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(415) 751-0583Posted February 12, 2026 in Nerve Pain
One of the most important intraoperative decisions a peripheral nerve surgeon must make is whether an injured nerve should be decompressed or transected. These terms are sometimes used interchangeably with “excision,” but that is not technically correct. Excision implies complete removal of a structure—such as a tumor or cyst. Peripheral nerves, however, are not removed […]
Read MorePosted February 11, 2026 in Nerve Pain
Simple question, somewhat nuanced answer. Basically, nerve blocks are injections of local anesthetic aimed at temporarily and chemically inactivating a nerve – pure and simple. Where things get a bit more complicated is the amount and type of local anesthetic used and if it is mixed with anything else. Each type of local anesthetic has […]
Read MorePosted February 11, 2026 in Sensation Preserving Top Surgery
Top surgery has become a cornerstone procedure for many individuals seeking gender-affirming care. At its foundation, the operation involves removal of breast tissue (i.e., a mastectomy), combined with thoughtful contouring and reshaping of the skin and chest wall to create a form that aligns more closely with one’s gender identity and aesthetic goals. When performed […]
Read MorePosted February 09, 2026 in Occipital Neuralgia
People often confuse migraine symptoms with something called neuralgia. The former refers to an often disabling neurological condition characterized by severe and sometimes frequent headaches. The latter literally means “nerve pain” with the implication that the condition in question is secondary to some type of nerve injury or dysfunction. While migraines can be sub-classified in […]
Read MorePosted 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 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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