Botox® (onabotulinumtoxin A) Injection

Botox® Injections for Chronic Migraine Headache

Dr. Rachel Dalthorp is a certified injector of Botox® for the treatment of migraine headache. Botox® injections are very effective in decreasing the number of migraine days a month, are well tolerated and provided in a quick office visit every three months.  3.3 million Americans experience chronic migraine.  Chronic Migraine means living with 15 or more headache and migraine days per month. That’s different than living with them every once in a while- or episodic migraine.  Chronic Migraine has an enormous effect on quality of life and is associated with difficulty maintaining employment, participating in activities and a higher incidence of depression and anxiety.

Botox® is a preventative treatment for Chronic Migraine. It works to prevent headaches and migraines before they even start. Botox® prevents an average of 8-9 headache days and migraine/probable migraine days a month. Botox® is the #1 prescribed branded Chronic Migraine treatment.

Most insurance plans cover the cost of treatment. However, some patients with commercial insurance may have to pay out of pocket. That’s where the BOTOX® Savings Program comes in. The BOTOX® Savings Program was created to help commercially insured patients with these out-of-pocket costs not covered by insurance.


Click below to see if you are a good candidate for Botox® injections for migraine headache.

Neurotoxin Injections for Mood and Anxiety Disorders

One of the most exciting new treatments for mood disorders is the use of injectable neurotoxin to block communication signals across certain areas of the nervous system, as a treatment for mood and anxiety disorders. Research and clinical trials are ongoing with very promising results in treating mood disorders such as depression and anxiety disorders including post-traumatic stress disorder, generalized anxiety disorder and social anxiety disorder. There is even a potential indication for borderline personality disorder which has been classically very difficult to treat. While not yet FDA approved, there is much positive data published regarding its effectiveness and we hope to see approval in the future. For now, it is available as an off-label treatment option in our practice.



Mirror Neuron System in Botox® Therapy

A mirror neuron is a neuron that fires both when a person acts and when a person observes the same action performed by another. Thus, the neuron “mirrors” the behavior of the other, as though the observer were itself acting. Mirror systems may simulate observed actions, one might take on the emotional state of others around them and thus contribute to mood and emotional states.

In addition, we are learning that the connection from the muscles of the face to the emotional center in the brain is bi-directional. We all know that when we feel “happy” or “sad” it will show on our facial expressions. It turns out that our facial expressions send a message back to our brains, influencing mood.

You’ve heard the advice, “go see a funny movie, you’ll feel better”. Turns out, there may be some truth to that. Scientists found that forcing a smile by making research subjects hold a pencil between their teeth improved their mood. Their facial muscles activated in the forced smile sent a message to the mood center in the brain and that center in the brain responded with a corresponding neurotransmitter release.

Neurocircuits Disrupted by Botox®

Researchers found that patients injected with Botox® in the glabellar area of the face (the frown area), had a significant improvement in depression symptoms that lasted for approximately 3 months. Paralyzing the muscles involved in making a sad or stressed face blocked the message to the brain and decreased depression. In the human brain, the frontal lobe (conscious executive function) communicates with the emotional memory center, the Amygdala. This circuit is highly implicated in depression and anxiety, and Botox® treatment disrupts this circuit in a way that promotes a more positive mood!