08.02.2018 | Charles A. Popeney DO and Kenneth M. Aló MD
This study followed 25 patients with episodic migraines who underwent peripheral nerve stimulation. Before the study, all patients reported that had experienced severe disability due to migraines—with an average of 75.56 headache days over a 3-month period. After stimulation, all patients reported that their headaches were well-controlled. The...
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07.26.2018 | Ioannis Skaribas, MD, Kenneth Alo, MD
This case study follows six patients diagnosed with refractory chronic daily headaches and occipital neuralgia who did not find relief through extensive medical management. The patients underwent successful percutaneous trials of bilateral octopolar occipital nerve stimulation under ultrasound guidance, followed by permanent surgical implantation....
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07.19.2018 | KL Reed, SB Black, CJ Banta II, and KR Will
This study compared the treatment of chronic migraine headaches using neurostimulation of both occipital and supraorbital nerves and occipital nerves alone. Following up every month from 1 to 35 months, all patients reported a full therapeutic response but only to combined supraorbital–occipital neurostimulation like the Omega Procedure....
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07.12.2018 | D. Magis and J. Schoenen
This paper reviews studies that have been performed on approximately 1200 individuals who suffer from headaches and are resistant or are not able to tolerate available migraine drugs. Of the treatments studied, peripheral nerve stimulation and deep brain stimulation of the hypothalamus has seemed to be effective in people with chronic cluster...
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07.05.2018 | Richard L. Weiner, MD, FACS, Kenneth L. Reed, MD
In this study, 13 patients underwent 17 implant procedures for medically refractory occipital neuralgia. With follow-up ranging from 1.5 to 6 years, 12 patients continute to report good-to-excellent response, with greater than 50% pain control and requiring little or no additional medications. The study authors concluded that patients with...
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06.28.2018 | Stephen D Silberstein, David W Dodick, Joel Saper, Billy Huh, Konstantin V Slavin, Ashwini Sharan, Ken Reed, Samer Narouze, Alon Mogilner, Jerome Goldstein, Terrence Trentman, Julien Vaisma, Joseph Ordia, Peter Weber, Timothy Deer, Robert Levy, Roni L Diaz, Stephanie N Washburn and Nagy Mekhail
This study followed 157 participants who suffered from a headache on average 21 days per month. After 12 weeks, the patients receiving PNS therapy reported that their headaches had reduced to an average of 6 or fewer per month. In addition, the participants reported a 43% reduction in pain as noted by the MIDAS questionnaire, and a 42% average...
Read more about Safety and efficacy of peripheral nerve stimulation of the occipital nerves for the management of chronic migraine: Results from a randomized, multicenter, double-blinded, controlled study Read More
06.21.2018 | Richard L. Weiner, MD, Kenneth M. Alo, MD
This book chapter reviews the characteristics of several types of headaches, and details the use of neurostimulation to treat them. The authors conclude that between 1993 and 2005, 150 patients with the neurostimulator implantation showed approximately 70% to 100% success in short-term follow-ups. Long-term follow-ups showed 75% good/excellent...
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06.14.2018 | Erich O. Richter, MD, Kenneth M. Alo, MD, Marina V. Abramova, MD
Numerous clinical research studies have shown that neurostimulation can be used to reduce headache pain. This paper summarizes previous research by stating that peripheral neurostimulation (PNS) seems to be safe, effective and well tolerated. The paper also clarifies approaches through which neurostimulation may have a positive effect. For...
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06.07.2018 | Ioannis M. Skaribas, MD, DABA, Stephanie N. Washburn, PhD
This case study involved a 37-year-old man diagnosed with Charcot-Marie-Tooth (CMT) disease with pain of more than 20 years. He was implanted with an SCS device and patient pain and quality of life was assessed one and six months later. Results showed that SCS was effective in decreasing pain, improving quality of life and reducing medication...
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05.31.2018 | Manjit S. Matharu, Thorsten Bartsch, Nick Ward, Richard S.J. Frackowiak, Richard Weiner and Peter J. Goadsby
This study follows eight patients with chronic migraine who had a positive response to implanted bilateral suboccipital stimulators. The researchers turned the stimulators on, which immediately began to treat the headache and removed the pain within 30 minutes; they then turned the stimulators off, which brought the pain back; and then turned them...
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05.24.2018 | Kenneth Alo, MD
This paper summarizes neuropathic pain symptoms, causes and treatments in very user-friendly language. Neuropathic pain, which does not have an obvious cause and can also create a stabbing, burning, freezing or numb sensation, is now considered more common than previously thought. One treatment for neuropathic pain, including trigeminal neuralgia,...
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05.17.2018 | Kenneth Alo, MD
Painful peripheral neuropathy is a common neurological disorder characterized by numbness, weakness, tingling and pain, often starting in the hands or feet. This paper provides symptoms, causes, and types. It also addresses treatment. In cases where medications are not effective or have intolerable side effects, spinal cord stimulation or...
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