Chronic Migraine, Headache, and Neuralgia treatment

Chronic Migraine, Headache, and Neuralgia treatment from Dr. Ivica Ducic, MD - Washington Nerve Institute

By: Dr. Ivica Ducic, MD - Washington Nerve Institute  02/02/2016
Keywords: chronic migraine treatment, Trigeminal Neuralgia Treatment, occipital neuralgia treatment

Chronic Headache, Migraine, Occipital Neuralgia, Fronto-temporal Neuralgia in the Distribution of Trigeminal Nerve Branches, Chronic Post-Traumatic Headache, Chronic Post-Operative Headache, Post-Herpetic Neuralgia, Post-Concussion Sports Injury Related Chronic Headaches: With outpatient surgical procedures I have helped over a thousand patients who suffered from frontal, temporal or occipital neuralgia related chronic migraine headaches. Most of these patients who have suffered from long standing and disabling headaches have experienced complete cure following surgery, while some have had partial but significant relief. Some patients are unfortunately found not to be good surgical candidates. It is important to understand that there are patients with true migraine, patients with a true neuralgia related headache and those with overlapping symptoms of both. Therefore, it is also important that these patients, prior to being seen by me, have had a proper diagnostic work-up, and are being medically treated by a neurologist or similar specialist experienced in headache treatment. This will ensure that other possible causes of headaches are excluded. It is important that a potential surgical candidate receive nerve blocks or alternatively Botox to confirm the involvement of occipital (greater>lesser) nerves or supraorbital/trochlear and/or zygomatico-temporal nerves as generators of occipital or fronto-temporal neuralgia related chronic headaches/migraines, respectively. Patients who continue to experience headaches/migraines despite optimal medical care provided by a headache specialist, and who have tenderness over the involved nerves with temporary relief from nerve blocks and/or Botox are optimal candidates surgical evaluation.

Keywords: chronic migraine treatment, occipital neuralgia treatment, Trigeminal Neuralgia Treatment,

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