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Dr. Ziv Peled's Thoughts

Dr. Ziv Peled walks you through the common questions of Migraine pain and Migraine relief, and explains how Peripheral Nerve Surgery can ease your migraine suffering.

Dr. Ziv Peled To Speak at Plastic Surgery The Meeting 2017

PSTM17 website logo block L 2xDr. Ziv Peled will be speaking today at Plastic Surgery: The Meeting 2017 TODAY at the meeting in Orlando, Florida.  Dr. Peled will be discussing Migraine Surgery and its benefits to patients.  He will also help teach a cadaver course to teach his techniques for migraine surgery to other surgeons.

Migraine headaches have traditionally been thought to begin within the central nervous system (i.e. the brain and/or spinal cord) and then produce symptoms elsewhere such as throbbing in the back of the head, forehead or temples. There are many theories as to what exactly within the central nervous system is causing these chronic and often debilitating headaches. Some of these theories include pathologic blood vessel dilatation and constriction (loosening and tightening), abnormal firing of neurons within the brain, and abnormalities of various biologic substances (e.g. serotonin, calcitonin gene-related peptide). The fact that no one theory has been proven correct is likely one of the many reasons that there are so many different methods for the treatment of chronic headaches like migraines. In fact, from a medication standpoint alone, there are not only dozens of medications used to treat migraines, but dozens of classes of medications such as triptans, anti-depressants, muscle relaxants, blood pressure medications, narcotics, anesthetics, ergotamines, and so on. Fortunately, a different perspective on chronic headaches has produced remarkable results that have been previously unheard of.

This different school of thought suggests that peripheral nerve irritation (i.e. irritation of nerves outside of the brain and spinal cord such as those within the scalp or forehead) can cause irritation within the central nervous system thus leading to the perception of and symptoms of a headache. If this mechanism were in fact the culprit, then identifying and correcting the cause of such irritation could produce relief from the headache symptoms. Plastic surgeons have been doing exactly that with a common nerve irritation problem known as carpal tunnel syndrome. In this syndrome, a nerve within the wrist is compressed (i.e. pinched) and surgeons decompress (i.e. un-pinch) it thereby relieving the symptoms of pain with a greater than 90% success rate. Recent research has demonstrated that just like at the wrist, there are nerves within the head and neck that are compressed and that decompressing them, can produce significant or even complete relief that is permanent.

The Little Things

Testimonials

  • Thank you very much! Carson is happier than he has been in over a year! We are so thankful that you do what you do.

    D and P

  • Cary Anne and Dr. Peled, I want to thank you both for all your help in making my life so much better! In SO many ways. Again thank you for making my life something I treasure and look forward to daily.

    Victoria

  • Dr. Peled is the real deal. His technical skills should be seen as elite. My headaches and neck pain are gone as a result of the surgery.

    PJHCali Mar 1st, 2013

  • I visited Dr. Peled and he fixed my terrible migraine problem! This surgery was excellent, and he is so knowledgable, he put me completely at ease!

    TF

  • Dr. Peled gave me my life back! Before my nerve surgery I was having headache/migraines amost every day for almost 15 years. After my surgery I am now only having headaches twice a month.

    R.J.

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