We all know of Botox use to reduce signs of aging. Approved in 2010 to treat migraines in adults, it's now also being explored (as an off-label treatment) for management of pediatric migraines.
In this episode, Dr. Shalini Shah, MD, MBA, the Vice-Chair for the Department of Anesthesiology & Perioperative Care and Enterprise Director of Pain Services at UC Irvine Health, shares their clinical and reseach findings, as well as the indications, caution, nuances, and protocol for use of botox in pediatric migraine. Her work on the effectiveness of Botox in pediatric patients experiencing migraines has been published in peer reviewed journals and been featured in Time Magazine and on NBC Nightly News.
We discuss her landmark work, the results of her study, protocols, indications and how you can best advocate for your patients to receive the same treatment.
Connect with Dr. Shah - Twitter Linkedin
Dr. Shah's articles on Botox -
Effectiveness of Botox in Pediatric Migraines
Botox for Prophylactic Treatment of Pediatric Migraines
Proactive Pain Solutions Academy
Clinicians Pain Evaluation Toolkit
Recommended Listening:
Pedia Pain Focus Episode #21: How to Counsel Your Patients on Off-Label Medication Use
Other Recommended Reading:
Shalini Shah, MD, MBA, Associate Professor is Vice-Chair for the Department of Anesthesiology & Perioperative Care and Enterprise Director of Pain Services for University of California Irvine Health. Dr. Shah completed her residency in anesthesiology from Cornell University and a combined fellowship in adult and pediatric chronic pain at Harvard Medical School.
She is the founder of the Pediatric Pain Program at UC Irvine and has previously served as Associate Program Director for the Pain medicine fellowship. Dr. Shah is the recipient of the ASRA Chronic Pain Grant Award in 2017 for her landmark work in onabotulinumtoxinA (Botox) use in pediatric migraine pain. She has been featured in Time Magazine, The Doctors, NBC Nightly News, Business Insider and is a frequent guest on NPR on the topic of safe pain care options. Dr. Shah is an internationally invited lecturer and leads several industry and peer-reviewed NIH funded clinical trials in pediatric and adult pain medicine.
Dr. Shah currently serves as the Founding Chair, Committee of Pain Medicine at the California Society of Anesthesiologists (CSA) and President-Elect, CA Society of Interventional Pain Physicians (CALSIPP). Dr. Shah is strongly committed to pain advocacy and healthcare regulatory reform both in the state of California and nationally to improve healthcare experiences for patients.
