After suffering for two days from an intense migraine and TMJ pain caused by clenching, I went to see Dr. Montalvo. She gave me a very thoughal exam and recommend Botox injections. Prior to our conversation I was unaware that Botox was used to treat TMJ pain. I have a custom bite splint, which is different from a night guard, and even that wasn't helping to stop me from clenching. I was admittedly desperate to stop the pain. I was apprehensive at the thought of injections but I reasoned that anything would be better than continuing to experience the suffering caused by my migraines.
The Botox injections were painless, my flu shot hurt more. I did not notice any immediate changes. Within 10 minutes the injection sites on my face had returned to normal. One one looking at me would have any idea that I had an injection.
I appreciated how gentle Dr. Montalvo was with me. She listened to all of my concerns and encouraged me to ask question, she even told me to call her if I had more questions. I appreciated the time she spent with me and how she made me feel important. The post-op instructions were easy enough to follow, no exercise or aspirin for the next few days.
Later that night I noticed my jaw muscles hurt a little bit, that soreness continued for two days. All in all the discomfort from the injections was very slight. It has now been three days since I received the injections and I have noticed that I do not clench as tightly as before. Most importantly my migraine is gone! Dr. Montalvo shared that I wouldn't feel the full effects for two weeks and the treatment should last three months until I need another Botox injection. I am hopeful that the migraines won't return.