General
How & Why Did I Get Occiptal Neuralgia
The title of this post is often the million dollar question. I have posted many times in the past about how ON can be caused by compression from spastic neck muscles, compression by tight connective tissue (i.e., fascia) and/or compression from surrounding blood vessels. Many of the patients I see have had headaches ever since…
Read MoreMigraine or Neuralgia – Which do I have?
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 pain” with the implication that the condition in question is secondary to some type of nerve injury or dysfunction. While migraines can be sub-classified in…
Read MoreDecompression vs. Excision for Injured Nerves
One of the most important intraoperative decisions a peripheral nerve surgeon must make is whether an injured nerve should be decompressed or transected. These terms are sometimes used interchangeably with “excision,” but that is not technically correct. Excision implies complete removal of a structure—such as a tumor or cyst. Peripheral nerves, however, are not removed…
Read MoreThe MRI Was Negative. Now What?!?
Like many things in medicine—and in life—a result can be viewed from more than one perspective. A “negative” or “normal” MRI does not mean that nothing is wrong. It simply means that certain serious conditions were not found. And that’s an important place to start. On the positive side, your scan might show: These are…
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