You’re So Vain


So, when you read about me getting botox in Bali, was your first thought ‘how self-involved?’ Guess again, people…

Most common locations of trigger points in migraine sufferers.

Scientists at the University of Granada have confirmed that injecting botulinum toxin (botox) into certain points named “trigger points” of the pericraneal and neck muscles reduce migraine frequency among migraine sufferers. University of Granada researchers have identified the location of these trigger points – which activation results in migraine – and their relationship with the duration and severity of this condition.

Headache is a universal experience. At present, there are more than 100 different types of headache and one of the most recurring ones is migraine, which affects approximately 10-12% of the population. And once again, women suffer more than men (being three times more common in women than in men). When migraine becomes chronic (occurring more than 15 days a month), it can disrupt patients’ daily life in a great degree.

This research study is one of the three studies that have been conducted by Juan Miguel García Leiva -a researcher at the University of Granada Institute for Neuroscience “Federico Oloriz” — and coordinated by professor Elena Pita Calandre.

Trigger Points in Migraine Sufferers

In the first study, researchers examined a sample of healthy subjects and patients with a diagnosis of migraine (any frequency), and analysed the presence of trigger points and their location, many of the explorations resulting in a migraine crisis. The most interesting findings of this study were: 95% of migraine sufferers have trigger points, while only 25% of healthy subjects have them. The most common locations of trigger points are the anterior temporal and the suboccipital region, both bilateral, of the head. Furthermore, researchers found a positive correlation among the number of trigger points in a patient, the number of monthly crises and the duration in years of the condition.

Subsequently, researchers conducted another study with 52 migraine sufferers. Over three months, patients received a weekly subcutaneous injection of 1mL of a local anesthetic into their trigger points.

After the injection of the anesthetic, 18% of patients experienced a 50% or higher reduction in the frequency of migraine crises, as compared with the basal period. Additionally, an 11-49% reduction of frequency was observed in 38% of patients. Two thirds of the patients treated reported to feel “better or much better.”

Few Side Effects

In the third study, 25 patients with chronic migraine were injected with 12.5 doses of botox into each trigger point twice, during a period of 3 months. Frequency (main variable), intensity and scales of migraine crises were recorded one month before and one month after the treatment to compare the changes experienced. In addition, side effects were also recorded during the experiment, and they were found to be mild and temporary.

After the injections, the most significant decrease in crisis frequency was observed at week 20. Similar results were obtained in those crises labelled as “moderate” and in the frequency of analgesic use by patients.

García Leiva specified that this treatment “is not a first-choice treatment for migraine sufferers,” but it can only be applied in patients with chronic migraine who have tried several treatments with poor results, and who show peripheral sensitization of muscles. Recently, the Foods and Drugs Administration (USA) has approved botulinum toxin as a therapeutical drug for the treatment of chronic migraine.

So when I have established my Bali Fibro Haven Retreat, I’ll be organising trips to my now favourite doctor for all my guests, as well as yoga and meditation sessions. I’m willing to embrace all treatments that may help us.



The above story is reprinted from materials provided byUniversity of Granada, via AlphaGalileo.

Note: Materials may be edited for content and length. For further information, please contact the source cited above.


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  1. My understanding is that botox is used to treat a range of medical issues, so I say go for it. What you do is your business anyway, And I hope it has worked. 🙂

  2. the information I get from you every time is far way more advanced than what I can read here in the Netherlands…. I hope it’ll help you xxxx

  3. It’s amazing the different benefits botox offers.

    You are really onto something with your Bali Retreat for Fibro people. What a wonderful thing to be in a relaxing environment and have “new” ways of coping with fibro available right there. And, for people studying fibro this would be THE place to be.

    The Bali Institute of Fibromyalgia. I would give up peanut butter for a year to have ONE day of being normal again.

  4. Count me in for fibro retreat in bali. i love Bali more than anywhere and always feel better there. What a wonderful idea.

  5. In his book ‘Fibromyalgia and Myofascial Pain Syndrome: A self-help guide’ Dr Chris Jenner of the London Pain Clinic discusses botox as a way to alleviate pain all in fibromyalgia patients by injecting it in the ‘tender points’*. I had a chance to meet him at a one off appointment in London (I required a secondary report to get some of my benefits back) and he said the results were really good. As this treatment is not yet recognized as a ‘cure’ medical insurance companies and the NHS only rarely fund it, plus the benefits only tend to last a few months so repeat treatment is required. I wish I had the money and a chance to try. I’ve spent another day in so much pain, unable to sleep last night because of it, and just feel like s**t!

    *I say ‘tender points’ instead of ‘trigger points’ as defined by Dr Jenner. People with Myofascial Pain Syndrome, a different condition to Fibromyalgia, have ‘trigger points’. When pressed they cause pain or a reaction elsewhere on the body – a trigger. Whereas in fibro sufferers the pain from these points tends to remain in that general location and remain longer and more powerful than a ‘normal’ person – the points are tender. Sorry just thought I’d better explain.

Got an opinion?