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(415) 751-0583February 12, 2026 | Nerve Pain
Like many things in medicine—and in life—a result can be viewed from more than one perspective. A “negative” or “normal” MRI does not mean that nothing is wrong. It simply means that certain serious conditions were not found. And that’s an important place to start. On the positive side, your scan might show: No brain […]
Read MoreFebruary 12, 2026 | Nerve Pain, Occipital Neuralgia
Over the past week alone, several patients have asked essentially the same question, “Are my tight neck muscles irritating the nerves, or are irritated nerves causing my muscles to tighten?” It’s a fair question, and frustratingly, the answer is often: both. In many cases, it’s less a straight line of cause and effect and more […]
Read MoreFebruary 12, 2026 | 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 MoreFebruary 11, 2026 | 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 MoreFebruary 09, 2026 | 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 MoreAugust 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 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 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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