Curriculum
June 19, 2021

Why We’re All Wired Differently

Take a look at the first picture- it is of a midline incision in the back of the neck.  Can you identify the nerve by the black arrow and the…
Curriculum
June 9, 2021

BLOCKS & STIMULATORS & DECOMPRESSION, OH MY?!?

I’ve noted that there has been some confusion lately over the roles of nerve blocks, nerve stimulators and nerve decompression in the treatment of chronic headaches. To be sure, there…
Curriculum
May 14, 2021

THE MRI WAS NEGATIVE… NOW WHAT?!?

As with many things in life, there are positive and negative ways to perceive just about anything.  Just because the MRI was negative, clearly does not mean that there is…
Curriculum
May 7, 2021

Why The Recovery Rollercoaster?

Perhaps one of the most common questions I get asked is, “What is recovery like?”  How much time do you have?  There are so many facets to this question that…
Curriculum
April 20, 2021

Why Do Nerves Take so Long to Recover?

I hear this question a lot from just about every patient I see, whether for chronic headaches or tarsal tunnel syndrome.  The answers have to do with the technical aspects…
Curriculum
March 9, 2021

How to Choose a Headache Surgeon

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…
Curriculum
March 9, 2021

Migraine or Neuralgia?

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…
Curriculum
March 9, 2021

Which Came First, the Muscle or the Nerve?

Just this past week, several patients have asked about the tight muscles in their necks and upper backs. They have all wondered at some point whether it’s the tight muscles…
Curriculum
February 25, 2021

What is Temporal Neuralgia?

As I have written previously, neur-algia simply means ‘nerve pain’.  The question always becomes, can you figure out which ‘neur’ (i.e., nerve) is causing the ‘algia’ (i.e., pain).  Secondly, if…
Curriculum
February 25, 2021

What is Peripheral Nerve Surgery?

There are a number of ways to characterize and define the nervous system. First of all, the primary cells that comprise the nervous system are called neurons.  Groups of neurons…
Curriculum
February 25, 2021

What is Frontal Neuralgia?

As before, neur-algia simply means ‘nerve pain’.  The question always becomes, can you figure out which ‘neur’ (i.e., nerve) is causing the ‘algia’ (i.e., pain).  Secondly, if you can figure…
Curriculum
February 17, 2021

If I’m a Candidate, How Is Surgery Performed & What Are the Outcomes?

Surgical intervention (whether decompression or neurectomy/muscle implantation) for chronic headaches is performed as an outpatient procedure at an accredited surgery center or in the outpatient department of the California Pacific…