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…
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…