Peled Migraine Surgery Blog

Information and knowledge about migraine relief surgery.

But the Botox Didn't Work On My Migraines! What Now?

But the Botox Didn't Work On My Migraines!  What Now?

One of the questions that I‘m frequently asked during consultations with patients regarding their chronic headaches is, "If I’ve had Botox injections done with other doctors in the past and they have failed, does this mean that Botox injections done with you would not work either?" This is an excellent question and the simple answer is, “No".

One of the questions that I‘m frequently asked during consultations with patients regarding their chronic headaches is, "If I’ve had Botox injections with other doctors in the past and they have failed, does this mean that Botox injections done with Dr. Peled would not work either?" This is an excellent question and the simple answer is, “No".

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How Can You Define Peripheral Nerve Surgery?

How does peripheral nerve surgery help my life, and what can it mean for my migraines?

What exactly is meant by the term, ‘peripheral nerve surgery’? Peripheral nerve surgery specifically refers to operations performed on nerves within the peripheral nervous system, in other words those nerves located outside of the brain and spinal cord (aka the central nervous system). It also helps to think of these nerves as being located in the periphery of the body such as the arms and legs although it also includes nerves located in trunk and scalp/face regions. Pathology causing problems within the peripheral nervous system can take many forms. There can be pressure on a nerve as it passes through its normal route from the brain and spinal cord to its final location, for example at the toes or back of the scalp. There may be pressure on a nerve from a tumor within the nerve itself or from a tumor external to the nerve. A nerve may have been cut from a prior accident or prior surgical procedure. There can also be injuries to nerves that have been excessively stretched such as may occur following a whiplash-type of injury.

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How Can Peripheral Nerve Surgery Help My Migraines?

What do migraine headaches and peripheral nerve surgery have to do with each other?

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Ask me, ask me, ask me!

A recently published study in Health Affairs demonstrated that many patients still have significant reservations about asking their doctors questions regarding their health care.

A recently published study in Health Affairs demonstrated that many patients still have significant reservations about asking their doctors questions regarding their health care (). Many of the patients in the study stated that they feared upsetting their physicians and were scared that doing so would negatively impact their care. Moreover, many patients also apparently felt as though their physicians did not listen to or respect what they had to say. These findings are especially poignant in light of the fact that many of the patients surveyed in his study had a very high education level and an annual income greater than or equal to $100,000 per year.

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Decompression, neurolysis and ablation

Several people have had questions about what ‘neurolysis’ actually means and how it might differ from the term ‘ablation’.

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Let's go to the numbers, shall we....

I just finished reading Dr. Guyuron's article on the finances associated with migraines in its entirety.  The numbers are truly staggering.  Did you know that:

1. Medical resource use for the treatment of migraine headaches is significant, with the fourth most common emergency room complaint being headaches.
2.Patients with migraine headaches generate nearly twice as many medical claims and nearly two and a half times as many pharmacy claims when compared with patients without migraine headaches.
3. Researchers have estimated the annual direct costs of migraine treatment to be as high as $7089 per patient and the annual indirect costs to be as high as $4453 per patient.
4. AFTER TAKING INTO ACCOUNT THE COST OF SURGERY (surgeon, anesthesia, facitlity fees) - the 5-year cost savings were over $11,000 per patient.
5. IN ADDITION, over 5 years, patients can expect to have 43.5 fewer doctor visits, 25 fewer alternative treatment sessions, and 40.25 fewer days missed from work!
6. OVER AND ABOVE ALL THAT, patients reported significant improvements in their overall quality of life on just about every parameter measured!

I guess none of this should be surprising, but it is rare to see numbers like this in the medical literature.  This type of treatment is truly a paradigm shift.

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A Pain in the Neck!

Over the past few months I have seen quite a number of patients who’ve told me that they believe their migraines began not long after a motor vehicle accident. Many of them said they were initially told they suffered from “whiplash” by their treating physicians. These patients tried and subsequently failed several treatment modalities such as physical therapy and muscle relaxant medications.

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The Long & Winding Road

One of the most common refrains I hear from patients is that they are flummoxed by the lack of understanding from their neurologists or neurosurgeons

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Are You Experienced?

An interesting article was published just this month in the journal Plastic and Reconstructive Surgery. Members of the American Society of Plastic Surgeons (ASPS)

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Peled Migraine Surgery is Your Source For Migraine Nerve Surgery!

Peled Migraine Surgery is Your Source For Migraine Nerve Surgery!

Peled Migraine Surgery is one of the foremost organizations in migraine pain relief surgery.  The surgery is nerve based and has been proven to lessen or eliminate migraine pain.  Ziv M. Peled, MD is a Board-Certified plastic surgeon trained to perform the full spectrum of aesthetic and reconstructive plastic surgical procedures. He completed his medical school training at the University of Connecticut School of Medicine where he earned honors in multiple surgical disciplines. He subsequently completed four years of rigorous general surgical training at the University of Connecticut during which he also completed an additional two-year, post-doctoral Basic Science Research Fellowship at Stanford University under the tutelage of Dr. Michael T. Longaker, a pioneer in the field of scarless wound healing.

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Learn About Chronic Pain!

My name is Dr Ziv Peled. Welcome to the home page for my practice, Peled Migraine Surgery.: I live in San Francisco, CA and work as an Plastic Surgeon at Peled Migraine Surgery.

Chronic pain is pain that continues a month or more beyond the usual recovery period for an injury or illness or that goes on for months or years due to a chronic condition. The pain is usually not constant but can interfere with daily life at all levels. per the American Chronic Pain Association.

 

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