A migraine is more than just a headache—it is a complex condition that can cause severe, long-lasting pain and a range of other symptoms. It affects approximately 45,000 New Zealanders. It is characterized by persistent headaches lasting more than four hours per day, occurring at least 15 days per month, with at least eight of these headaches exhibiting migraine-specific symptoms. These include throbbing pain, moderate to severe intensity, one-sided discomfort, and sensitivity to light (photophobia) or sound (phonophobia), often accompanied by nausea or vomiting.

Available Treatments for Chronic Migraine
While there is no definitive cure, various treatment options such as medication and lifestyle changes can help manage symptoms effectively. Common treatment approaches include:
- Over-the-Counter and prescription Medications – Pain relievers, triptans, and preventative medications can help reduce migraine severity and frequency.
- Lifestyle Modifications – Identifying triggers such as stress, poor sleep, or certain foods and making adjustments can significantly improve symptoms.
- Alternative Therapies – Acupuncture, meditation, and dietary changes may complement traditional treatments.
- BOTOX® Injections – An emerging option for chronic migraine sufferers, BOTOX® has shown promising results in reducing headache frequency for up to four months. Although the precise mechanism of action is not fully understood, many patients report significant relief. While this treatment is not yet officially registered for migraine use in New Zealand, it is available with patient consent.
When to Consult a Doctor
Chronic migraines can be life-altering, but effective management is possible with the right medical guidance. If you experience frequent and severe headaches that interfere with daily activities, consulting a healthcare professional is essential. Your doctor can help identify the most suitable treatment plan, considering both traditional and alternative approaches.
For individuals who have exhausted conventional treatments without success, exploring options like BOTOX® injections could provide much-needed relief. Discussing this option with a medical professional can help determine its suitability for your specific condition.
Although the use of Botox® for migraines is not yet a registered use in New Zealand, it was approved by the US Food and Drug Administration in 2010, and it can be used with your signed consent. The Face Place have treated many migraine sufferers with Botox® over the last 20 years.
Chronic migraines can be challenging to live with, but proactive management and treatment strategies can significantly improve quality of life, offering relief and restoring daily functionality.

Senior Advanced Cosmedicine Nurse
Botox® is a prescription medicine for the treatment of frown lines, horizontal forehead lines and crow’s feet round the eyes. Botox® has risks and benefits. Ask your doctor if BotoxⓇ is right for you. If you have side effects, see your doctor. You will need to pay for Botox® and clinic fees will apply. For details on precautions & side effects consult your healthcare professional or the Consumer Medicine Information (CMI) at www.medsafe.govt.nz. Botox® treatment lasts about 4 months and further courses of treatment may be necessary. Should only be administered by trained medical professionals. (contains botulinum toxin A 50,100 & 200 units) Allergan (NZ) Limited, Auckland.