Botulinum toxin type A is a purified protein that temporarily relaxes the muscles it's injected into by quieting the nerve signals that make them contract. Used precisely, it can calm overworked jaw muscles, help prevent migraine attacks, and smooth the lines that form from repeated expression.
What changes from one use to the next is the dose and where it's placed. We tailor both to your goals and health history.
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Overworked jaw muscles (the masseter and temporalis) can cause jaw pain, clenching, grinding and tension headaches. Relaxing these muscles may help ease pain and reduce clenching, while you can still talk and chew normally.
For adults with chronic migraine: 15 or more headache days a month, each lasting 4 hours or more. Small injections across the forehead, temples, back of the head, neck and shoulders help block the pain signals involved in migraine.
Softens lines that form from repeated expression and helps keep new creases from setting in. We aim for a refreshed look that keeps natural movement.
Treatment may be a good fit if you:
Most people tolerate treatment well. Mild redness, tenderness or a small bruise at the injection site is common and short-lived. Some people get a brief headache, neck stiffness or, rarely, a drooping eyelid or brow that settles as the product wears off. Treatment isn't suitable during pregnancy or breastfeeding, or for people with certain neuromuscular conditions. We review your health history first.
We review your symptoms or goals, health history and medications, then plan your treatment.
We confirm the areas, units and cost. For migraine, our medical team helps you check coverage.
Fine-needle injections take 15–30 minutes. Most people return to normal activities right away.
Effects begin in 3–10 days and peak at about 2–4 weeks. Most results last 3–4 months.
Botox® for chronic migraine can be covered. Our medical team, through Nurse Tia, helps with the paperwork. TMJ and cosmetic treatment usually aren't covered, though some extended health plans may reimburse TMJ care with a diagnosis and receipts.
Many workplace and private plans cover Botox® for chronic migraine, often after a prior-approval form. We provide the documentation your insurer asks for.
If you're eligible for ODB, Trillium or OHIP+, Ontario's Exceptional Access Program may fund Botox® for chronic migraine when you have 15+ headache days a month, have tried three or more oral preventives, and are assessed by a physician with headache training.
AbbVie Care helps people prescribed Botox® with insurance paperwork and coverage applications. Your prescriber enrolls you. Phone 1-833-570-0818.
Coverage depends on your plan and eligibility and isn't guaranteed. Clinic treatment fees are billed separately from medication.
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Estimates only. Your exact units are confirmed at your consultation. TMJ and cosmetic treatment repeat every 3–4 months; migraine every 12 weeks. Detailed receipts are provided for insurance.
Evidence is strongest for chronic migraine and for cosmetic lines. For TMJ and bruxism, research is still growing and results vary from person to person.
In the pooled PREEMPT trials, adults treated every 12 weeks had significantly fewer headache days and better quality of life than those given placebo.
Health Canada approves Botox® for preventing headaches in adults with chronic migraine. Use for TMJ and bruxism is off-label and based on clinical judgment.
Results are not guaranteed and vary by person. Your MedCAiRE provider will confirm whether treatment suits you.
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Manual & Exercise Therapy
Get back in the game
Available at these clinics:
Mississauga
Oakville
“I’ve been getting the iron IV with nurse Tia and nurse Catherine. It’s been such a great experience from the initial inquiry, through to the after care follow up… warm, welcoming, and transparent about the process.”
“My daughter had 2 iron infusions… She started feeling better within a week of her first infusion. Nurse Tia was amazing at explaining everything to my daughter and making her feel comfortable.”
“Wonderful experience for an iron infusion. Catherine & Tia are super kind and welcoming. The environment and clinic are calm and welcoming as well. Highly recommend!”
“I’ve been getting the iron IV with nurse Tia and nurse Catherine… such a great experience from the initial inquiry, through to the after care follow up. Warm, welcoming, and transparent about the process.”
nSTRIDE® APS has been studied in people with mild to moderate knee osteoarthritis. Results vary from person to person, which is why we assess every knee before recommending it.
“Went for an nstride injection for my knee. Was overall a great experience with this team. They really care and listen to your concerns. Will be going back!”
PRP has been studied for tendon injuries and knee osteoarthritis. Results vary from person to person, which is why we confirm every injury with ultrasound before recommending treatment.
“Absolutely recommend Tia and PRP injections. I had persistent tennis elbow and arm pain for years. I tried so many therapies, including physio, acupuncture, massage, etc. Pain never totally improved. Finally Filipe suggested I try PRP and I was skeptical but was ready to try anything.Immediately felt better and after a few weeks I have minimal pain in that area. Already planning another PRP procedure.”
A short look at how we use PRP for tendon, ligament and joint injuries at our Oakville clinic.
Watch on YouTube →Hyaluronic acid injections around injured soft tissue have been studied in athletes with tennis elbow and ankle sprains. Results vary from person to person, which is why every treatment starts with an assessment.
Physio & Athletic Therapy is a health care service focused on recovery from sports or work-related injury and physical limitations. Through techniques like manual therapy, exercise, electro-therapy, and movement training, we help restore strength, mobility and functional performance.Z
In your first session a comprehensive assessment—medical history, symptoms, movement analysis—to see what’s underlying. From there, we’ll build a custom treatment plan that may include:
Our services are suited to people of all activity levels. Whether you’re recovering from surgery, managing chronic pain, or returning from a sports injury, we’re here to support you. Conditions we commonly treat include:
Our team comprises licensed physiotherapists and athletic therapists with experience in rehabilitation, performance movement and sport conditioning programs. We focus on real results, progress tracking, and equipping you with knowledge to prevent future injury.
During a session, you’ll lie comfortably on a table. Your therapist will apply techniques suited to your goals. You’ll be covered and can undress to your comfort level. Every session is tailored to your body’s needs.
