Great vid. You mentioned the procedure may need to be done 3x before you can get the pain to settle. Can you do this regularly with lidocaine or bupivicaine via the nasal soak method? I understand that the use of regular dexamethosone may not be recommended. Thanks. I've had spg blocks done 2x via cheek fossa in hospital. First attempt 1% lidocaine used, lasted 13 days & 14th day when worn off, I experienced a severe head pain attack - not my usual pain. 2nd attempt dexamethasone was added, that lasted one month & when it wore off, prevented that severe pain onset. In my opinion 1% lidocaine isn't effective, needs to be min 2%.
No, not really. It's liquid lidocaine. Patients will temporarily not be able to feel their saliva in their throat. The procedure itself takes only a couple of minutes and then the patient holds their chin up for 8-10 minutes and then is given water to wash down the lidocaine (only 4-5cc used). It's an incredibly simple yet effective procedure.
Likely yes. My migraine practice has numerous patients that had chronic migraine for years; often disabled due to the # of migraines/month (>20). After 3 weekly treatments, most of them go 3-4 months without a single migraine !
Great vid. You mentioned the procedure may need to be done 3x before you can get the pain to settle. Can you do this regularly with lidocaine or bupivicaine via the nasal soak method? I understand that the use of regular dexamethosone may not be recommended. Thanks.
I've had spg blocks done 2x via cheek fossa in hospital. First attempt 1% lidocaine used, lasted 13 days & 14th day when worn off, I experienced a severe head pain attack - not my usual pain. 2nd attempt dexamethasone was added, that lasted one month & when it wore off, prevented that severe pain onset. In my opinion 1% lidocaine isn't effective, needs to be min 2%.
Is there any side effects from the medication?
No, not really. It's liquid lidocaine. Patients will temporarily not be able to feel their saliva in their throat. The procedure itself takes only a couple of minutes and then the patient holds their chin up for 8-10 minutes and then is given water to wash down the lidocaine (only 4-5cc used). It's an incredibly simple yet effective procedure.
Is this treatment helpfull for migraines with Aura?
Yes.
Would this work for someone who has constant migraines for a decade?
Likely yes. My migraine practice has numerous patients that had chronic migraine for years; often disabled due to the # of migraines/month (>20). After 3 weekly treatments, most of them go 3-4 months without a single migraine !
@@Atlii
Wow 👏 that's amazing 😇