What techniques do you use to help reduce procedural pain for headache injection treatments?

In my clinic, none of the providers, to my knowledge, use any specific techniques to reduce procedural pain. We do offer ice packs that patients can use during or after a procedure. We do Botox and pericranial nerve blocks. It would be difficult to coordinate using REN prior to procedures. I suppose...

The only procedure I do for headache/face pain is botulinum toxin injections. Since the introduction of the CGRP antibodies, I have not done them anymore for chronic migraine; however, I find the antibodies more effective, better tolerated, and easier to use. I still do botulinum toxin injections in...