Blog
Posted August 01, 2024 in Headache Surgery, Nerve Pain
I have been asked recently to write a little something about so-called “rebound headaches”. This topic can be quite confusing, and as you will read, is not very well understood. The precise medical term for this disorder is Medication Overuse Headache (MOH) or analgesic rebound headache. The prevalence of this problem is about 1% in […]
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Posted July 30, 2024 in Nerve Pain, Occipital Neuralgia
This query is one of the great ones – a $64,000 question that continues to be raised both in my office as well as online. What is the difference between neurectomy/muscle implantation (i.e., transection of the nerve and implanting it in the local muscle) and decompression? Along with this primary query come many misconceptions […]
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Posted July 29, 2024 in Occipital Neuralgia
This question is one of the most common articulated in my office and I believe represents an underappreciated component of our everyday lives that can certainly impact many facets of our health including our nervous system function. In this post, I will focus on the effects of stress on the mechanical forces impacting the peripheral nerves as […]
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Posted July 27, 2024 in Nerve Pain
I’ve noted that there has been some confusion lately over the roles of nerve blocks, nerve stimulators and nerve decompression in the treatment of chronic headaches. To be sure, there will be variations in how each clinician uses these modalities, if only because each patient presents a unique clinical scenario. While I certainly can’t speak […]
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Posted July 25, 2024 in Headache Surgery
Perhaps one of the most common questions I get asked is, “What is recovery like?” How much time do you have? There are so many facets to this question that it is often something worth spending a bit of time on with your surgeon before any operative procedure. While I wish there were a single, short answer, […]
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Posted July 24, 2024 in Headache Surgery, Nerve Pain, Occipital Neuralgia
I hear this question a lot from just about every patient I see, whether for chronic headaches or tarsal tunnel syndrome. The answers have to do with the technical aspects of the surgical procedure, the physiology of peripheral nerves as well as the wound healing process itself. As you can imagine, a compressed nerve […]
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Posted July 22, 2024 in Nerve Pain, 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 […]
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Posted July 20, 2024 in Nerve Pain
As I have written previously, neur-algia simply means ‘nerve pain’. The question always becomes, can you figure out which ‘neur’ (i.e., nerve) is causing the ‘algia’ (i.e., pain). Secondly, if you can figure that answer out, what can you do about it? That being said, temporal neuralgia refers to nerve pain occurring in the temple […]
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Posted July 19, 2024 in Headache Surgery, Occipital Neuralgia
There are a number of ways to characterize and define the nervous system. First of all, the primary cells that comprise the nervous system are called neurons. Groups of neurons all heading in a certain direction and bundled together are called nerves. Nerves can be classified along several parameters. To begin, nerves can be either […]
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