BOTOX FOR MIGRAINES: Key to success is depositing the Botox in the best tissue: mid-body & occipital insertion site of the most spastic Superior trapezius muscle; chronic spasm of which induces chronic muscle tension headaches and reflexive Migraine.

Way to discern spastic unilateral Superior trapezius muscle: look in mirror, view your auto driver license photo, & to pinch leading edge of each Superior trapezius to determine which leading edge is painful to pressure & also thicker; from supporting a chronically tilted head.
Looking in the mirror enables the person to view which shoulder is lower. The head usually tilts toward the lower shoulder side; causing Superior trapezius muscle on the higher shoulder side to be spastic from chronically supporting a tilted head (weighs about 10#).
The drivers license photo often confirms which shoulder is lower and provides clue as to which direction the head usually & chronically tilts. Some people pick a posed posture & straighten up when they pose for a photo. Therefore, other and more candid photos might be examined.
Often, especially in hyper-mobile women, the spine is curved with a functional scoliosis (straightens when reclined), and this is explanation for the asymmetric shoulders and tilted head.
In hyper-mobile women with a functional scoliosis there is commonly an unstable pelvic platform (for the spine) that induces the functional scoliosis when upright. The unstable pelvic ring is result of one sacroiliac joint more loose that the opposite companion sacroiliac joint.
The cause of a unilateral loose sacroiliac joint in women with hyper-mobility is multi-causal: lifting injuries (grocery stockers & chefs) & slip & fall injuries (many nurses), multiple childbirths, motor vehicle accidents, etc.
Another cause of a loose pelvis in women with Hypermobility can be participation is certain sports that expose participants to repeated falls onto the buttocks during childhood, when the sacroiliac joint ligaments are growing.
Childhood sports that induce permanent sacroiliac joint ligament laxity: basketball, soccer, horseback riding, martial arts, skateboarding, volleyball, & etc. By high school, many of these women have chronic low back pain due to a one-sided loose & subluxing sacroiliac joint.
CONCLUSION: Migraine headaches can be understood in context of bio-mechanical disorders causal of chronic neck muscle spasm. Botox can relax chronically spastic muscles & diminish proclivity to Migraines. Gravity is enemy; Hypermobility potentiates evolution of chronic headaches.
@threadreaderapp unroll

More from Laurence Badgley

A video for people to test for hypermobility.


An experience I have with patients who have stigmata of hypermobility is that I will comment on their widespread joint Hypermobility & their rejoinder commonly is, “of course I do Yoga”.

When patients tell me that my heart sinks. I was excited to tell them that I think that I have an explanation for several of their seemingly disparate symptoms in several of the dysautonomia & MCAS spheres.

Instead, disheartening disappointment takes over as I realize that their yoga devotion has now forestalled my ability to teach them about hypermobility & many attendant dysfunctions they suffer.

When I examine women with hypermobility I sometimes say, “you would be great in yoga”. Often they tell me, “well, that is why I can bend like this, it is because I take yoga”.
The exercise program is only for persons with less severe forms of Hypermobility (those who are still physically active) & who have not advanced to Fibromyalgia/ wasting disorders (who should begin an exercise only in warm water & until they are ready for walking on land).


My theory how persons with Fibromyalgia, wasting diseases & severe fatigue should exercise is that they should start with very gentle activities whereat gravity is negated & then through gradations of activities whereby exposure to gravity is gradually increased.

The first phase of exercise for persons with Fibromyalgia & wasting diseases should be similar to what was done with polio in the 1900’s: Warm water relaxes spastic muscles & enables joint range of motion exercises with gravity relatively negated.

During warm water physical therapy, efforts include specific exercises to strengthen muscles supporting a body tower able to stand on land; the goal. Trapezium, Serratus ant., Rhomboids, Rectus abd., Transversus, para-lumbars, Glutes, & all leg muscles must be strengthened.

Once standing on land has been achieved, then moving on land is the next goal. Moving would include crawling & walking. During this phase, people might need extra support of a sacroiliac joint belt &/or perhaps even knee supporters in the beginning. Walking sticks might help.
MICROBIOME AERODYNAMICS & SEDIMENTATION RATES are studied & known. Who would have guessed that studies would uncover cloud formation & precipitation phenomenon as function of bacteria ubiquity & size.


Korean scientists quantify lift off, descent, & propagation of various bacteria “species” in the atmosphere & as high as 1,000 meters. These micro-spaceships average about 8 micrometers (if I got that right).

Atmospheric density of bacteria particles relates, in part, to their ability to nucleate with other airborne particles. Scientists can even differentiate the aerodynamic properties of these bacteria from larger (factor of 10x) pollen spores & larger fungal spores (factor of 5x).

Most surprisingly, these bacterial-driven spaceships can live & propagate while in the atmosphere via nutrient atmospheric milieus & sources of alcohols & other organic substrates.

In the mid-1980’s, Princess Stephanie (sister of Prince Rainier of Monaco) invited me to present at an intimate “Energy Medicine” symposium in that small kingdom. I remember it was their national holiday of fireworks & celebration.
HYPERMOBILE YES! These are exact postures chosen by hypermobile patients with unilateral sacroiliac joint disorder & low back pain on that side. One leg bolsters the other so as to hold up the hemi-pelvis on side the SIJ is subluxing; because it hurts to sit on that buttock.


Another posture that attends unilateral sacroiliac joint disorder in hypermobile people is the Trendelenberg posture. This is to sit flexed forward with elbows on both knees. When brought to their attention, many are apologetic, “I know I shouldn’t slouch”.

The Trendelenberg posture is in fact the wisdom of the body finding the most comfortable position; in this seated bent over position the femurs leverage each sacroiliac joint into an anatomical neutral station; so joint ligaments are not stretched.

Standing posture liked in low back pain due to unilateral sacroiliac joint (SIJ) disorder: keep same-side leg straight & slightly flex knee on stable SIJ side; posture that lowers normal hemi-pelvis down & horizontal with loose sagging side. Body likes horizontal pelvis platform

People with sacroiliac joint (SIJ) disorder sleep restlessly like “rotisserie chicken”, but favored sleeping posture is on the non-subluxing-SIJ side; whereby injured loose SIJ floats upward; better if subluxing-SIJ-side leg is thrown up & over husband, dog, or large body pillow.

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