Botox and Neurological Injection Treatments

Home / Services / Botox Neurology Treatments

Treatment Planning for Chronic Migraine, Hemifacial Spasm, Dystonia, Spasticity, and Selected Facial Pain Conditions

Botulinum toxin treatment, commonly known by brand names such as Botox, is used in neurology for selected conditions involving chronic migraine, overactive muscles, abnormal nerve signals, facial spasms, dystonia, spasticity, and selected pain syndromes.

VerityMD Neurology provides neurological evaluation and treatment planning for patients who may benefit from botulinum toxin injections or other targeted neurological treatments.

Symptoms We Evaluate

  • Chronic migraine

  • Frequent disabling headaches

  • Hemifacial spasm or facial twitching

  • Blepharospasm

  • Cervical dystonia or neck pulling

  • Limb dystonia or writer’s cramp

  • Post-stroke spasticity

  • Painful muscle stiffness or spasms

  • Selected facial pain symptoms including trigeminal neuralgia treatment planning

Conditions We Help Evaluate or Manage

  • Chronic migraine

  • Hemifacial spasm

  • Blepharospasm

  • Cervical dystonia

  • Focal limb dystonia

  • Post-stroke spasticity

  • Spasticity after brain or spinal cord injury

  • Trigeminal neuralgia and selected facial pain syndromes

Services and How They Help

Botox for Chronic Migraine

Botox is an FDA-approved preventive treatment for chronic migraine in patients who meet appropriate criteria.

How this helps:

  • May reduce migraine days over time

  • May reduce headache severity and rescue medication use

  • Can improve function and quality of life

Botox for Hemifacial Spasm and Blepharospasm

Botulinum toxin can help relax overactive facial or eyelid muscles.

How this helps:

  • Reduces involuntary facial twitching or eyelid closure

  • May improve visual comfort and function

  • Provides a nonsurgical treatment option for many patients

Botox for Cervical Dystonia and Focal Dystonia

Dystonia causes abnormal muscle contractions, pulling, twisting, posture changes, tremor, stiffness, and pain.

How this helps:

  • Targets overactive muscles

  • May improve posture, pain, and range of motion

  • Can be combined with therapy or adaptive strategies

Botox for Spasticity

Spasticity may occur after stroke, brain injury, spinal cord injury, MS, or other neurological conditions.

How this helps:

  • Reduces focal muscle stiffness

  • May improve comfort, hygiene, positioning, and caregiving

  • Supports therapy, stretching, splinting, and bracing when appropriate

Trigeminal Neuralgia and Facial Pain Treatment Planning

Botulinum toxin may be considered in selected medication-resistant facial pain cases, but diagnosis, imaging, medication history, and alternatives must be reviewed carefully.

How this helps:

  • Reviews whether symptoms fit trigeminal neuralgia or another facial pain condition

  • Evaluates medication response and side effects

  • Supports individualized treatment planning

When Botox Neurology Treatments May Be Helpful

  • Chronic migraine meeting clinical criteria

  • Hemifacial spasm or blepharospasm

  • Cervical dystonia

  • Post-stroke spasticity

  • Focal muscle overactivity

  • Selected medication-resistant facial pain conditions

What to Bring or Have the Referring Office Send

  • Referral from PCP, specialist, or referring provider

  • Medication list, including over-the-counter medications and supplements

  • Relevant office notes, hospital records, imaging reports, labs, and prior neurological testing if available

  • Prior Botox or botulinum toxin records if available

  • Headache diary if being evaluated for migraine

  • List of prior migraine medications and treatment failures

  • Videos of spasms or abnormal movements if safely available

  • Physical therapy or rehabilitation notes if available

Important Note

This page is for patient education and does not replace individualized medical advice. Testing and treatment decisions should be based on the patient’s history, examination, records, medications, insurance requirements, and clinical judgment.

Emergency Symptoms

Call 911 or go to the nearest emergency department for:

  • Sudden weakness, facial droop, trouble speaking, or new vision loss

  • Severe sudden headache or rapidly worsening neurological symptoms

  • Loss of consciousness, seizure, chest pain, or severe shortness of breath

  • New inability to walk or sudden severe dizziness with stroke-like symptoms

New Patient Referrals

VerityMD Neurology accepts new patient referrals by fax from the patient’s primary care physician, specialist, or referring provider’s office. To ensure accurate triage, insurance verification, and appropriate scheduling, referrals should be sent directly from the referring provider’s office.

Patients who would like to be seen at VerityMD Neurology should contact their PCP, specialist, or referring provider and ask them to fax a neurology referral with relevant clinical notes, insurance information, medication list, imaging reports, lab results, and prior neurology records if available.

We accept the following insurance

Client Stories

What Our Patients Say