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(415) 751-0583Posted February 09, 2026 in Nerve Pain
This question is one I am asked on an almost daily basis. Specifically, patients want to know why their (insert body part here) hurts when they’ve had a nerve injury despite the fact that the area feels numb to the touch. This phenomenon can be seen in patients suffering from diabetic neuropathy (most commonly noted […]
Read MorePosted February 09, 2026 in Sensation Preserving Mastectomy
Over the past several decades, the treatment of breast cancer has advanced dramatically. For patients who require mastectomy, oncologic outcomes continue to improve, with many individuals achieving long-term remission and survival. Reconstructive options have progressed in parallel. Today, patients benefit from safer implant technologies, expanded autologous reconstruction techniques using their own tissue, and less invasive […]
Read MorePosted February 06, 2026 in Occipital Neuralgia
The title of this post is often the million dollar question. I have posted many times in the past about how ON can be caused by compression from spastic neck muscles, compression by tight connective tissue (i.e., fascia) and/or compression from surrounding blood vessels. Many of the patients I see have had headaches ever since […]
Read MorePosted February 06, 2026 in Headache Surgery
Choosing a surgeon for your headache operation is an important decision. Here are five things you need to look for when selecting your healthcare team: One of the first things to assess is whether your surgeon has formal and specific training in peripheral nerve surgery. Since the operationS for chronic headaches/neuralgia potentially involve many nerves […]
Read MorePosted August 07, 2024 in Nerve Pain
Anyone who knows me, knows that exercise has always been an important part of my life. From my days as a competitive swimmer to my time doing Ironman, sport has always been a source of happiness, pride, and peace. I always knew that there were physiologic benefits to exercise, for example cardiovascular fitness and muscle […]
Read MorePosted August 06, 2024 in Headache Surgery, Occipital Neuralgia
Dr. Ziv Peled recently presented Grand Rounds at Yale University’s Division of Plastic Surgery on the over 20-year evolution of headache surgery. Take a look at the first part of this video to learn more…
Read MorePosted August 05, 2024 in Sensation Preserving Mastectomy
This picture is the first of it’s kind to my knowledge. It is from a recent sensation preserving mastectomy case. The mastectomy has been completed and the sizer is in place to gauge how big an implant to place a few moments later. What you can see is an intercostal nerve that I was able to preserve 8.3 cm of length […]
Read MorePosted August 04, 2024 in Occipital Neuralgia
I always knew it was just a matter of time and it finally happened. I was speaking with a patient of mine who was a bit more than one year out from her occipital neuralgia operation. She was doing extremely well with “over 90% relief” at the one-year mark, when she was diagnosed with COVID-19. […]
Read MorePosted August 02, 2024 in Headache Surgery, Nerve Pain, Occipital Neuralgia
I was recently asked why some people require more than one operation to obtain optimal relief. A great question and one with a multi-part answer. Let me try to break it down in the next few paragraphs. Let me preface these remarks by stating that what I write below is my opinion only and how I approach patients, […]
Read MoreNavigating chronic pain can feel isolating. You don’t have to do it alone.
Dr. Peled is active in several online nerve pain communities, particularly those focused on specific conditions, such as occipital neuralgia. He shares general advice, answers questions, and provides support for those seeking clarity about their condition.
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