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(415) 751-0583
San Francisco
(415) 751-0583August 07, 2024 | 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 MoreAugust 03, 2024 | 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 MoreAugust 02, 2024 | 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 MoreAugust 01, 2024 | 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 […]
Read MoreJuly 31, 2024 | Nerve Pain
Over the years, I seem to have had this question come up on a fairly consistent basis and the answer is actually relatively straightforward. Let’s take as an example, an arbitrary portion of the scalp which is innervated by 3 different nerves. What that means is that three different nerves each supply sensation to the […]
Read MoreJuly 30, 2024 | 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 […]
Read MoreJuly 27, 2024 | 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 […]
Read MoreJuly 26, 2024 | Headache Surgery, Nerve Pain, Occipital Neuralgia
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 […]
Read MoreJuly 24, 2024 | 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 […]
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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