I used to have chronic migraines....pretty much every single day. Horrible. Tried various meds, etc. For the past year and a half, maybe longer, I have been getting botox injections every 3 months, along with taking some preventative meds, and need to use my "rescue" meds only 2-3 times a month now, and even those migraines are less intense and do not last as long as they used to. We just had a conversation on this forum about botox, and have also talked about it quite a bit over the past several months. Try doing a search for Botox injections for migraines to read some of the posts. I am extremely happy that botox was recommended to me. The "procedure" itself is a piece of cake. Whole thing takes just a couple of minutes, usually 31 injections, super tiny needle, feels like little bee stings or something (pain lasts just a few seconds or so), and when you're done, you just schedule another appt for 3 months to repeat, and go on with your day. No down time or recovery time or anything like that. I actually just had mine done again yesterday. Not sure how it is in other states or with different insurance companies, etc, but lots of times they require you to do a migraine log/diary for several months before approving the botox treatment. Not sure if there is a universal form for this, but basically, you need to keep track of things like: when you get a migraine, how long it lasts, symptoms you have with it, where the pain is, how bad it is (scale of 1-10), anything that may have contributed to it or triggered it, any meds or other treatments you use to try to make it go away. Basically anything you can think of related to the migraine. I'd start writing things down NOW, so if they do require it, you'll have a head start on it. My understanding is that it is very expensive, my insurance co. has always covered it, no problem.
Finding the right combination of meds and botox and lifestyle changes (good sleep, avoid alcohol and caffeine, water, and some other stuff) has made a HUGE difference in my life. Have gone from 31 horrible/severe migraines a month to 2-3 moderate migraines a month. What a world of difference!! Only side effect I have had from it, if you even consider it a side effect, is that I cannot raise my eyebrows--but who cares???!!! In the year and a half since I have gotten the injections, I have never been upset by my lack of ability to raise my eyebrows, and no one has made any comments to me about it either. Probably because either they didn't notice or because it's just not important. Well, actually my mom and one friend did make fun of me, but only because I told them about it and made fun of myself first!!
Anyway, to see more info/stories about botox and other treatments, check out some of the other posts on the forum. And feel free to write me here or email me with any questions.