of a chemical in muscle cells that transmits the signal to contract to muscle fibers. Research into using BOTOX to treat migraines began after patients receiving it for other conditions reported improvement in their migraine symptoms. In 2010, after years of research and collecting clinical data, the FDA approved BOTOX for treating chronic migraines.
BOTOX is administered about every three months, relaxing the surrounding muscles so that they won’t compress the nerve and trigger a migraine. It is a potent drug, and we only recommend using it if other preventative treatment options haven’t helped you. It is generally only administered to patients who have at least 14 headaches a month, or don’t respond to other treatments.
You can now decrease teeth grinding (Bruxism) with BOTOX. Bite splints worn at night can protect the teeth and TM joints from the intensity of grinding at night. However, BOTOX injection into specific muscles has been shown to decrease the intensity itself, thus reducing pain.
TRIGGER POINT TREATMENT
Trigger points are focal, hyperirritable spots located in a taut band of skeletal muscle. These knots produce pain locally and in a referred pattern. Acute trauma or repetitive microtrauma may lead to the development of stress on muscle fibers and the formation of trigger points. Trigger points may lead to face, neck and shoulder pain, tension headache, tinnitus, and temporomandibular joint pain. Palpation of the trigger point will elicit pain directly over the affected area and/or cause radiation of pain toward a zone of reference and a local twitch response. Trigger point injections using a combination of Botox and local anesthetic have been shown to be one of the most effective treatment modalities to inactivate trigger points and provide prompt relief of symptoms.
SLEEP DIAGNOSTIC CENTER
Most hospitals have sleep diagnostic centers which are being run by sleep technicians working with physicians. Sleep centers have sophisticated equipment in an adjoining room where an intercom and video camera allow communication between the technician and the patient. The patient comes in at night and is hooked up to a number of machines which are used to monitor the activities of the brain, the eyes and the muscles. The recordings are done in a private room and there is no discomfort to the patient. The patient is not confined to a fixed position and can turn freely. Recordings are done during the night in a seven hour sleep period and the patient is discharged in the morning.
The purpose of a polysomnogram is to evaluate the individual sleep architecture including the stages and cycles of sleep as well as to record the electrical activity of the brain, the eyes, muscles and heart.
1. Electroencephalogram (EEG)
Records the activity of the brain. This verifies and records the different stages of sleep.
2. Electro-occulogram (EOG)
Records the movement of the eyes and measures the periods of rapid eye movement (REM).
3. Electromyogram (EMG)
Records muscle activity throughout the body.
4. Electrocardiogram (EKG)
Measures cardiovascular abnormalities during sleep.
It also uses a finger or ear oximeter to measure the amount of oxyhemoglobin (oxygen saturation) in the blood. Patients suffering from OSA have a decreased amount of oxygen in the system.