Therapeutic Neuromodulators

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Freedom from Discomfort

Therapeutic neuromodulators, such as Botox, can be used to treat muscle overuse, which can cause jaw clenching, facial pain, dental damage, and headaches. Neuromodulators can also provide preventative benefits for patients suffering from debilitating migraine headaches as well as from hyperhidrosis, or excessive sweating.

how it works

Targeted Treatment

Neuromodulators disrupt nerve signals to the targeted muscles or sweat glands, which can maintain muscle relaxation around common migraine centres or effectively reduce sweat production. By relaxing the masseter muscles, the feedback loop in chronic clenching and grinding is also effectively broken.

Key Benefits


Neuromodulators can treat a variety of issues, like migraines, chronic neck and back pain, muscular trigger points, TMJ, and hyperhidrosis.


Neuromodulators treat problem areas directly, saving you from the potential side effects of systemic pain medication.


Many patients rapidly experience freedom from pain and discomfort, with the full effect setting in a few days after treatment.


With our treatments, you will notice a significant change in three to 14 days, with treatment effects typically lasting two to four months. 

Frequently Asked Questions

  • How many units will I need?
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    For migraines, we typically use 30 to 50 units to start and sometimes increase from there. For hyperhidrosis of armpits or palms, the starting dose is generally 100 units and can increase to 150 units or more, but this is rare. Masseter injections for clenching/TMJ issues start at 30 units and can go as high as 90 units, but again, this amount is rare.

  • How many treatments will I need to see results?
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    You will likely experience satisfying results after just a single therapeutic treatment of neuromodulators. Often the results improve further with successive treatments.

  • How should I prepare for my treatment?
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    There isn’t much preparation required before treatment aside from trimming or shaving armpit hair a couple of days before treatment for hyperhidrosis. Avoiding supplements and medications—with the advice of your doctor—that make you bleed more easily for a few days before treatment will reduce your chance of bruising.

  • How long do results last?
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    The duration of your results depends both upon your individual response to treatment and the number of units used; generally more units last longer. The typical duration after treatment is two to four months, although this varies from person to person. The ideal time to come for another treatment is when the last treatment has almost worn off but isn’t completely gone. By continuing this frequency of treatments, the duration of the neuromodulator tends to increase over time for many people, with some eventually requiring treatment only two to three times per year. Sometimes hyperhidrosis treatment can last longer than other treatment types, but again this varies by person.

  • What is downtime and aftercare like?
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    In order to maximize your results, you’ll want to avoid vigorous exercise for 48 hours after treatment. Beyond that, it’s just a matter of waiting for your results to settle in, which can take up to 14 days after treatment. Occasionally hyperhidrosis treatments can take a little longer to take full effect—up to 30 days at the longest.

  • Are neuromodulators safe?
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    Neuromodulators are very safe, with miniscule risks for allergic reactions, infections, or other general intolerances. Any side effects are temporary and there is no risk for permanent issues. There is a very small risk for both brow ptosis (droop) and lid ptosis, but we have never seen these in our practice. Up to 20% of patients get a mild headache for a day or two after treatment, for which some patients will take a tylenol or advil. Occasionally one of the injection points can cause a tiny bruise, which settles after a few days.

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