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Peripheral Nerve Surgery
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PERIPHERAL NERVE SURGERY
SURGICAL TREATMENT OF NEUROPATHY There are literally millions of patients in the United States and many more worldwide who suffer from problems related to peripheral nerves, meaning those nerves outside of your spinal cord or brain. One of the pioneers in this field is Dr. A. Lee Dellon whose life’s work has focused on peripheral nerves and developing surgical treatments for those patients suffering from neuropathy caused by diabetes, chemotherapy treatments, heavy metal poisoning, thyroid disease and other causes. More recently, surgical treatment options have also been defined for patients suffering from chronic pain in the groin area and knee. These procedures have the potential to help a great many people. Dr. Peled spent an entire year at the Dellon Institute in Tucson, Arizona after completing his plastic surgery training at Harvard. During that time, he learned how to evaluate these patients and perform these operations. He has brought his experience and knowledge in treating such patients to the Bay Area as a component of his surgical practice. The results from these surgical procedures can often be life-changing in that patients may experience reduced pain, relief from pain, and may have improvements in sensation to their hands and feet. These benefits may translate into patients being able to come off of narcotic medications, to have improved balance resulting in fewer falls, and to resume their former lives. Moreover, many of these procedures take fewer than two hours to complete and are performed on an outpatient basis. However, these operations are not for everyone and the only way to determine who is a good surgical candidate is to be seen and evaluated by a trained physician. For more information on these procedures, please call our office to speak with Dr. Peled.
For additional information about the surgical procedures discussed on this page, please contact our office. SURGICAL TREATMENT OF MIGRAINE HEADACHES It is estimated that there are over 28 million migraine sufferers in the United States. In fact, one in four households has at least one migraine sufferer. The mainstay of treatment for migraines has been some combination of general preventative measures (e.g. avoiding things that your know trigger a migraine), abortive therapies (e.g. mediations that will stop a migraine once it has started), and prophylactic treatments (e.g. those medicines designed to prevent migraines from occuring in the first place. These treatment modalities are based on the long-held theory that nerves within the brain become irritated and subsequently cause hypersensitivity, irritation, and inflammation in the peripheral nerves (i.e. those in the periphery of the body or not in the brain or spinal cord). Irritation of the peripheral nerves in the forehead, temple, or back of the scalp/head can cause the perception of pain or a migraine. A newer theory suggests that it is irritation of the peripheral nerves first that subsequently causes sensitization of the nevres within the brain and leads to migraines. In studying this concept, a group of neurologists and peripheral nerve/plastic surgeons at Case Western Reserve University's School of Medicine have developed straightforward surgical procedures which can be performed on an outpatient basis, that can help prevent or minimize the irritation of these peripheral nerves. They have published a number of studies which demonstrate that migraines can be very effectively treated in this manner. Dr. Peled has recently completed the "Surgical Treatment of Migraine Headaches" course at Case Western Reserve University and can now offer these procedures to his patients. For more information, please call our office to schedule a consultation.
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