For years, Catherine dealt with migraines that would come and go. But about a year ago, she woke up with a headache that didn’t leave — and it stayed with her every single day for a year.
“I have had really bad chronic headaches on and off for multiple years,” she said. “I had CT scans, MRIs, tried multiple medications, different treatment options from over-the-counter to prescribed medications, even outpatient infusions, and multiple visits to the ER.”
The pain was constant and exhausting. “The pain was so bad it was hard to get a good night’s sleep. I was up on and off. My vision was even being impacted, my face was going numb, and lights would bother me,” she said. “I was working a full-time job and taking care of my family, and I had to push through.”
Traveling for work only added to the challenge. “Sometimes when I was driving my vision would go out. It was really hard,” Catherine said. “You never realize how much you depend on things like your eyes or how lights and your environment affect you — or even how much a good night’s sleep matters — until it’s all impacted.”
Her migraines had grown worse over time. “I did [have migraines before], but they weren’t consistent and never this severe,” she said. “It got to the point where nothing helped. The pain became sharp, throbbing, and more intense over time.”
When Hope Was Almost Lost
After exhausting nearly every treatment option she could find, Catherine was ready to accept that the headaches might simply be part of her life forever.
But then a friend referred her to Paul Desmarais, MD, with the Interventional Pain Medicine department at South Bend Clinic (SBC).
Catherine already knew his name. Previously, she had turned to him for help with serious knee problems. “I had two knee surgeries, was walking with a cane, and falling down,” she said. “He gave me one knee injection, set me up with physical therapy, and I haven’t fallen or used a cane since. My knee hasn’t gone out on me in almost a year.”
That experience gave her the confidence to reach out again — this time for her headaches.
At her first appointment, Dr. Desmarais took the time to review her history, listen to her concerns, and outline a treatment plan. “When I met him for a consultation, we went over the treatment plans I’d tried, how long I’d had migraines, the imaging I’d done, and so on,” she said.
After hearing her story, Dr. Desmarais recommended Botox — a treatment Catherine had never considered.
What is Botox for Migraines?
Botox, a brand name for botulinum toxin, is FDA-approved for chronic migraines. Small doses are injected into specific areas of the head and neck to block the pain signals that trigger migraines. Treatments are typically repeated every 12 weeks, and over time, they can reduce the frequency, duration, and severity of migraine attacks.
Catherine trusted him. “Because of my great experience with him and my knees, I felt confident. The day I saw him, I’d been up since three in the morning with no sleep, and I asked if he thought I’d be a good candidate. I had complete trust in his decision and recommendations. He and his team have always been great, so I was on board.”
Don’t let chronic pain control your life. Our pain management specialists are here to help you find relief and get back to living. Schedule with a South Bend Clinic Interventional Pain Medicine provider today.
After one round of treatment, Catherine went home a little sore, but within a week, her headache was gone.
The results were life-changing.
“I’ve had my first good night’s sleep in I don’t know how long,” Catherine said. “My appetite is back. Before, I just wanted to go to bed and put the covers over my head. Today I was actually off work and ready to get back on our elliptical and treadmill. I told my husband I haven’t felt this good since high school.”
The pain that had drained her energy and darkened her mood was gone. “The headaches had impacted my mood and made me feel grumpy and down,” she said. “Now I feel like my happy, cheerful self again. My sleep and mood have done a complete 360.”

Catherine & her dog.
What stood out most to Catherine wasn’t just the treatment itself, but the way she was treated. “Everything he did or recommended, he explained. He listened and answered all my questions. I never felt rushed at my visits. His bedside manner is amazing,” she said. “I felt like he took time to really review my chart and get to know my history. As a patient, that means a lot to me.”
Catherine hopes others living with migraines will hear her story and know that help is out there. “If you’ve had migraines for a while, there are definitely more treatments out there than patients might realize,” she said. “I didn’t even know about Botox for migraines. And I hate to sound cheesy, but there is hope. I told Dr. Desmarais and my husband that I felt like I’d have a headache for the rest of my life. Now that doesn’t even cross my mind because my headache is gone.”
Her advice: “Explore different options. If one thing doesn’t work, there are other treatments that can help you get your quality of life back.”
Above all, Catherine wanted to share her gratitude. “I just want to thank The South Bend Clinic, that department, and Dr. Desmarais for everything they do day to day — their work and patient care. They’re a wonderful and amazing team, and they’ve always gone above and beyond. I’m very grateful and honored to be a patient of that office.”
Like Catherine, you don’t have to accept pain as your new normal. Our Interventional Pain Medicine specialists utilize innovative treatments and compassionate care to help patients alleviate or eliminate chronic headaches, muscle pain, joint disorders, and other conditions.
Whether you’re dealing with migraines, spine issues, or nerve pain, we’re here to create a personalized treatment plan that gets you back to the activities you love. Schedule your consultation today and take the first step toward a pain-free tomorrow.
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