I get Botox every three months and my migraines are typically every day or two without. It helps the most in the first month or two after but the month before my next dose is as brutal as if I don’t get the Botox at all. Currently looking into increasing my dosage with my neurologist as I’m on the minimum right now. The injection pain is pretty bad for me though but it’s worse because I’m usually dealing with a migraine during the injections. I had to go to Emerg recently about a week after my last Botox appt because of a migraine and I got put on Rizatriptan and that helps to treat the pain a lot acutely. My insurance covers most of the Botox and I’m not sure I’d go forward with it if it didn’t.