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The SpineForce equipment is available Tuesdays and Thursdays from 9-4 and Wednesdays 9-11. Using the list below, find an open day for the SpineForce equipment and click on DETAILS to reveal what appointments are available to choose from. You can conveniently book multiple days and times by selecting ADD TO CART for each day you want to book and when done, select VIEW CART to select the times for each day. Call (716) 626-6301 or email us here to ask us about discounts for 10 and 50 session purchases.

Due to machine maintenance, Spine Force appointment scheduling will resume on November 16, 2015. Sorry for any inconvenience.
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Featured Articles

Prolotherapy for cartilege growth in severe knee osteoarthritis December 4, 2016 - Chondrogenic Effect of Intra-articular Hypertonic-Dextrose (Prolotherapy) in Severe Knee Osteoarthritis Gasto´n Andre´s Topol, MD, Leandro Ariel Podesta, MD, Kenneth Dean Reeves, MD, FAAPM&R, Marcia Mallma Giraldo, MD, Lanny L. Johnson, MD, AAOS, Raul Grasso, MD, Alexis Jamı´n, MD, Tom Clark, DC, RVT, RMSK, David Rabago, MD Abstract Background: Dextrose injection is reported to improve knee…
The Dormant Butt Syndrome June 6, 2016 - http://www.cbsnews.com/news/dormant-butt-syndrome-a-cause-of-common-aches-and-pains/ Multiple news sources last week have reported on a physical phenomenon labeled as a “dormant butt syndrome”. This is a condition where postural muscles become deconditioned from too much siting and cause problems in the lower back, knees and hips. Although it sounds like it is something that has been newly discovered, medical, sports…
Soft Tissue – Why Is It Important April 28, 2015 - The soft connective tissue, located just under the skin, is a white membrane that wraps and connects the muscles, bones and blood vessels of the body. Soft tissue is also called fascia. This of it like the white fuzz inside an orange peel, connecting the "skin" and the "meat" of the orange. Learn More
Spring Clean the Diet April 22, 2015 - Spring is a time of regrowth and renewal. As the sun begins to shine and the temperature rises, we begin to open windows or clean the yard in order to prepare for a new season. Tis’ also the perfect time to “spring clean” your diet, transitioning from common comfort foods of winter to nutrient dense…
Physical Therapy Outdoor Walking Season April 13, 2015 - Spring marks the opening of “outdoor walking season” in western New York. Like any other activity, walking has its own specific injury profile often involving the foot and ankle. Learn More
Prolotherapy Prolotherapy Stimulates Tissue Repair March 23, 2015 - Prolotherapy is injection of any substance that promotes growth of normal cells, tissues, or organs. Studies have shown that it stimulates tissue repair.
Lumbar Spinal Stenosis: Understand it and Beat it! February 23, 2015 - The typical lumbar spinal stenosis patient has difficulty with walking, standing and occasionally reaching overhead. You are not doomed to a life of leg pain and weakness. We can guide you through a progression of non-surgical options.
What exactly is the practice of Yoga? February 23, 2015 - The practice of yoga is for keeping in shape, but it creates fitness in more then just the physical sense. Learn more about what the practice of yoga is.
Hypoglycemic Index helps determine what kind of foods are good for you! February 13, 2015 - The Glycemic Index is a way to categorize carbohydrate rich foods and classifies foods from 0 to 100, based on how quickly glucose is absorbed after foods are consumed. Learn more...
PRP Platelet Rich Plasma (PRP) Treatment for Knee Osteoarthritis: Study shows significant pain reduction and improvement in function December 14, 2014 - The purpose of this study was to investigate whether platelet-rich plasma therapy for early knee osteoarthritis is associated with good clinical outcomes and a change in magnetic resonance imaging (MRI) structural appearances.

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Botox for Chronic Daily Migraine Headaches and Facial Pain


Migraine Headache and Facial Pain


As an expert in using Botox for the treatment of chronic daily migraine headaches, facial pain, and cervical dystonia Dr Kaplan also actively teaches Botox injection techniques to physicians across the country. This includes using ultrasound to help guide  Botox injections. The ability to actually see the specific muscle being injected makes our Botox treatments more accurate and more effective. That expertise consistently translates into improved clinical results for you.


Over 25 Million Americans suffer from frequent and incapacitating chronic daily headaches, also defined as migraines. Amazingly it is estimated that about half of those Americans do not even know that they are suffering from migraines, instead attributing their headaches to sinus and other problems.

So, the question becomes, how do you define a chronic headache sufferer? According to American medical standards, it is an individual who endures up to six headaches per week. Unfortunately, 11% of the American population fits that chronic headache definition. To add to their pain, many have tried a multitude of medications that have either not worked or have caused intolerable side effects such as dizziness, nausea, weight gain and difficulty concentrating.

On the upside, the Federal Drug Administration (FDA) has recently approved a breakthrough treatment designed to treat chronic migraine headaches minus the debilitating side effects. The treatment is botulinum toxins or, as it’s more commonly known, Botox.

While Botox has been primarily associated with cosmetic treatments, botulinum toxins have been highly effective in treating a multitude of neurological conditions such as cervical dystonia, blepharospasm and limb spasticity, with a safety and effective track record going back over 20 years. It has also been known that these toxins can be extremely effective in treatment of chronic daily headaches. So it is not surprising that the medical world has welcomed the FDA stamp of approval on this highly effective treatment.

In our medical experience they are few medical treatments that can so drastically change a person’s life as Botox for chronic headaches. Indeed, for many patients it is nothing short of miraculous. Patients respond to Botox treatments, even if they have been headache sufferers for decades, frequently experiencing a 90% reduction in their migraine attacks.


As stated, Botox has been shown to be clinically effective for the treatment of chronic migraine headaches. Studies have shown that patients receiving Botox for headaches have experienced up to 5 headaches less a month as compared to placebos. (Each headache can last several days, resulting in up to a 10-day head ache reduction). However, in our experience, these numbers are very conservative.

When combining injections of the neck with the head and facial muscles, the reduction of headache severity and frequency has proven to be as high as 90% effective.



  • Clinical use of Botox nabotulinumtoxinA) is the result of more than 100 years of study into botulinum toxin type A. Millions of patients worldwide have been treated therapeutically with Botox over the course of nearly 20 years.
  • Botox is currently approved in approximately 80 countries for 21 different indications to help patients worldwide suffering from such serious or debilitating conditions as cervical dystonia, blepharospasm, strabismus, increased muscle stiffness in elbow, wrist, and finger muscles in adults with upper limb spasticity and symptoms of severe primary axillary hyperhidrosis (excessive underarm sweating) when medicines on the skin (topical) do not work well enough and the preventative treatment of headaches in adult patients with Chronic Migraine (≥15 or more days per month with headaches lasting four hours a day or longer.)
  • Botox is a purified protein that works by blocking overactive nerve impulses that trigger excessive muscle contractions or glandular activity. The effect is temporary and lasts from approximately one to six months, depending on the individual patient and indication. Botox therapy should only be administered by a trained and qualified physician.
  • Although Chronic Migraine occurs in both men and women, women are three times more likely than men to suffer from migraines. Sufferers often experience depression and anxiety as part of the condition. Chronic Migraine also can be influenced by life stress, sleep habits, diet and overuse of acute medications that relieve pain associated with symptoms of headache.
  • It is estimated that approximately 80 percent of those who meet the definition of chronic migraine have not received an accurate diagnosis and, as a result, may be unaware of their treatment options. This may be due to mischaracterization of chronic migraine as a less severe headache disorder.