Botulinum toxin (Botox) is a neurotoxin (nerve poison) that is available for cosmetic and medical purposes. It is injected at specific places in muscles (motor points) to temporarily stop them from contracting. It does not require any anesthetic and is performed in the doctor’s office. At The Peak Physical Medicine it is used for treatment of muscle tension headache, some chronic migraine conditions and myofascial pain conditions. Please discuss the potential use of Botox with your provider.