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February 09, 2026 | Occipital Neuralgia

Migraine Or Neuralgia – That Is The Question?

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 […]

February 09, 2026 | Nerve Pain

Phantom Pain – How Come It Hurts If It’s Numb?

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 […]

February 09, 2026 | Sensation Preserving Mastectomy

Sensation-preserving Mastectomy: From Surviving To Thriving

Over the past several decades, the treatment of breast cancer has advanced dramatically. For patients who require mastectomy, oncologic outcomes continue to improve, with many individuals achieving long-term remission and survival. Reconstructive options have progressed in parallel. Today, patients benefit from safer implant technologies, expanded autologous reconstruction techniques using their own tissue, and less invasive […]

February 06, 2026 | Occipital Neuralgia

How & Why Did I Get 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 […]

February 06, 2026 | Headache Surgery

How To Choose A Headache/Migraine Surgeon

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 […]

August 07, 2024 | Nerve Pain

RUNNER’S “HIGH” – THE RELATIONSHIP BETWEEN EXERCISE & 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 […]

August 06, 2024 | Headache Surgery, Occipital Neuralgia

“THE EVOLUTION OF HEADACHE SURGERY” – Dr. Ziv’s Presentation at Yale University

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…

August 05, 2024 | Sensation Preserving Mastectomy

Sensation Preserving Mastectomy Case

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 […]

August 04, 2024 | Occipital Neuralgia

COVID-19 AND 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. […]

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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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