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Category: Curriculum

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July 29, 2024 | Curriculum

CAN STRESS MAKE OCCIPITAL NEURALGIA WORSE?

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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July 28, 2024 | Curriculum

Why We’re All Wired Differently

Take a look at the first picture- it is of a midline incision in the back of the neck.  Can you identify the nerve by the black arrow and the nerve by the blue arrow?  Spoiler alert……don’t look at the second picture just yet. In the second picture, can you identify the same two nerves […]

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July 27, 2024 | Curriculum

BLOCKS & STIMULATORS & DECOMPRESSION, OH MY?!?

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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July 26, 2024 | Curriculum

THE MRI WAS NEGATIVE… NOW WHAT?!?

As with many things in life, there are positive and negative ways to perceive just about anything.  Just because the MRI was negative, clearly does not mean that there is nothing wrong.  Let me explain why below.  First, however, let’s look at the bright side. You do not have a brain tumor.  You do not […]

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July 25, 2024 | Curriculum

Why The Recovery Rollercoaster?

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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July 24, 2024 | Curriculum

Why Do Nerves Take so Long to Recover?

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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July 23, 2024 | Curriculum

How to Choose a Headache Surgeon

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 within the peripheral nervous system, the person performing such operations should have had focused training on the workup, evaluation, and management of patients with any […]

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July 22, 2024 | Curriculum

Migraine or 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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July 21, 2024 | Curriculum

Which Came First, the Muscle or the Nerve?

Just this past week, several patients have asked about the tight muscles in their necks and upper backs. They have all wondered at some point whether it’s the tight muscles that are irritating the nerves, or the nerves that are irritating the muscles and causing them to spasm. In most cases, this question ends up […]

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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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Peled Surgery

Peled Surgery

2100 Webster Street
Suite 109
San Francisco, CA 94115

(415) 751-0583

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