NERVE DECOMPRESSION SURGERY FOR NDPH

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givenup
Regular Member


Date Joined Aug 2007
Total Posts : 94
   Posted 2/11/2010 9:37 AM (GMT -6)   
Has anyone heard of the nerve decompression surgery being done for new daily persistent headaches. Being done in Washington D.C. and Houston Texas.
 
                                               givenup

kandjmomy
Regular Member


Date Joined Mar 2009
Total Posts : 40
   Posted 2/11/2010 3:14 PM (GMT -6)   
I was just reading about surgery one another message board. Several of those folks had been through it. If you haven't seen, google NDPH forum.

I'm curious about it as well. I'd love to hear others' opinions or experiences.

Amanda

tysmyboo
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Date Joined Dec 2004
Total Posts : 921
   Posted 2/17/2010 1:09 AM (GMT -6)   
Hi givenup,
I have heard some experiences but not from anyone I know personally so I hesitate to share.

Are you considering this procedure?
Sara-Migraine/Headache Forum Moderator
Battling headpain for 17 years.
DX: occipital neuralgia-radiofrequency nerve ablation every 6mo
 
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gallyndur
Regular Member


Date Joined Aug 2005
Total Posts : 43
   Posted 2/18/2010 10:59 PM (GMT -6)   
I'm in Houston and am currently pursuing this surgery with Dr. Pamela Blake. I've just finished the three-part series of nerve block injections across my forehead. After the first set, my headaches were considerably less intense, though there was not much improvement in frequency. I had the second set of injections two weeks later, which helped the frequency a little. After the third set, I feel better than I've felt in years with only 1 or 2 headaches a week! I go back in a week to figure out if I'll also need to undergo a series of injections in the back of my head (trying to figure out where I owuld need surgery--front, back, or both). If I'm not mistaken, she'll also want me to try Lyrica before operating on me just to make sure surgery really is necessary, though I do have some concerns about going on Lyrica. Is it common for people to not have success with the other preventives like Topamax and Neurontin but to do well with the Lyrica?

The surgery is still pretty new, so I haven't been able to find much information on it, but everyone I've heard or read about has had a lot of success from it, so I'm really excited! It's been easy to lose hope over the years (I've had to give up my job and drop out of grad school due to the migraines and have often felt pretty useless/worthless), but I finally feel like I might soon function again.

I, too, am very interested in hearing others' experiences with the surgery (and Lyrica).

givenup
Regular Member


Date Joined Aug 2007
Total Posts : 94
   Posted 2/19/2010 7:35 AM (GMT -6)   
Hi gallyndur, My daughter is the one with new daily persistent headaches. She is 24. She has these headaches for 4 years.We live in New Jersey. How I found out about this surgery, I came across another site. MJ Junction.Com.
There are so many people who have had this surgery by Dr Perry. As you mist know he works with Dr Blake.
We flew to Houston about 6 months ago and meet Dr Blake. Ashley is a candidate for the nerve decompression surgery. Just recently we flew down again and meet Dr Perry.
Right now his office is trying to get the surgery approved for Ashley.
We have exausted everything.
She was hospitalized 3 times at Thomas Jefferson Headache Center in Phila,Pa. to try to break the cycle of the headaches. Two week stay.
Even went to Michigan Head and Neurological. She was hospitalized there for two weeks, nothing.
Have seen every headache specialist in N.Y.C.
Three pages of medications that did nothing.
Right now she is on Kadian(morphine),percocet,xanax. And that barely works.
She was detoxed twice.
She hates being on these pain meds.
But right now Dr Blake says what other choice do we have right now.
Please check out the MDJunction.Com site.
There are so many people that have had the surgery.
I will keep you updated.
Good Luck
                                                          Diane

korbnep
Regular Member


Date Joined May 2007
Total Posts : 327
   Posted 2/19/2010 11:07 PM (GMT -6)   
As with nerve stimulation this sounds like a treatment that would be best suited to headaches with significant evidence of neuralgia. If other neuralgia treatments haven't done anything though--well, I'm sure that this surgery would only be considered if there's a good reason to believe that it would be helpful.

It's important to remember, I think, that NDPH is a pattern of symptoms, not a specific headache pathology. If Ashley is a good candidate for the surgery then I very much hope that it works. I'm just concerned if you're considering it because there doesn't appear to be any other choice. What lead Dr. Blake to suggest this specific treatment for your daughter's headaches.

My thoughts are with you.

Ben
DX: NDPH, Recovered(?) CRPS
RX: Lamictal, Namenda, Nardil, Piroxicam, Oxycontin, Clonazepam, Rozerem, Ambien CR, Magnesium (800 mg/d), Riboflavin (400 mg/d), Fish Oil (2000 mg/d)

PRN: Ketamine nasal spray, Toradol IM, Celebrex, Lodine, Zofran, Phenergan,
rarely: Migranal, DHE IM, Reglan, Provigil, Maxalt, Zomig

I can be contacted personally via email at korbnep@gmail.com.


mercyme
Regular Member


Date Joined Feb 2005
Total Posts : 310
   Posted 4/21/2010 8:56 PM (GMT -6)   
 
 
   I don't know a lot about the Nerve Decompression Surgery, but I am trying to read as much information that  I can get my hands on. I have daily chronic migraines and nothing I've taken has helped.  I've also had brain surgery a few years ago (Epilepsy Brain surgery). The brain surgery was a success, I no longer have seizures!!  now to battle these migraines, I'd do almost anything to get rid of them. Not sure about the surgery just yet. I don't live in a large city, so I don't have the opportunity to visit a headache clinic. I don't know if my insurance would pay for me to go through all the test to even see if I was a canidate for a surgery like this.  If anyone can give me more info on it, I'd sure appreciate it.
 
   Blessings ~
 
   Mercyme/Cindy

gallyndur
Regular Member


Date Joined Aug 2005
Total Posts : 43
   Posted 4/28/2010 9:03 AM (GMT -6)   
Hi, Mercyme,

I, too, have had a lot of trouble finding useful information about this surgery. This thread has a lot of information. IIRC, everyone in this thread suffers from occipital neuralgia, but nerve decompression surgery can also help with other types of headaches.

http://www.mdjunction.com/forums/ndph-support-forums/introductions-personal-stories/127081-occipital-neuralgia-surgery

I think there a couple of other doctors who perform the surgery, but I'm only familiar with Drs. Blake and Perry here in Houston. Here are their websites:

Dr Blake http://www.mhmedicalgroup.org/Doctors1.aspx?s=70825ef3-176a-462b-88fd-eec9affff438
Dr. Perry http://migraineheadachesurgery.com/

Hope some of that is helpful. Good luck!

mercyme
Regular Member


Date Joined Feb 2005
Total Posts : 310
   Posted 4/29/2010 7:35 PM (GMT -6)   
 
  I got a call today from Dr. Blakes office, they wanted me to set up an appt. to talk about what they could do for me. I'm in Tennessee not in Texas so it makes things hard.  Kinda of expensive to fly out for just a consultation then back home, then back for test... I don't know what my answer is, but I know I have to do something about these daily chronic migraines.
 
   Mercyme

tmjpain
Veteran Member


Date Joined Oct 2008
Total Posts : 2023
   Posted 5/4/2010 12:54 AM (GMT -6)   
givenup said...
Hi gallyndur, My daughter is the one with new daily persistent headaches. She is 24. She has these headaches for 4 years.We live in New Jersey. How I found out about this surgery, I came across another site. MJ Junction.Com.
There are so many people who have had this surgery by Dr Perry. As you mist know he works with Dr Blake.
We flew to Houston about 6 months ago and meet Dr Blake. Ashley is a candidate for the nerve decompression surgery. Just recently we flew down again and meet Dr Perry.
Right now his office is trying to get the surgery approved for Ashley.
We have exausted everything.
She was hospitalized 3 times at Thomas Jefferson Headache Center in Phila,Pa. to try to break the cycle of the headaches. Two week stay.
Even went to Michigan Head and Neurological. She was hospitalized there for two weeks, nothing.
Have seen every headache specialist in N.Y.C.
Three pages of medications that did nothing.
Right now she is on Kadian(morphine),percocet,xanax. And that barely works.
She was detoxed twice.
She hates being on these pain meds.
But right now Dr Blake says what other choice do we have right now.
Please check out the MDJunction.Com site.
There are so many people that have had the surgery.
I will keep you updated.
Good Luck
                                                          Diane
 
Hi Diane
Can you tell me what tests or other that your daughter had done when she was at Thomas jefferson to break the pain cycle and also what they did for her at michigan head and neurological. I have suffered ten years with temporal, bilateral headaches. The headaches have always been in the same place. This is my second sick leave from work (I am a paediatric nurse) right now since Oct. 2008. My headache is there every minute of every day and I can't sleep . My pain is always 10/10. I too have seen every dr. possible, taken every kind of med and nothing has helped, done all forms of treatments and all tests are negative. i have done orthodontics for tmj and that is fine now but the headaches are still there. No one knows what it is and they all say poor prognosis. I live in Ottawa, ontario, Canada. i wish i was in the states to try some of your big headache centers but we have no money left now to go to the states. I wrote to Oprah to see if she could help me but of course never heard from her. i don't know what to do anymore. CAN ANYONE HELP ME!!!!!!!!!!!!!
 
Thank you
Suzane

   
SUZANE
      
 Chronic, severe and continuous bilateral temporal headaches since April 2000.
 Poor prognosis, seen thousands of doctors, been on dozens of meds and tried all forms of treatment with no success.
 Currently Feb 2010: cycles of IV Ketamine infusion via a PICC line and pump at home with some success.
 Meds: oxycodone for breakthrough, cymbalta, vitamin D, B12, magnesium, omega 3, melatonin
 Profession: Part time registered nurse on Long term disability and applying for permanent disability thru CPP
 52 yrs old, female, married, two boys 19 & 21, live in Ottawa, Ontario, Canada
 
           


tmjpain
Veteran Member


Date Joined Oct 2008
Total Posts : 2023
   Posted 5/4/2010 1:00 AM (GMT -6)   
korbnep said...
As with nerve stimulation this sounds like a treatment that would be best suited to headaches with significant evidence of neuralgia. If other neuralgia treatments haven't done anything though--well, I'm sure that this surgery would only be considered if there's a good reason to believe that it would be helpful.

It's important to remember, I think, that NDPH is a pattern of symptoms, not a specific headache pathology. If Ashley is a good candidate for the surgery then I very much hope that it works. I'm just concerned if you're considering it because there doesn't appear to be any other choice. What lead Dr. Blake to suggest this specific treatment for your daughter's headaches.

My thoughts are with you.

Ben

Dear Ben

Please see my post above for Diane. Can you help me. I just finished doing the cycles of ketamine at home via picc line thru an iv pump with no help. I wish i had money so i could come to the states to do the admission where they give you ketamine to put you in a coma for two weeks and  you wake in after two weeks with much lower pain levels. B ut i am in ontario and have no money to come to the states. Where do they do this Ben? and do you have any suggestions for me please. I DESPERATELY NEED SOME HELP!!!!!!!!!

 

i look forward to hearing from you Ben or anyone else for that matter.

 

i am always in the chronic pain section.

 

thank you

suzane


   
SUZANE
      
 Chronic, severe and continuous bilateral temporal headaches since April 2000.
 Poor prognosis, seen thousands of doctors, been on dozens of meds and tried all forms of treatment with no success.
 Currently Feb 2010: cycles of IV Ketamine infusion via a PICC line and pump at home with some success.
 Meds: oxycodone for breakthrough, cymbalta, vitamin D, B12, magnesium, omega 3, melatonin
 Profession: Part time registered nurse on Long term disability and applying for permanent disability thru CPP
 52 yrs old, female, married, two boys 19 & 21, live in Ottawa, Ontario, Canada
 
           


teenazless
New Member


Date Joined Jan 2012
Total Posts : 3
   Posted 1/11/2012 12:12 AM (GMT -6)   
Yes, I have heard of nerve decompression surgery for headache. This surgery has given my daughter her life back.Long story short, several doctors, numerous medications, hospitalization for DHE therapy, homeopathic remedies, chinese medicine and a clear MRI led us nowhere. We read about peripheral nerve decompression surgery on the internet. Gathered all my daughters records and sent them off to Dr. Duci at Georgetown University. Luckily we got an appointment fairly quick, Dr. Ducic evaluated her in person and surgery was scheduled. This was our last hope. After the first surgery, 70% of the pain was gone. After the second surgery, THE PAIN IS GONE!
She is very happy and finally able to be a teenager! Her story can be found at www.mydaughtersheadache.com. the website was started in an effort to help others, who like her, seemed to have reached an end to treatment and did not want to "live" with the constant pain.

tuckswife
New Member


Date Joined Jan 2012
Total Posts : 2
   Posted 1/16/2012 9:18 AM (GMT -6)   
I have had the botox testing and had some positive results. I do also have a deviated septum. which is causing some of my migraines. I am waiting for an apt for the nerve decompression surgery. It will be costly and perhaps only small amount covered by insurance if any.
I am interested in chatting with anyone that has had this done. I am mostly concerned with the recovery, surgery doesnt really bother me. But the recovery and possible increase in headaches while recovering does concern me.
Please anyone that has any input would be so welcomed.

tmjpain
Veteran Member


Date Joined Oct 2008
Total Posts : 2023
   Posted 1/22/2012 1:59 PM (GMT -6)   
"Teen", what kind of headaches did your daughter have? mine are continuous bilateral temporal area and wondering if this surgery could help me? but need to find something here in Canada. What was her recovery like? how many days in hospital?

Thank you
Suzane

teenazless
New Member


Date Joined Jan 2012
Total Posts : 3
   Posted 1/30/2012 4:21 PM (GMT -6)   
My daughters headaches were 24/7. The pain was in the entire front quarter of her head- top of her head to below her nose and from ear to ear. Her recovery was fairly quick. Two weeks after the first surgery, she was working at a camp for three weeks straight. She had bruising when she left and some swelling. She had surgical pain but no headache in the center of her head. The second surgery took care of the side pain. Both surgeries were out patient. We opted to stay in DC for a few days after each surgery so she could have more recovery time. She was prescribed percocet for the post surgical pain. Over the course of both surgeries, she used about 30 pills. Most of those were used in the first few days after the surgeries. More details at www.mydaughtersheadache.com

mercyme
Regular Member


Date Joined Feb 2005
Total Posts : 310
   Posted 1/31/2012 8:23 AM (GMT -6)   
Hi, I wanted to ask if any of you have neck pain with your migraines?? I have terrible neck pain that comes along with my migraines. Woke with a terrible migraine this morning, so I know it's going to be a long day! I've been on so many meds for migraines and nothing works. I am a candidate for the NDS and Dr. Pamela Blake in Houston was ready to set an appointment up for me, but my insurance turned it down. It makes no sense to me, they will put me in the hospital for 4 days which cost $8,000.00!! for DHE protocol which didn't work, but they will not pay for a procedure that might take care of the problem all together that would save them thousands of dollars by not having to pay out their part on our insurance. Makes NO sense!!! I keep Hoping and Praying that there will be an answer soon, it's really getting to me. If not for the Grace of God I don't know how I'd get through this terrible pain!

God Bless,

Mercyme

Sallie
New Member


Date Joined Mar 2012
Total Posts : 2
   Posted 3/4/2012 8:04 AM (GMT -6)   
My daughter, 24, had nerve decompression surgery and a repair on her deviated septum a little over 2 weeks ago. She had had great success with Botox..2 years , headache free. Since the surgery, the first week was great but now she is experiencing headaches about every other day. For those who have had the surgery, is this normal? We've put a call into the nurse but are feeling a little discouraged after doing so well with the botox. Thanks so much!

Sallie
New Member


Date Joined Mar 2012
Total Posts : 2
   Posted 3/4/2012 12:08 PM (GMT -6)   
PS
I would gladly give information that we have since my daughter has already had the surgery.

tmjpain
Veteran Member


Date Joined Oct 2008
Total Posts : 2023
   Posted 6/16/2012 8:53 AM (GMT -6)   
 
Please watch the above video with slide presentation by Dr. Ducic who does the nerve decompression surgery. It is an excellent video and gives a ton of info.
 
Let me know what you think and if this is a surgery you are looking into. I am in the process of, actually this Wed., seeing a doctor re: ONS surgery. I am in Canada, so if anyone needs those contacts please send me a message. I will also be looking into the nerve decomp. surgery but looking for someone who does it in Canada. This surgery seems to be done by plastic surgeons.
 
Suzane

boballen
New Member


Date Joined Oct 2012
Total Posts : 1
   Posted 10/23/2012 6:08 PM (GMT -6)   
Greater occipitial nerve release for chronic migraines and occipital neuralgia has been done for several years now . Dr Bardia Amirlak in Dallas is doing this and also now for daily persistent headaches , results are great .His a peripheral nerve surgeon/plastic surgeon at UTSW in dallas and is working with a great team of neurologist . The surgery takes about 1.5-2 hours and they have good studies in the plastic surgery journals and im sure new studies will come out soon in neurology journals.

byranpeel
New Member


Date Joined Jan 2013
Total Posts : 3
   Posted 1/11/2013 10:18 PM (GMT -6)   
My best friend had trigger point surgery with Dr Bardia Amirlak at UTSW in Dallas. Amirlak and Guyuron in Cleveland who came up with the procedure I think are the top guys in the county . He has been migraine free for over a year now and he used to get migraines daily . He missed work so many times and had to change jobs , . Could not even leave the house for days at times. They are now doing this surgery for chronic headaches as well . He literally got his life back and swears by Amirlak's skills and bedside manner. I cant imagine why more people dont know about this . Its a miracle cure

davejmh
New Member


Date Joined Mar 2013
Total Posts : 1
   Posted 3/8/2013 7:09 AM (GMT -6)   
I have a grandson, who has been experiencing New Daily Persistant Headaches for approximately 8 years.
His experience is similiar to many. 
All sorts of Meds - too many to list here - too many doctors -
 
Currently undergoing Botox at Jefferson Headache Clinic in Philadelphia. 
Prior to that Botox at New England Clinic in Worcester, Ma.
 
Over the past year Mass General Hospital, Boston, has touted their success or ability to perform surgery for "migraine" suffering patients.  The surgery, I believe is headed by a Dr. Jay Austen, Jr of plastic and reconstructive surgery.
 
Does anyone know, personally know, if this type of surgery has been successful with NDPH? 
Does anyone know, personally if there has been successful surgery for NDPH at Mass General.
 
Has anyone had a personal experience with a Doctor Duci of Georgetown, Universtiy?
 
Thank you.
 
 

tmjpain
Veteran Member


Date Joined Oct 2008
Total Posts : 2023
   Posted 3/9/2013 8:47 PM (GMT -6)   
Dave, the other thing you can look into is occipital nerve stimulator surgery. This is being done in many of the states and a few provinces in Canada.
Also if you are interested there is a facebook group of people who suffer with intractable migraines/headaches and are getting the ONS or already have one.
The group is called occipital and peripheral stimulation.
 
Suzane

teenazless
New Member


Date Joined Jan 2012
Total Posts : 3
   Posted 5/8/2013 5:22 PM (GMT -6)   
Hi,
Our daughter had nerve decompression for her constant headache after all other treatment failed.  Her story is at www.mydaughtersheadache.com.  If you have any questions, please ask!  Dr. Ivica Ducic was her surgeon.

treatmentoptions
New Member


Date Joined Jun 2013
Total Posts : 1
   Posted 6/19/2013 2:26 PM (GMT -6)   
Can anyone tell me if insurance pays for this? My daughter is on Medicaid, because she is considered disabled. Would she qualify?
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