Cconstant headaches since surgery 1 year ago. Tried Botox for headache last August - treatment worked for me. But it was not covered by insurance, $600. Also the botox is transitory affect that lasted only about 8-9 weeks. The doctor suggested that a couple treatments - 3 months apart - might stop the headache pattern. At this date, I am ready to try again .... The Pain doctor has me on Lyrica & Desiprimine. Very strict about NO OTC pain meds - I suffer rebound headaches -- limited to OTC about 2 x per week. Am going to a new Headache doc next month - I'll keep you posted. Bottom line - Botox did work for me - for a specific timeframe. I find that Gel Cold Pack on my head & neck is my favorite friend ..... wondering whether Heat would also do some good. Wishing I could give myself & my family a break from this pain pattern. Good luck ...... this ain't easy is it?