Botox may be used to treat chronic muscular spasm that responds on a short term basis to trigger point injections to try and achieve more lasting benefit. Botox injections are also used for the treatment of various headache syndromes, most commonly migraine type headaches. Chronic muscle spasms can be the primary cause of a patient’s pain or it can be the result of another condition. Botox will be limited in its benefit if the underlying conditions are left untreated. Requirements for insurance coverage of Botox are typically very specific and strict and will vary by indication.