Chronic migraine treatment with botulinum toxin in Wolfsburg
For chronic migraine, botulinum toxin is an established, approved procedure to prevent migraine attacks – explicitly not a cosmetic use. In Wolfsburg, physician Rafee El Kaddour first assesses individually whether you have chronic migraine and whether the treatment is medically appropriate for you. Injections follow a standardised, fixed protocol.
What does botulinum toxin mean for chronic migraine?
For chronic migraine, botulinum toxin is injected into several muscles of the head, forehead, neck and shoulders following a fixed protocol, to reduce the number of migraine days. It is used for prevention, not to treat an acute attack. It is applied only after medical diagnosis and indication.
Medically, chronic migraine is defined as headache on 15 or more days per month for at least three months, of which at least 8 days have migraine features. Distinguishing it from episodic migraine and other headache types is crucial – which is why it always begins with a careful medical assessment.
Injections follow a standardised protocol with a fixed number of small injection points distributed across several muscle groups of the forehead, temples, back of the head, neck and shoulders. This approach has been studied in trials and is established internationally.
Treatment is usually repeated about every twelve weeks. Whether it works can usually only be judged reliably after several treatment cycles; not everyone responds equally well. We discuss benefits and limits openly and without promises of a cure.
Botulinum toxin can be part of a comprehensive migraine concept. It does not replace existing neurological or GP care – we work in a complementary way and, where needed, recommend connecting with a neurologist.
How the treatment works
- 01Detailed medical history and confirmation of the “chronic migraine” diagnosis
- 02Counselling on benefits, limits and procedure – without promises of a cure
- 03Injection following a standardised protocol at several fixed points in head, neck and shoulder muscles
- 04Duration: about 15–20 minutes per session
- 05Repeated roughly every 12 weeks; response assessed over several cycles
Results & longevity
A possible effect does not begin immediately and may build over the first weeks and several treatment cycles. The goal is to reduce migraine and headache days, not necessarily complete freedom from symptoms. Whether and how strongly you respond varies individually and is assessed by the physician.
Results are individual and may vary. Before/after images show real treatments and are published only with the patient’s explicit consent.
Risks & side effects
Risks & side effects
- Common and temporary: pain, redness or a small bruise at the injection sites.
- Occasionally: head or neck pain and a feeling of tightness or pressure after treatment.
- Possible: temporary neck weakness or stiffness, as neck and shoulder muscles are also treated.
- Rare: temporary drooping of an eyebrow or slight asymmetry of the forehead or eye area.
- Very rare: allergic reactions. Please contact us promptly if you have vision, breathing or swallowing difficulties.
Aftercare
- Do not rub or massage the treated areas for the first few hours
- Keep your head upright for about 4 hours; do not lie down
- No intense sport, sauna or tanning for 24 hours
- A headache diary helps assess the response across cycles
Who is it for?
This treatment is for adults with a medically confirmed diagnosis of chronic migraine (15+ headache days per month), not for occasional headaches or episodic migraine. Whether it is an option for you is clarified individually in the consultation.
Every medical treatment carries risks. This information does not replace a personal medical consultation. In our free initial consultation we assess your individual suitability, the procedure and possible side effects.
Price
Price on request
The exact price depends on individual scope and is discussed in the free consultation.
View pricingFrequently asked questions
Is this a cosmetic treatment?
No. For chronic migraine, botulinum toxin is a medical treatment on medical indication. The injection protocol is fundamentally different from wrinkle treatment.
Does it help with occasional migraine?
The procedure is intended for chronic migraine (at least 15 headache days/month). For less frequent or episodic migraine attacks it is usually not the treatment of choice.
Does it stop an acute migraine attack?
No. Botulinum toxin is for prevention over time and does not act on an attack that has already started. Acute attacks require different medication.
How often do I need treatment?
Usually about every twelve weeks. Whether it works can typically only be judged reliably after several cycles.
Will my health insurance cover it?
Coverage is possible in individual cases but depends on diagnosis and conditions. We discuss the framework and process with you individually.
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