Pain Relief & Injury Repair

Medical BOTOX®

Chronic Migraine treatment with an expert’s touch.

This foundational treatment is the first FDA approved preventive treatment for Chronic Migraine. BOTOX® is indicated for the prophylaxis of headaches in adult patients with Chronic Migraine (> 15 days per month with headache lasting 4 hours a day or longer).

The Science

Give Chronic Migraine The Treatment It Deserves!

BOTOX® for Chronic Migraine has been studied in clinical trials for nearly a decade. Phase 2 studies established the PREEMPT* Paradigm and led to the pivotal Phase 3 trials upon with BOTOX® FDA approval is based. Treatment is locally administered by trained clinicians via the established PREEMPT program as an in-office procedure. The standardized protocol guides the medication delivery in specific locations. BOTOX® for Chronic Migraine injections take about 15 minutes.

*PREEMPT = Phase 3 REsearch Evaluating Migraine Prophylaxis Therapy.

Frequently Asked Questions

What is considered a chronic migraine?

A diagnosis of Chronic Migraine is headaches 15 days or more per month with headache lasting 4 hours a day or longer.

Am I a candidate for BOTOX® for chronic migraine?

Only a licensed practitioner can diagnose Chronic Migraine. If you are experiencing headaches 15 days or more per month with headaches lasting 4 hours a day or longer, you may be a candidate. Make an appointment with a practitioner that has been trained to use Botox for Chronic Migraine for a full examination and consultation.

Is BOTOX® for chronic migraine covered by insurance?

Botox is available to many patients through their insurance. Patients may still have out of pocket costs based on their actual benefit plan and coverage criteria.

How many times will I need to be treated?

In PREEMP trials, BOTOX® patients received at least 2 treatments, 12 weeks apart, to determine effectiveness with the primary end point at 24 weeks. Further re-treatment should be determined per clinician’s discretion. Patients may see some results at Week 4, and then headache day reduction will gradually improve over the 24 weeks.

Can BOTOX® also be used to treat Hyperhidrosis?

BOTOX® (onabotulinumtoxinA) is injected into the skin to treat symptoms of severe underarm sweating (severe primary axillary hyperhidrosis) when medicines used on the skin (topical) do not work well enough in people 18 years and older. It is not known whether BOTOX® is safe or effective for severe sweating anywhere other than your armpits. Only a medical professional can diagnose severe underarm sweating that is not being managed effectively with clinical strength antiperspirants. Please visit for more information.

Diagnostic & Therapeutic Injections

Targeting the source of your pain.

How it works?

Trigger Point Injections are precisely targeted injections tha can be the key to solving your persistent.

Diagnostic Injections:

are used to identify the underlying source of your pain.

Therapeutic Injections:

are injections use a variety of agents and techniques to reduce inflammation, compression, and pain.

Therapeutic Treatment Options

  • Hyaluronic Acid Gel Injections – Improves joint cushion and lubrication in the knee.
  • Hydro-dissection Injections – Reduces nerve compression within the carpal tunnel.
  • Trigger Point Injections – Treatment for myofascial pain.
  • Brisement Injections – Treatment for adhesive capsulitis or “frozen shoulder”
  • Steroid Injections – Reduces inflammation in joints, tendons, and ligaments.
  • Clinical Botulinum Toxin (Botox) Injections

Frequently Asked Questions

What is the difference between a “trigger point” and a “tender point”?

Tender points and trigger points are similar and may not be easy to separate. Careful examination of the patient will find points of tenderness which correlate with the source of pain. Sometimes the points will twitch when pressure is applied, and this is often referred to as a trigger point. If the movement is large, this has been called a “jump sign”. 

Some of these are at the connection points where ligaments and tendons connect to the bone, which are called “entheses”. An injured or degenerative enthesis is called “enthesopathy”, and this is a common target for injections including trigger point injection and Regenerative Injections using BMAC, PRP and Dextrose Prolotherapy. This will treat the large tears, the micro tears and the frayed connective tissue at these sites. 

Other tender points may be found within the muscle tissue, where “taut bands” and “nodules” may be found. These targets may respond well to localized injections, “spray and stretch”, and myofascial massage, following the model of Travell and Simons.

What structures are known to produce referred pain?

Many tissues can produce referred pain, including ligaments, tendons, joints, and fascial connective tissue. This is not a rare problem; most musculoskeletal pain is generated from these types of tissues, and referred pain is very common. 

Celluma & Class IV Laser Therapy

Accelerate healing through increased cellular metabolism

LED and Class IV Laser Therapy Helps Facilitate The Optimal Healing Environment Following Injury Or Regenerative Medicine Procedure. Speeding Recovery And Restoring Function Through:

  • Accelerated Tissue Repair
  • Reduced Fibrous Tissue Formation
  • Reduced Pain & Inflammation
  • Improved Vascularity and Nutrient Transport
  • Increased Cellular Metabolic Activity
  • Trigger Point And Tension Release
  • Faster Wound Healing
  • Improve Nerve Function


So what is LED light therapy? Light therapy is the application of specific wavelengths of light energy to tissue to obtain therapeutic benefits. The energy delivered is then used to improve cellular performance. Light therapy can be delivered through light emitting diode (LEDs) devices or cold lasers, and has a variety of applications across many medical fields

Originally developed by NASA for astronauts who could become injured or ill on long-term space missions, low-level-light therapy is used today as a safe and natural method of treating a variety of skin and pain conditions such as acne, wrinkles, aging skin and pain.  It has been widely researched and is supported by thousands of peer-reviewed and published clinical research papers from prestigious institutions around the world. Other terms by which light therapy is know are photobiostimulation, photobiomodulation, photomedicine, LED light therapy, low-level light therapy (LLLT), red light therapy, cold and soft LASER therapy. All terms are correct, have the same meaning and are used to describe the delivery of light energy to treat a variety of medical and cosmetic conditions.

The treatment is non-invasive, painless, requires no recovery time, and can be used safely on all skin types.

The Science

Research indicates that cells absorb particles of light (photons) and transform their energy into adenosine triphosphate (ATP), the form of energy that cells utilize. The resulting elevation of ATP is then used to power metabolic processes; synthesize DNA, RNA, proteins, enzymes, and other products needed to repair or regenerate cell components; foster mitosis or cell proliferation; and restore homeostasis. Simply put, the LED light source provides compromised cells with added energy so the cells performance is enhanced. For example, fibroblast cells will increase collagen and elastin production in connective tissue to improve the appearance of fine lines and wrinkles and increase the rate of wound healing.

Low-energy photon irradiation by light in the infrared spectrum has been found to modulate various biological processes in cell culture. This phenomenon of photobiomodulation has been applied clinically in the treatment of soft tissue injuries and the acceleration of wound healing. The mechanism of photobiomodulation at the cellular level has been ascribed to the activation of mitochondrial respiration chain components, resulting in initiation of a cascade that promotes cellular proliferation and cytoprotection.

A cascade of beneficial events follows including: improved cellular metabolism, vasodilation and improved blood circulation, reset of resting potential in pain fibers, release of endorphins, stimulation of macrophages fibroblasts, and improved nerve function.

Regenerative Medicine

Our bodies need to be active to be healthy. One of the most obvious forms of activity is through athletic activity. Athletics allows us to be physically fit, while providing ongoing motivation through fun, accomplishment, engaging challenges and, often times, camaraderie from being part of a team. These qualities of sports help to integrate exercise into a lifestyle for even every day, “weekend warrior” athletes. 

Athletes can be those who engage in activity levels anywhere in the spectrum from the competitive Olympic runner to the 50-year-old just taking up running to the 80-year-old Tai Chi enthusiast.

While we exercise, the strain on our tissues creates micro-injuries. The body typically responds by repairing the damaged tissue with stronger, more robust structures. We see this in larger muscles as well as stronger ligaments and tendons along with their attachments to bones. Athletes face the potential of increased strain on tissues through repetitive activities, motions and trauma. This results in increased tissues stress/strain and the increased potential for degeneration of tissues. This occurs because the body’s healing mechanism is exhausted, and the tissue repair mechanisms can’t keep up with the breakdown. 

Another common complaint in athletes involves acute injuries. When this happens, the tissue damage may overwhelm the body’s healing cascade.

In normal tissue healing, we generally notice less soreness after 1-5 days, with complete healing occurring in about 60 days. When tissues remain sore beyond this typical timeframe, there is a chance that structure will remain damaged. This is where regenerative medicine can play a big role to initiate, or expedite, repair in tissues that have hit a roadblock in healing. In these scenarios, physicians can inject concentrated platelets (PRP), then sometimes with regenerative stem cells, directly into the injured tissue. This is optimized by use of ultrasound, or X-ray guidance. When these blood products are placed at the site of injury, several physiologic events begin to occur including:

  • Increased blood flow through new blood vessel formation.
  • Removal of dead cells and tissue debris.
  • Formation of a healthier scar that provides a framework for new tissue growth.
  • Production of new connective tissue (collagen, elastin, hyaluronic acid and ground substance).
  • Remodeling of the scar and muscle, tendon, ligaments.
  • Decreased pain, increased stability in the structure, improved function, and return to activity.

Click here to learn more about Regenerative Medicine.


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