Migraine Surgery (Nerve decompression ) for Migraines, NDPH and Occipital Neuralgia by Dr. Amirlak
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- Опубликовано: 25 фев 2019
- Dr Bardia Amirlak MD,FACS explains Migraine Surgery (Nerve decompression surgery) for Chronic Headaches, New Daily Persistent Headaches (NDPH), Occipital Neuralgia and classical Migraines . There are 6 trigger sites that can be addressed. Although not a Migraine cure the results can range from mild improvement to dramatic elimination of the headaches.
I just had surgery Tuesday, Sept. 1st and prior to, I was experiencing headaches almost every day of the week. Upon my recovery, pain is moderate, and I have short lived headaches, lasting only for less than one hour, compared to lasting up to days. I am honestly optimistic, having tried everything, from medications, Botox, acupuncture, and nerve block's. I did not have this procedure in Texas, but in Massachusetts. I only wish I had this done years ago, for I have been suffering for decades. I am a 55 year old Male, who is hoping for a better quality of life. Wish me luck...
How is going your recovery?
@@joseavendano2140
I am almost 5 weeks post op., very little pain, if any. The back of my head is a little numb.
@@josephdaiute8361 Did you have NDPH?
@@joseavendano2140
Yes
@@josephdaiute8361 man that's really encouraging for me. Congrats! I have NDPH and I'm in terrible pain. I'm planning to move from Colombia to USA to have this surgery. I'm about to have my first nerve block ever, and I'm really enthusiastic but it kind of calm me down knowing that there's a 'cure' out there. How did you realize you were a candidate?
I pray next year 2023 I have my surgery. I have occipital pain affecting also my eye sight.
tnx
I am one among those who gets migraine very frequently 😭
same. I’ve been having migraines everyday for abt 2 months.
@@labriska.c 4 years for me
@@magicallyme96 EVERYDAY?
Suffering from 10 years
Is this a better alternative to Corrugator Muscle Excision?
I have had headaches everyday and migraines 2-3 times a week for the last 4 years.
I take Aimovig which has made my migraines go to 2-3 times a month, but I’m still getting headaches 3-6 times a week. I have tried so many different medications, therapies, imaging, and different treatments, and seen quite a few different doctors and they don’t know what is wrong with me.
I have started bringing this procedure up with my pain management doctor and hopefully looking into it…
I am losing hope that anything will work.
What about the fact that new daily persistent headaches originate in the structures surrounding the brain, under the skull?
What about migraines on the top left middle of the head?
I want to do surgery for complete cure
Can someone please say how much this surgery cost?
I really need to know
You didn't mention lateral apex/vertex headaches.
This is my dream.
Why has this not been recommended to me? My doctor & neirologest are out of ideas
Suffered 32 years and no doctor told me about this.
Our pathetic doctors in Canada want you to be ill.
@@yolandaschartner9345 be grateful you don't live in the u.s.
@@hieronymus..bosch8532 yes, I am grateful to be in Canada for many reasons, but concerning Drs and Health Care I go abroad. I hope I never have to see another crappy Dr here in Canada again.
I had the same question cuz I see Nashville Neuroscience in Nashville. They never told me about Vanderbilt University plastic surgery department that specializes in this type of surgery. I found out by accident filled out the form online and I got an appointment. They're very trained at what they studied, not just the other type of plastic surgery and I was impressed. Sometimes you have to look around.. plus Vanderbilt University is trained when it comes to the prior authorization of my state insurance and I was so happy and the lady explained to me that we are trained to deal with your insurance and we got to approved. Not like they were making a ton of money cuz this insurance does not allow it. I already had my surgery which my cut is different than what he's showing here. Mines from left to right. I had this done...
"bilateral greater and lesser and third occipital nerve decompression/avulsion"
I have a severe form of NDPH. I am considering this because I have exhausted everything else. Has anyone with NDPH specifically benefitted from this surgery? Please let me know my life has become dark and hopeless bc of this pain
How you can diagnose the migraine is because of pressure upon the nerves ?? Is there any prior criteria or any specific investigations to decide to go for this procedure ?
When you meet with the doctor you explain the pain of the different types of pain and how is it come about. There's many different types of migraine pain that could come about the is connected to the nerves.
But I had some temporary blocks and the obstacle nerves and though they may last for the day, I could feel how much numb the back of my head and calm the migraine pain.. It was a really a test to see if it was coming from the nerves and I would feel like this blurring pain in my neck. After a while when I had my neck surgery had a few discs taken out and I noticed that this blaring neck pain will come up to the back of my head and it turned to migraine and that was something new to me rather than my normal chronic night migraine and I explained that almost the last year or two to the neurologist and said that there's something wrong. So I was going to get test blocks at the pain management and if they're successful they were going to burn my nerves. It would regenerate after 6 months they call it. Radio frequency ablation. But I'm very glad that I ran into this type of doctor who does surgery. He was able to get notes and had to talk with me. 30 minutes was able to get my insurance which is state insurance to pay for it cuz I have a chronic condition. They are trying to deal with my state insurance at Vanderbilt plastic surgery in Nashville. I'm very confident in what they're doing. I seen the confidence in the doctor and he knew that I was very good explaining what I've been experiencing since at the beginning of these migraines that start and how they have changed to different ones, especially the offseptical nerves. I kept blaming that all my migraines were behind my skull. I never realized they would be on our nerves
My primary doctor suggested that my throbbing pain was due to occipital neuralgia. I've experienced no numbness, or blurred vision. The pain radiates down to my right shoulder blade (same side of throbbing ache). I have been wondering 1. If a chiropractor did an aggressive neck manipulation to have caused my pain or 2. Having my one and only episode of vertigo, caused by a right inner ear infection. Both events happened around the same time, back in 2021, so it's hard for me to truly tell. Nonetheless, I have suffered from throbbing headaches on the back right side of my head and having muscle tightness in my neck...again, radiating down to my right shoulder blade. With all that said, do you suppose I have a herniated disc at the base of my head, instead, that could be causing the pain? I would love some feedback. Thanks.
My headache is in my occipital I have spondylosis arthritis in my neck and I’m not getting help I have 24 hour migraines Because they don’t know what I need to cut fir my migraines they said not sure it’s because my spondylosis
Does it work for chronic tension headache? Thank you!
How are you headaches now
@@dontoddz.world.. completely gone now but lasted 24/7 for 6months it was horrible, found THE doctor who gave me the right treatment and I was pain free after 45 days
Sign me up
What is the percentage of people who had this surgery and was cured?
Heard it was 88%
Mine said 70%
Every neurologist Ive seen say to me it’s non operable... for mine.... why can’t they help me? Even after cortisol injections I still feel pain and pressure.. can you help giving me any information I could give to next neurologist I see... thank you 🙏
My Neurosurgeon told me in my pre-op consultation, is no Neurologist or Anaesthesiologist recommend surgery. After six years of Occipital neuralgia, I found a surgeon in the UK who did the decompression surgery. It is not approved yet in Europe. I paid myself when my insurance refused.
@@TheHobade thank you for your reply.. I hope all went well with your surgery and recovery.. only wish so surgeon would take a chance on me too. I feel occipital neuralgia nerve impingement is giving me more symptoms as years go on,
@@michellemeuleman385 thank you for your concern re my surgery. All went well. There is another procedure for occipital neuralgia, called "electro frequency stimulation", but it's just my opinion. I would trust it, nor could I keep my job with the small implant. My surgeon (reconstructive cosmetic surgery) said it has quite a high failure rate. But I will be honest, because I would help anyone who suffers this disabling pain. I have read people requesting euthanasia in Switzerland but have been refused personally I was close to euthanising myself, if that's a word, lol. But many people on these forums and social media sites talk about it because they cannot find the medical help and the pain without opiates is too much.
But you say in your comment the cortisone injections don't work. I don't want to get your hopes up either, as my surgeon who did my procedure told me not everyone is eligible for the procedure. The occipital nerve compression apparently is only one of the nerves that trigger migraines. The occipital nerve can be compressed by many different sources. Mine was the trapped at the trapezoid tunnel and complicated by the tendon like tissues coming down over nerve. But the first question I was asked was to fill out a form about migraines. None of which was applicable as Occipital neuralgia is not migraine headaches.
But the search took me over 5 years and hundreds of emails to find this surgeon. It's an uphill battle, but do it as you won't get the answers through most doctors as they don't know. I will check on the email of the lady who helped me in San Antonio, and send it to you. It is from social media and forums to find the right surgeon or doctor but I do see people listing some on RUclips and Facebook have a lot of help forums. It's an uphill struggle and can be costly. Also, the occipital nerve decompression surgery is on RUclips.
I started in Ireland, found the surgeon in the UK, he operated out of Berlin, and this started back in 2015. But please get the help. If your doctors don't know, like me, that nurse in San Antonio who runs a Facebook forum, found me a website with a telephone number last year, and 3 months later, I'm mostly headache free. I'll get back to you with that email 🙂
@@michellemeuleman385 , I checked with my friend who got the nurse in San Antonio, and he's coming back to me. Where in the world are you? Are you USA or Europe? The reason for the question is if you're in the states, you'll be able to contact directly yourself. If Europe, it's a little more complicated. I'll let you know when he gets back to me. Hope your headaches are ok...let me know.
@@TheHobade unfortunately I don’t live in USA I’m in Australia.. where doctors not as advanced as international surgeons
Is this true? Does it work?
Mine did for occipital neuralgia headaches. Better than the alternative of a electric pulse generator implant, which my surgeon said the electrode connectors can often separate from the nerves
I have migraine... And really it's too tough to survive wdh this I always have pain in my right side and sensation of nausea.. I can't study properly.
Thikhua kya
@@rounakagrawal3701 nhi... But control m h Medicine se.
@@Kimtaehyung-pd8jp which
@@rounakagrawal3701 metolar Xr-25.. Dr se suggest krke me use krhi hu. Or av v treatment m hu🙃
@@Kimtaehyung-pd8jp do u have sinus problem also ?
why not just deactivate nerves?
If you deactivate the nerves you will have facial paralysis. This technology is much better.
This is really encouraging. Does it require shaving the head (lol)?
I would strongly recommend it.
Only if you have chronic migraines or headaches in general. It's called "Occipital Nerve Decompression "
My incision was about 6" and after five weeks post op., hardly any scar. Yes they have to shave a small amount in back of your head.
@@josephdaiute8361 Thanks you, so much, for this. :)
Your welcome, good luck, God bless.
No. They use an endoscope. It goes in a little hole and they take care of the surgery that way. That’s what he said, anyway. I’ve had endoscopic surgery and it is MUCH easier than surgery where they open you up completely. My doctor did “minimally invasive” surgery when he did my spinal fusion, and instead of having to stay in the hospital for 3-5 days, I was ready to be released in two days.
It’s worth it, I’ll go bald for a pain free life
I wouldn't recommend anything that removes nurves and blood vessels, we need all of them for a reason. that's why we don't have 7 fingers and not 4
speaking from experience I know for fact in my case they have never removed or cut any nerves or blood vessels. I had a rare form of neuralgia which was a major surgery. I recently had occipital neuralgia surgery which involves incision in the back of my head from the base of my spine up to the middle of my head and what day did was my dr. basically took nerves that were being interrupted and separated and surrounded them with fatty tissue. So far, from having bad headaches almost every day, to really having nothing to this point. I'm five weeks post op. (Occipital nerve Decompression) Mass. General Hospital, Boston Mass.
@@josephdaiute8361 I’m getting the same surgery done in 3 weeks! How has it held up so far?
@@user-lr2ez4ny2z how are you doing?
@@TJS11420 I’m about 7-8 months post op and things have improved dramatically. At first it was quite rough the recovery was slow and the results weren’t as quick as the drs/surgeon predicted but around month 5 is when things really took a turn for the better.
@@user-lr2ez4ny2z were you diagnosed with NDPH?
and did you have 24/7 pain with no pain free periods?
Did other places besides your occipital area (back of head) hurt ?
or did your entire head hurt?
I look forward to your answer :)