Curriculum
March 31, 2022

“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…
Curriculum
March 2, 2022

Sensation Preserving Mastectomy Surgery

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…
Curriculum
February 7, 2022

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…
Curriculum
October 6, 2021

TRIGGER POINT INJECTIONS vs NERVE BLOCKS – WHAT’S THE DIFFERENCE?

Simple question, somewhat nuanced answer. Basically, nerve blocks are injections of local anesthetic aimed at temporarily and chemically inactivating a nerve - pure and simple.  Where things get a bit…
Curriculum
September 8, 2021

THE STAGED APPROACH TO CHRONIC HEADACHE/MIGRAINE RELIEF

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…
Curriculum
August 16, 2021

MEDICATION OVERUSE HEADACHE (MOH) OR ‘REBOUND HEADACHES’

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.…
Curriculum
August 16, 2021

THE NERVE WAS CUT, BUT I STILL FEEL THAT AREA – HOW IS THAT POSSIBLE?

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…
Curriculum
July 8, 2021

TO DECOMPRESS OR TRANSECT: THAT IS THE QUESTION

This query is one of the great ones – a $64,000 question that continues to be raised both in my office as well as online.   What is the difference…
Curriculum
July 6, 2021

CAN STRESS MAKE OCCIPITAL NEURALGIA WORSE?

This question is one of the most common articulated in my office and I believe represents an underappreciated component of our everyday lives that can certainly impact many facets of…
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…