Mind Link · Neurology
Botox for Chronic Migraine in Florida
A preventive option for people who live with headaches more days than not.
Botox is an in-person injection procedure. Your evaluation, candidacy review, and treatment planning happen by telehealth; the injections themselves are scheduled in person or coordinated with a local provider.
Medically reviewed by Victor Diaz-Cotrina, MD — Neurologist & Vascular Neurologist
OnabotulinumtoxinA — Botox — is FDA-approved as a preventive treatment for chronic migraine, defined as 15 or more headache days a month with at least 8 of them migraine. It is given as a series of small injections around the head and neck, repeated about every 12 weeks, and it works to reduce how often attacks happen rather than to stop one in progress.
Neurology at Mind Link is delivered by secure video visit anywhere in Florida — an added service alongside our in-person psychiatric care in Miami and Fort Lauderdale.
Who it may be right for
- 15 or more headache days a month, over at least three months
- Migraine that hasn't responded well to two or more preventive medications
- Difficulty tolerating the side effects of oral preventives
- Headaches complicated by medication overuse
What the evaluation covers
- Confirming the diagnosis is chronic migraine, not another headache type
- Reviewing which preventives you've already tried, and at what doses
- Discussing realistic expectations — most people see benefit build over two or three treatment cycles
- Reviewing insurance requirements, which usually include documented prior treatments
Botox for Chronic Migraine Q&A
How does Botox work for migraine?
OnabotulinumtoxinA is injected into specific muscles around the head and neck, where it interrupts the release of the chemical messengers involved in transmitting pain. It works preventively — dialing down how readily the system fires — rather than relieving an attack in progress. It is FDA-approved specifically for chronic migraine, not for occasional or episodic migraine.
Who is a candidate for Botox for migraine?
The approved use is chronic migraine: 15 or more headache days a month, at least 8 of them migraine, sustained over three months or more. It's usually considered after two or more preventive medications haven't worked well enough or couldn't be tolerated. Most insurers require that history to be documented before they'll approve it, which is part of what the consultation sorts out.
What do the injections involve?
A standard course is roughly 31 small injections across the forehead, temples, back of the head, neck, and shoulders, using a very fine needle. The appointment takes about 15 minutes. The pattern follows a defined protocol, adjusted somewhat toward where your pain concentrates. Treatment is repeated about every 12 weeks.
How soon does Botox start working?
Not immediately, and this is worth knowing going in. Some benefit may appear within two to three weeks, but the fuller effect usually builds over the second and third cycles — around six months in. Judging it on one round tends to end treatment prematurely. If two full cycles produce no meaningful change, that's a reasonable point to reconsider.
How we approach Botox for chronic migraine care
Neurological evaluation
A full history and review of prior imaging, testing, and records before anything is decided — so the diagnosis is the right starting point.
Medication management
Choosing, adjusting, and monitoring treatment over time, with prescriptions sent electronically to your Florida pharmacy.
Coordinated care
Working alongside your primary care physician, therapists, and any specialists already involved, rather than in parallel with them.
What to expect
- 1
Request a visit
Tell us what's been happening and we'll schedule a video appointment, usually within days.
- 2
Send your records
Prior imaging, test results, and notes are reviewed before your visit so the time is spent on you, not on catching up.
- 3
Your video consultation
A full neurological consultation by secure video — history, discussion of findings, and a clear explanation of what's going on.
- 4
Plan and follow-up
You leave with a written plan, any prescriptions or referrals needed, and a scheduled point to check back in.
Related neurology services
Talk to a neurologist
Video visits with a board-certified neurologist, available anywhere in Florida.
Contact Mind Link