Botox for Chronic Migraine, TMJ, and Neck Pain

Botox and Xeomin can reduce how often migraines or pain can happen and how severe they are, and can ease jaw and neck muscle pain when other treatments haven't worked.

Dr. Windsor is board-certified in headache medicine and performs every treatment himself. Botox is FDA-approved for chronic migraine in adults; for teens, we talk through the evidence and the alternatives with your family before starting. We also offer aesthetic Xeomin for adults, described further down this page.

  • We use neuromodulators to treat a variety of conditions, including:

    • Chronic migraine (FDA-approved)

    • TMJ and jaw tension

    • Neck pain and cervical dystonia

    • Spasticity and muscle tightness

    • Myofascial pain

    • Hyperhidrosis (excessive sweating)

    These treatments can provide significant relief when other therapies haven't worked. We’ll discuss whether this option is right for you during your evaluation.

  • Cosmetic Applications

    We also offer cosmetic treatments to address:

    • Forehead lines

    • Frown lines (glabellar lines or angry 11’s)

    • Crow’s feet

    • Downward smile

    • Downward turned nose

    • Jawline contouring

    • Platysmal bands (neck lines)

    Our approach is conservative and natural-looking. We don’t offer fillers or other aesthetic procedures, but we’re happy to provide guidance on what neuromodulators can and can’t do.

  • What’s the difference between Botox and Xeomin?
    Both are FDA-approved neuromodulators used to treat muscle tension, pain, and wrinkles. Xeomin is a more purified form, free of additives, which some patients prefer. They are equally effective, and we’ll help you choose the right option for your goals.

    How long do results last?
    Most treatments last 3–4 months, though individual response may vary. With repeated use, the effects often last longer over time.

    Does it hurt?
    Treatment is quick and well tolerated by most patients. As pain specialists, we use advanced techniques to make the experience as comfortable as possible—including ultra-fine needles and pain-relieving strategies.

    Most people describe the sensation as a brief pinch or pressure. There’s minimal downtime, and you can return to most activities right away.

    How soon will I see results?
    Cosmetic effects typically appear within 3–7 days, and medical benefits (like migraine relief) can take up to 2 weeks to fully develop.

    Can I get both cosmetic and medical treatments at the same time?
    Yes! Many patients do. We’re happy to design a treatment plan that addresses both your functional and aesthetic goals in a single session.

Typical Dosing Estimates for Botox/Xeomin

We customize every treatment plan based on your goals, medical history, and how your body responds. Below are typical unit ranges to help you understand what may be recommended during your visit.

Condition Approximate Units
Chronic Migraine 155–200 units (FDA standard: 155)
TMJ / Jaw Tension 20–80 units
Neck Pain / Dystonia 50–100 units
Forehead Lines (cosmetic) 10–20 units
Crow’s Feet (cosmetic) 6–12 units per side
Glabella (frown lines) 10–25 units

Exact dosing varies based on your symptoms, anatomy, and treatment goals. We’ll review a personalized plan with you at your visit.

Pricing & Insurance Information

  • Medical Botox/Xeomin: $2000 total for both procedure fees and Botox when supplied by BBHA
    or $500 flat procedure fee when using pharmacy-supplied medication.

  • We do not bill insurance directly, but we can provide documentation for out-of-network reimbursement. HSA/FSA cards are accepted.

As a specialty medical practice, we can diagnose and treat medical conditions like chronic migraine, TMJ, cervical dystonia, and more using Botox and Xeomin. This enables us to access manufacturer savings programs and work with insurance—benefits typically unavailable at cosmetic-only clinics or med spas.​

💉 Botox® Savings Program (AbbVie)

For patients receiving Botox® with insurance authorization for FDA-approved medical uses (e.g., chronic migraine):​

  • Up to $1,300 reimbursement for the first treatment

  • Up to $1,000 per session for subsequent treatments

  • Maximum of $4,000 per calendar year​

This program is designed to reduce out-of-pocket costs after insurance reimbursement and is not available for cosmetic treatments. ​

💉 Xeomin® Patient Savings Program (Merz)

For patients prescribed Xeomin® for medical uses (as determined by their doctor) and who have Xeomin on their insurance formulary:​

  • Up to $5,000 annually (no max per session) in reimbursement for out-of-pocket medication costs and related administration fees

  • Eligibility requires commercial insurance coverage for Xeomin®

  • Not available for cosmetic treatments or patients with government-funded insurance plans