Here at the London Pain Clinic, our renowned Pain Doctors have been successfully treating a broad range of pain conditions (subject to any contraindications). These conditions include:
- Nerve pain
- Neuropathy (peripheral neuropathy). This occurs when the peripheral nerves which are found outside the spinal cord and brain, become damaged. This disorder often generates pain, numbness and weakness (most commonly) in the hands and feet
- Neck pain
- Back pain
- Pelvic pain
- Joint pain
- Jaw pain
- Sciatica pain
- TMJ (temporomandibular joint) pain
- Osteoarthritis
- CMP (chronic myofascial pain)
Is Botox For Pain Safe?
Generally speaking, Botox is safe as long as it is administered by a Pain Specialist or other registered healthcare provider. A bacterium known as: “Costridium botulinum makes the neurotoxins used in Botox. Healthcare providers use a specific type of the bacteria (type A) for medical injections. For optimal safety and efficacy, Botox is produced in a lab. Technicians dilute and sterilize the botulinum toxins so they won’t cause botulism” [1].
Booking an Online or In-Person Consultation With a Pain Doctor
When you have your first online or in-person consultation with one of our highly experienced Pain Specialists, after they have reviewed your medical history, asked you various pertinent questions, and arranged any necessary examination, tests or scans, they will then provide you with an accurate diagnosis for your pain condition. After this, they will devise a Holistic Personalised Treatment Plan which may include a combination of conventional treatment and the latest cutting-edge therapies and injectables. (The latter of which may include Botox, as long as you are one of the large percentage of suitable candidates).
Potential Botox Side Effects
“Botulinum toxin injections vary depending on the area receiving treatment. Most issues are mild and improve in a day or two” [1]
Possible side effects after Botox Pain treatment, include:
- Pain, bruising, redness, or swelling where the injection was administered
- Headache
- Flu-type symptoms
- Neck pain
- Indigestion (upset stomach) [2]
Contraindications to Botox Injections
As your Pain Consultant will explain to you, whilst Botox injections are classed as relatively safe, you should not undergo this procedure if:
- You are pregnant
- You are breastfeeding
- You suffer from neuromuscular disease
- Keloidal scarring
- Neuromuscular disorders
- Botox allergies
- Body dysmorphic disorder
- Amyotrophic lateralizing sclerosis myopathies [1,3]
Allergic Reaction to Botox Injections
“Allergic reactions are amongst the rare reported adverse effects. Symptoms may range from trivial to more severe rashes, and systemic anaphylaxis may also occur” [3]
Although it is not commonplace, some individuals can suffer from an allergic reaction to Botox. Generally speaking, as our Pain Doctors explain to patients, allergic reaction symptoms can be mild or serious. These include:
- Itchiness
- Skin rash
- Flushing (temporary skin redness, deepening of skin colour, or warmth)
- Swelling below the skin (often felt in the feet or hands)
- Swelling of the throat, tongue, or mouth (which can make breathing difficult) [2]
Our London Pain Clinic Pain Doctors are mindful that: “the impact of botulinum toxin may extend beyond the injection site and lead to symptoms that are in line with botulinum toxin effects. These may include asthenia, diplopia, ptosis, dysphagia, generalized muscle weakness, dysphonia, dysarthria, breathing difficulties, and urinary incontinence. These symptoms may occur hours to weeks after injection” [3]. To that end, should you experience any of the aforementioned symptom lists, contact us immediately so that we can give you advice and arrange any necessary remedial action.
References
[1]. Cleveland Clinic (2025). “Botox (Botulinum Toxin).”
https://my.clevelandclinic.org/health/treatments/8312-botulinum-toxin-injections
[2]. Marshall, H. (2025). “Botox side effects and tips for managing them.” Healthline.
https://www.healthline.com/health/drugs/botox-side-effects
[3]. Padda IS, Tadi P. Botulinum Toxin. [Updated 2023 Nov 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan.
https://www.ncbi.nlm.nih.gov/books/NBK557387/
