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(415) 751-0583February 06, 2026 | 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 MoreFebruary 06, 2026 | 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 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 06, 2024 | Headache Surgery, Occipital Neuralgia
Dr. Ziv Peled recently presented Grand Rounds at Yale University’s Division of Plastic Surgery on the over 20-year evolution of headache surgery. Take a look at the first part of this video to learn more…
Read MoreAugust 05, 2024 | Sensation Preserving Mastectomy
This picture is the first of it’s kind to my knowledge. It is from a recent sensation preserving mastectomy case. The mastectomy has been completed and the sizer is in place to gauge how big an implant to place a few moments later. What you can see is an intercostal nerve that I was able to preserve 8.3 cm of length […]
Read MoreAugust 04, 2024 | Occipital Neuralgia
I always knew it was just a matter of time and it finally happened. I was speaking with a patient of mine who was a bit more than one year out from her occipital neuralgia operation. She was doing extremely well with “over 90% relief” at the one-year mark, when she was diagnosed with COVID-19. […]
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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