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Same-day appointments available · 281 Broadway, Lower Manhattan · Most insurance accepted
Home › Treatments › Botox for Migraines
FDA-Approved · New York City

Botox for migraines in New York City

FDA-approved for chronic migraine. Fewer headache days, no daily medication. Board-certified pain specialists at 281 Broadway in Lower Manhattan.

  • ✓FDA-approved — covered by most major insurance
  • ✓31 injections — 15–20 minute in-office procedure
  • ✓Results begin in 2–4 weeks, improve each cycle
  • ✓Same-day appointments and treatment · No referral required
Book appointment → See how it compares

Botox may be right for you
if you have:

15+ headache days
15 or more headache days per month, of which at least 8 have migraine features
Preventives have failed
Tried and failed at least two preventive medications
Three months or longer
A condition that has persisted for at least 3 months
Want to avoid daily pills
A preference to avoid daily pills and their side effects
Sound familiar? Same-day appointments, no referral required.
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Why Botox works

Botox targets the nerve pathway — not just the pain

Botox (onabotulinumtoxinA) prevents the release of neurotransmitters involved in pain transmission — blocking the signals that trigger migraine attacks before they start.

  • Acute medications treat the headache but don't prevent the next one
  • Daily preventive pills come with side effects and don't work for everyone
  • Botox interrupts the pain cycle at the nerve level, every 12 weeks
  • Results tend to improve with each successive treatment cycle

Our approach: it is not the same as cosmetic Botox — the injection sites, dose, and technique follow an FDA-approved protocol of 31 injections across 7 muscle areas, designed specifically for migraine prevention.

Common triggers

What drives chronic migraine

Botox targets the nerve pathways involved in these underlying mechanisms.

What are the benefits of Botox for migraines?

These are the outcomes patients most often report once they begin treatment.

Fewer, shorter headaches
Clinical trials show an average reduction of 8 to 9 headache days per month for chronic migraine patients.
No daily pill burden
Administered every 12 weeks instead of a daily oral preventive and its cognitive fog, fatigue, or mood side effects.
Minimally invasive
15 to 20 minutes in-office. No anesthesia, no recovery time — most patients return to normal activities immediately.
Improves over time
Unlike many treatments, Botox for migraine becomes more effective across the second and third treatment cycles.
Covered by most insurance
FDA-approved status means most major plans — commercial, Medicare, Medicaid — cover it when criteria are met.
Distinct from cosmetic Botox
A specific 31-injection, 7-muscle protocol designed for migraine prevention — not aesthetic muscle relaxation.
Procedures at Hudson Medical

Botox and related headache treatments at Hudson Medical NYC

All performed at 281 Broadway, Lower Manhattan. Outpatient. Same-day appointments.

FDA-approved

Botox for chronic migraine

31 injections across 7 muscle areas, repeated every 12 weeks. The gold standard for 15+ headache days per month.

Chronic migraine · 2–4 wks first effect
Combination option

Occipital nerve blocks

Targeted injection at the base of the skull — often combined with Botox for patients with a partial response.

Cervicogenic headache · Days
Combination option

SPG blocks

A nerve block targeting the sphenopalatine ganglion, used alongside Botox for patients needing added relief.

Cluster / migraine overlap · Minutes
Muscle tension

Trigger point injections

Direct injection into tight neck and shoulder muscles that commonly contribute to headache frequency.

Tension contributors · Days

Not sure if you qualify?

Book an appointment and we'll evaluate you at your first visit. If Botox is appropriate, we'll begin the insurance process. If it isn't the right fit, we'll discuss what is — at 281 Broadway in Lower Manhattan.

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Before vs. after

What changes with Botox

What patients experience before finding Hudson Medical, and after.

Comparison of patient experience without targeted treatment versus with Botox at Hudson Medical
Category Without targeted treatment
AT HUDSON MEDICAL NYC With Botox
Headache days per month 15+ days, managed acutely Reduced by 8–9 days on average
Daily medication burden Ongoing, often with side effects No daily pill required
Treatment frequency Daily oral dosing Every 12 weeks
Results over time Often plateau or diminish Improve with each cycle
Served from
Manhattan · Brooklyn · Queens · The Bronx
Headache days per month
15+ days, managed acutely
Reduced by 8–9 days on average
Daily medication burden
Ongoing, often with side effects
No daily pill required
Treatment frequency
Daily oral dosing
Every 12 weeks
Results over time
Often plateau or diminish
Improve with each cycle
Served from
Manhattan · Brooklyn · Queens · The Bronx

Botox for chronic migraine targets specific nerve pathways involved in headache generation. It is not an acute treatment — relief builds over the first one to two cycles. Your physician will confirm you meet the chronic migraine criteria (15+ headache days/month) at your first visit. All procedures at 281 Broadway, Tribeca.

What to expect

Your treatment at Hudson Medical

From first appointment to ongoing treatment — here's exactly what the process looks like.

Book your appointment

Same-day appointments at 281 Broadway. No referral required. We confirm your insurance coverage before you arrive.

45–60 minute evaluation

Full headache history, headache diary review, and physical exam. We confirm candidacy and review prior treatments.

First Botox treatment

31 injections across 7 muscle areas. Takes 15 to 20 minutes. Results begin within 2 to 4 weeks.

Ongoing every 12 weeks

Most patients see greater improvement with each successive treatment. We track headache frequency at every visit.
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Common questions

Frequently asked questions

Questions we hear most from patients considering Botox for migraines in New York City.

Not sure if Botox is right for you?

We evaluate your headache history and prior treatments before recommending anything.

Is Botox for migraine covered by insurance?
Yes — Botox for chronic migraine is FDA-approved and covered by most major insurance plans when criteria are met: 15 or more headache days per month and failure of at least two preventive medications. Hudson Medical verifies your specific coverage before your appointment.
How many injections are given for migraines?
The FDA-approved protocol is 31 injections across 7 specific muscle areas of the head and neck — the forehead, temples, back of the head, neck, and upper back. The procedure takes 15 to 20 minutes and is repeated every 12 weeks.
How long does Botox for migraines take to work?
Most patients notice a reduction in headache frequency within 2 to 4 weeks of their first treatment. The full benefit is typically seen after the second or third treatment cycle, and results tend to improve with continued treatment.
Is this the same as cosmetic Botox?
No — while the medication is the same, the injection sites, dose, technique, and purpose are entirely different. Botox for chronic migraine follows a specific FDA-approved protocol of 31 injections across 7 muscle groups, distinct from cosmetic applications.
What if Botox stops working for me?
Most patients see continued or improved benefit with ongoing treatment. For a partial response, we evaluate whether the protocol can be optimized — some patients benefit from combining occipital nerve blocks or SPG blocks with Botox.
Where can I get Botox for migraines in NYC?
Hudson Medical offers FDA-approved Botox for chronic migraine at 281 Broadway, New York, NY 10007 in Lower Manhattan — accessible from Manhattan, Brooklyn, Queens, and the Bronx. Same-day appointments frequently available.

Ready to stop managing migraines and start preventing them?

Same-day appointments at 281 Broadway. FDA-approved treatment — no daily medication required.
281 Broadway · Lower Manhattan · Most insurance accepted

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