Chronic migraine
Botulinum toxin type A is an established preventive option for selected adults with chronic migraine. Treatment uses a defined pattern of injections around the head and neck rather than simply injecting where a headache is felt.
St Mary’s Medical Clinic · Mosta
Medical Botox in Malta
Botulinum toxin is used medically to reduce selected overactive muscle or nerve signals. Depending on the diagnosis, it may be considered for chronic migraine, excessive sweating, jaw-muscle overactivity and a wider range of specialist neurological, urological and gland-related conditions.
Chronic migraine
Hyperhidrosis
TMJ & jaw-muscle symptoms
Bruxism
Medical assessment first
Medical uses
What can medical botulinum toxin be used for?
“Medical Botox” is not one treatment. The injection pattern, dose, expected benefit and appropriate clinician depend on the diagnosis. Some uses are well established; others are specialist or off-label uses where evidence and suitability vary.
Hyperhidrosis
It can temporarily reduce nerve signalling to sweat glands and is used for excessive sweating, particularly in areas such as the underarms. The cause and distribution of sweating should be assessed first.
TMJ-related muscular pain
In selected patients with prominent jaw-muscle overactivity, botulinum toxin may be considered as an adjunct for muscular temporomandibular symptoms. It is not a treatment for every cause of TMJ pain.
Bruxism / teeth grinding
Injection into selected chewing muscles may reduce contraction strength and related muscular symptoms in some people with bruxism. This is generally considered an off-label use and should follow proper dental or medical assessment.
Cervical dystonia
Botulinum toxin is used in specialist care to reduce involuntary overactivity of selected neck muscles in cervical dystonia.
Focal spasticity
Specialist services may use botulinum toxin to reduce excessive muscle activity associated with conditions such as stroke, cerebral palsy or other neurological disorders.
Blepharospasm & selected eye conditions
Botulinum toxin has established specialist uses for involuntary eyelid closure and certain ocular muscle disorders. These require appropriate ophthalmic or neurological expertise.
Excessive salivation
In specialist practice, botulinum toxin may be injected into salivary glands to reduce problematic drooling or excessive salivation in selected patients.
Overactive bladder
Botulinum toxin also has established urological uses for selected patients with bladder overactivity. This is a specialist urology procedure rather than a routine clinic injection.
Other headache disorders
Botulinum toxin is best established for chronic migraine. “Headache” alone is not enough to determine suitability, because tension-type, medication-overuse, cluster and secondary headaches require different assessment and management.
Chronic rhinitis
Research has investigated botulinum toxin for refractory allergic and non-allergic rhinitis. This remains a specialist/off-label consideration rather than a standard first-line treatment.
Sinusitis & “sinus headaches”
Botulinum toxin is not a routine treatment for sinus infection or chronic sinusitis itself. Facial pressure labelled a “sinus headache” can have several causes, including migraine, so diagnosis should come before considering Botox.
Important: this section describes recognised and investigated medical uses of botulinum toxin generally. It does not mean that every indication listed is offered at St Mary’s Clinic. Treatment is only considered after confirming the diagnosis, suitability and appropriate clinical pathway.
Assessment first
The condition determines the treatment — not the other way around.
A migraine protocol, underarm sweating treatment and masseter treatment are clinically different. Before treatment we need to understand the symptoms, diagnosis, previous management, medication and what outcome would represent a meaningful improvement.
Confirm the problem
We review the symptom pattern and whether another diagnosis or underlying cause needs investigation first.
Review previous treatment
For conditions such as chronic migraine or jaw symptoms, previous therapies and response to them can be important when deciding whether botulinum toxin is appropriate.
Plan anatomy & dose
Injection sites and dosing are indication-specific. Medical treatment should not simply copy an aesthetic Botox pattern.
Set measurable goals
We discuss what improvement we are trying to achieve — for example fewer migraine days, less sweating or reduced muscular pain and overactivity.
Your treatment pathway
From consultation to follow-up.
The exact pathway changes with the indication, but medical treatment should always have a clinical reason, a defined injection plan and a way to assess whether it has helped.
1
Consultation
Symptoms, medical history, medications, previous treatments and treatment goals are reviewed. Tell us about prescribed medicines rather than stopping them yourself.
2
Treatment planning
The clinician selects the muscles, glands or anatomical sites relevant to the diagnosis. Some indications require multiple small injections across a wider treatment pattern.
3
Injection
Botulinum toxin is delivered in small, targeted injections. The appointment length and number of injection points depend on what is being treated.
4
Review response
The effect develops after treatment and is temporary. Follow-up should focus on the medical outcome being treated rather than cosmetic appearance.
Safety & expectations
Medical Botox is temporary, but it is still a prescription treatment.
Risk depends partly on where botulinum toxin is injected and the dose used. A medical assessment is therefore more important than treating a symptom label alone.
Possible effects after injection
- Injection-site discomfort, redness, swelling or bruising
- Temporary weakness in a nearby muscle
- Headache or local discomfort in some treatment settings
- Indication-specific effects depending on the anatomy treated
Tell us before treatment
- Your current medicines and relevant medical conditions
- Previous botulinum toxin treatment and any adverse reaction
- Neuromuscular conditions or problems with swallowing
- Pregnancy, breastfeeding or other circumstances requiring individual medical advice
Published medical prices
Medical Botox pricing
These are the medical Botox prices currently used in our existing service information. Other specialist indications require assessment and are not assigned a price here.
Excessive sweating€400
Migraine€200
Pricing and suitability should be confirmed at the time of booking. We have intentionally not invented prices for TMJ, bruxism or other specialist indications.
Frequently asked questions
Common questions about Medical Botox.
The most important distinction is between a symptom and a diagnosis. Botox may be useful for some medical conditions, but the correct indication needs to be established first.
01Can Botox treat migraines?
Yes. Botulinum toxin type A is an established preventive treatment for selected adults with chronic migraine. It is not simply an injection into the site of headache pain and is different from cosmetic Botox.
02Can Botox help excessive sweating?
Yes. Botulinum toxin can reduce the nerve signals that activate sweat glands in a treated area. Assessment is important, particularly when sweating is new, generalised or may have another medical cause.
03Can Botox help TMJ pain or teeth grinding?
It may be considered for selected patients where overactive chewing muscles contribute to symptoms or bruxism. Evidence is evolving and it is not appropriate for every temporomandibular disorder, so diagnosis and conservative options matter.
04Can Botox treat sinusitis?
Botox is not a routine treatment for sinus infection or chronic sinusitis. Research exists for chronic rhinitis, which is a different condition. People describing “sinus headaches” may also need assessment for migraine or another headache disorder.
05Does Botox treat ordinary headaches?
Not all headaches are treated in the same way. The strongest established headache indication is chronic migraine in appropriately selected adults. Recurrent or unusual headaches should be diagnosed before considering treatment.
06How long does medical Botox last?
The effect is temporary and duration varies with the indication, dose and individual response. Retreatment intervals should be based on the relevant clinical protocol and response rather than a fixed cosmetic schedule.
07Is Medical Botox the same as aesthetic Botox?
The medicine may be the same, but the clinical goal, dose and injection pattern can be very different. Medical treatment is planned around the condition being treated.
08Do I need to stop prescribed medication?
Do not stop prescribed medication simply for an appointment. Tell us what you take during consultation so the clinician can assess interactions, bruising risk and whether advice from your prescriber is needed.