Migraine Care & Botox® for Migraines in Toronto

Yes. Our nurse practitioner has training in migraine care and offers assessment and management for both. Your treatment plan will reflect how often attacks occur, their severity, and how they affect your daily activities.

Episodic migraine involves fewer than 15 headache days per month. Chronic migraine generally involves headaches on 15 or more days per month for more than three months, with migraine features on at least eight days per month. The distinction is based on headache days, rather than the number of separate attacks.

We review your headache pattern, associated symptoms, medical history, medication use, and previous treatment results. Your assessment helps determine suitable options, whether further investigation or referral is needed, and how to monitor your progress.

Yes. Our nurse practitioner can prescribe acute medications for individual migraine attacks and preventive medications to help reduce migraine frequency and severity. Treatment is tailored to your symptoms, medical history, previous response, and medication coverage.

Acute medication is taken when an attack occurs to relieve symptoms. Preventive treatment is used regularly to reduce future attacks and their impact. Some patients benefit from both approaches.

No. You can book a consultation for assessment and medication management without receiving Botox®. Botox is one option for eligible patients with chronic migraine.

Botox® acts on nerve signalling involved in pain transmission. Its migraine benefit goes beyond muscle relaxation: it helps reduce activity in pain pathways involved in migraine attacks.

Botox® is used for adults with chronic migraine. Your provider will assess your diagnosis, headache frequency, medical history, and previous treatments. Insurance eligibility may involve additional requirements.

Treatment follows an established protocol called PREEMPT, with injections across specific areas of the forehead, temples, back of the head, neck, and upper shoulders.

Both use onabotulinumtoxinA, but the purpose, dose, and injection pattern differ. Cosmetic forehead injections alone are not equivalent to a complete migraine treatment.

Treatment is generally repeated every 12 weeks. Follow-up appointments help assess your response and determine whether continued treatment is appropriate.

Some patients notice benefits within one to two weeks. A trial of two or three treatment cycles may be needed to assess the response fully. A headache diary helps document changes over time.

Not necessarily. The goal is to reduce headache frequency, severity, and disruption to daily life. Some patients experience substantial improvement, while others have limited benefit.

You may still need acute medication for breakthrough attacks, and some patients continue other preventive treatments. Your provider will review your medications and recommend a coordinated plan.

Coverage may be available when your plan’s eligibility criteria are met. Prior authorization is often required. Confirm medication coverage and any separate treatment or administration fees before your appointment.

Bring your current medication list, details of previous migraine treatments, relevant specialist reports, and insurance information. If possible, keep a headache diary recording headache days, symptoms, medication use, and the impact on your activities.