Doctors Show Young Ladys Headache Ease With Nerve Stimulator Migraine Treatment Tutorial 1
Dr. Stork We're bringing you the latest ways to end migraines, banish blemishes and live longer by catching problems early on. Next up migrainesRachel is desperate for help. Rachel Hi doctorsfor the past two years I've had horrible migraines. My head hurts 24 hours a day, nonstop and it feels like my brain is exploding inside my head. I can't go anywhere with my friends because bright lights and loud noises make it so much worse. I tried all kinds of medications but nothing seems to help. Please help me. Dr. Stork If you never had oneeveryone wonders what is a migraine feel like Millions of.
People suffer from the pain and it can be so excruciating people literally say it feels like is smashing their skull into a million pieces. We love demos on this show. Imagine you were dealing with a migraine headacheit literally does feel like someone is smashing your skull. It is so painful and throbbing that a lot of times when people are suffering from a migraine headache they can do nothing but lay in a dark room and hope the pain goes away. Now, what causes a migraine headache There are a lot of different theories but the one thing we do know is there a lot of different.
Triggers. It can be lights, it can be smellseven certain foodsthe weather can bring on migraine headaches for certain people. Again, different theoriesone is that the trigeminal pathwaynerves get excitedthey release a lot of chemicalssubstance Phas an effect on your blood vessels that line your brain.. What it does is it causes these blood vessels to dilate and what that does is it sends these throbbing pain signals that cause the symptoms of a migraine headache that can be so debilitatingbut luckily there's a new procedure and it's offering hope to many migraine sufferers just like Rachel and our cameras followed her into the.
OR as surgeons implanted a small electrical pulse device into her head. Dr. Reed Ok, we are going to make small incisions in her head here and we're going to put in four leadstwo in the fronttwo in the back. When the unit is turned on it generates a mild electromagnetic field that will stimulate these nerves that will ease her headaches. We always anchor these leads to the deep tissue so they don't move. Now we're placing what we call the introducer. It's just a little hollow plastic tubewe pass this directly under her skin to just right in the middle of her nose. This one's.
Going in directly above and parallel to her right eyebrownow we're going to pass it over to the right ear and then pass it down and connect up to where the battery is. What I'm holding in my hand are the in points of the two leads that we place over her forehead one above each eyebrow. We'll end up having four of these wire leads coming from two from the front, two from the rear. What we have here is we have an incision in the upper outer gluteal region and this is the battery we implant. This will go in a.
Occipital Nerve Stimulation Migraine Treatment Restores Young Life News Tutorial
Kim I had been receiving treatment for migraines for probably about eight years, starting around when I was 12 years old. I really tried everything. I'd been to lots of different doctors, even doctors out of state, doctors in different cities. I had tried acupuncture, and massage therapy, and biofeedback, really any outlet that they have. Finally, the headaches had gotten to the point where I had to leave school and really they were controlling my life. Speaker 2 Her headaches were under excellent control until she went to college the first.
Year, then went out of control. She was hospitalized. They couldn't stop it. Kim had to withdraw from college, come back, and it reached the point that, for the most part, Kim was having trouble even leaving her house to go out to lunch with her parents. Kim Here I was 20 years old, not able to work, not able to attend class and go to school. I finally realized maybe there is an end to this. Maybe there's a solution and maybe I can have this problem, but live my life the way I want to and actually have control over.
It. Speaker 2 The unique expertise that we have here and what we've developed is a procedure using an implanted neurostimulator for control of severe migraine headaches. A neurostimulator is an implanted unit. You could think about it like a small pacemaker for the heart and it's meant to stop pain. Everybody says that we put this in, it doesn't look little, but it really is small. Once it heals up, you can't see it under the skin at all. Kim I remember waking up with tears in my eyes because the pain was finally gone. I just knew that this neurostimulator was actually.
Young Patient Describes Success With Occipital Nerve Stimulation Migraine Treatment on News NBC
Migraines affect millions of people, an estimated 11 of the population. There is no cure, but a new medical procedure is promising relief for people who suffer the debilitating headaches on a daily basis. New at 10, NBC 5's Susy Solis looks at a treatment that puts patients back in control. Fifteen yearold Jessica Andre has spent much of her teen years visiting with doctors. It starts in the back, the beginning of my neck and it just goes up. A constant migraine for the past two years has affected her life dramatically. A lot of times I just want to lay in bed all.
Day. I've tried a countless amount of medicines, none of them worked. I've had Botox injections, an occipital nerve block and I had been to a massage therapist and a chiropractor, tried everything. Now, she is undergoing a fairly new procedure. It is somewhat analogous to a pacemaker for the heart, a little battery is under the skin with little wires that pass under the skin, two of them over each eyebrow and two of them in the back. Electrodes provide electrical stimulation to the nerves in the brain. The patient perceives a very mild tingling.
Sensation, a vibration, and the net affect of it is their headache goes away in a dramatic fashion. Patients first get a trial stimulator for a week's time and if it works, the patient will get a permanent implant. Doctors say the procedure has an 80 to 90 success rate. They'll put in a trial neurostimulator and most patients will know within days, or even hours, if the procedure worked. For Jessica, there is good news. I woke up and the back headache was totally gone. Days after the permanent implant was put in.
. It has been a lot better than it was. It has overall improved this. An external device allows Jessica to control how much charge to administer. The battery is right here and you just hold this over where the battery is and then it will make this weird sound and then you can turn on the levels up or down, it's like you're getting a head massage. Now she controls the migraine and not the other way around. Susy Solis, NBC5, Dallas. Neurostimulators are meant for patients who have not responded to traditional treatments.
Occipital Nerve Stimulator Migraine Treatment Restores Student Athlete to Gymastics
I don't really remember when they started. I had headaches periodically all the time. Then, one day ,I just was like I don't remember not having a headache. I've had headaches every hour of every day for at least eight or nine years and migraines two or three times a week on top of that. First, I was just on medicine after medicine after medicine and nothing helped. I've been on antiseizure medicine. I've been on antidepressants. I've been on everything you can think of. Most of the neurologists I went to didn't.
Know what to think of me. They saw like all the stuff I had been on and they're like, Well, anything we can think of giving you is close to the same thing that you've already been on. Some doctors even told me that they didn't think I had anything. They thought I was just making everything up. Anytime I got a really bad headache, I would lay in bed for forever, but my personality just wouldn't let me. No matter how bad I felt, I had to just get on with my life. I.
Would go to school with a migraine. Even if I couldn't open my eyes or even pay attention, I would just show up. I would try to live my life as best as I could in the situation that I had, but it was just difficult for me to do that. A lot of times, physical pain actually held my head. I enjoyed doing sports, but a lot of times, right after I finish a game or something, I couldn't go out with a team because I was hurting so bad.
I just had to go home and fall asleep and get out of any place that had lights or loud noises or anything. For eight, nine years, I had a steady six every hour of everyday. Two or three times a week it would spike up to eight or nine and stay there for sometimes a couple of days, sometimes just a couple of hours. Most of the time, I would just fall asleep. Most of the time, it would be better the next morning, but a lot of times I would have to wait a couple of days for it to ever come.
Back down, but it would never go below five and most of the time it was at six. After I had the procedure, right after I found the inaudible 000158 that worked best for me, it dropped straight down to a two and it's been around at two ever since. At first, I was like I don't know if I want something implanted in my head and down my back, because I've dealt with this headache for years. I wasn't going to let it ruin my life like it took away a lot, but I didn't want something invasive in my body making.
It so I can't go to sports, because I was still playing sports. A stimulator's not hard to use at all. I have to charge it like once every other week. It takes like five, ten minutes to charge. It's just a bell I put around it and the sensor just goes off with the batteries on my hip. I charge it while I'm watching TV or driving or something. Then I can turn it on and off with the magnet. Just swipe it over the battery it turns it off or on, if I ever need to do that a lot.
Of times I sleep with it off. Besides that, I usually have it on all the time. Then, if I ever want to change the frequency, which I don't do as much now that I've had it for a while, it's just a little remote that I can hold over it and it's really easy to control. After the final procedure, I was back coaching gymnastics. I was back doing flips off walls, jumping on the trampoline, doing flips on that, playing slam ball out in my backyard which is. we lower the basketball goal to eight and a half feet, and it's really.
Occipital Nerve Stimulation Migraine Treatment Dr. Reed Explains Benefit of the Trial Stimulator
With the test stimulator, we actually implant a temporary unit, which is no more involved than a little. what looks like an IV tube under the skin, leave it in for three days, and the patient sees if it stops the headaches. If it does, it does so very dramatically, very quickly. Then, we see them back four days later and they'll tell us whether or not it worked. The way it's done, it's a medical procedure performed in the outpatient setting at the hospital. It literally takes about 15 minutes.
To do. It's completely painless because the patient has an IV sedative. Once the patient's asleep with the sedative, it looks like we put a tiny IV tube above each eyebrow and then two in the back here. Important to note, just like an IV, it's no further under the skin than this. In other words, nowhere close anything that could be damaged. There's no incision. The patient goes to sleep for 15 minutes. When they wake up, they look a little funny. They have some tape here and long little tubes out. To repeat,.
Very akin to an IV tube, but these little tubes plug in to a little battery box that's on the outside of the body. Immediately, when they wake up in the recovery room, there's a rep from the company there that will turn the unit on. What the patient will feel is this very mild little tingling sensation in the forehead and the back of the head. Commonly, we might do this on a Friday morning. The patient will go home over the weekend, and then three days later, come back to my office where we remove the temporary.
Unit. When we remove it, we basically take the tape off, and the little IV tube just slides out. It doesn't even need a BandAid on it. At that point, again, they will tell me whether or not it worked. If it did not work, then quite simply, they're not a candidate for the permanent unit. If it did work, and in most cases it does, and again works in a very dramatic way where it stopped their headaches, then we set up and plan a permanent stimulator implant for a couple of weeks later. One of the beauties of an implanted stimulator is this ability.
Dr. Reed Describes How Occipital Nerve Stimulator Migraine Treatment Provides Migraine Relief
The mechanism by which nerve simulators work is that the battery generates a very mild electromagnetic field at the tip of a long wire. Again, there's a small battery. We have to conceptualize as very long thin little wire coming in. At the tip is a really mild electromagnetic field. The little wire is right under the skin, in the forehead and back of the head. Again, you can't see anything. The electromagnetic field basically stimulates the very superficial nerves in the head. The patient feels a little tingling sensation or mild vibration which they describe as feeling very good. It's a.
Very soothing sensation. By certain mechanisms, that effectively stops the headache pain. There's medical studies to show that even though it's stimulating the superficial nerves, those were, in turn, stimulating deep centers in the brain, the deep nuclei, felt to be related to the areas that are important in the genesis and modulation of headaches. The perception is just a mild tingling sensation, but the way it works with the deeper centers in the brain is a very safe. in a very safe fashion to really just stop or prevent.
The headaches from occurring in the first place, but works extremely well. Physicians are always cautious to overstate what any kind of treatment can do. I'm discussing this with that fully in mind. This is not a treatment that a patient would have where they were some better, a little better, which is very common without treatments. Maybe the headaches are somewhat decreased in frequency, not as severe. Not the case here. For patients that respond to this and we put in what we term a permanent unit, the response is I term dramatic, night and day.
Causes of Headaches and the Greater Occipital Nerves
Ok let's talk about headaches. There are many types of headaches Cluster Headaches, Migraine Headaches, Tension Headaches, Sinus Headaches. Today we want to cover more of the tension headache and the general type of headache that we know can be caused from nerves in your neck. Now the most common type of headache is one where the nerves will come from the base of the skull and cervical I, or what is called the Atlas bone. In our neck, there are seven vertebra that make up that cervical spine from the side and from the back. The.
Two big nerves that we want to talk about are the greater occipital nerves. One is on the right and one is on the left. Here and then back here. The reason that we talk mainly about those with headaches is because that is an area that can be very troublesome for people when they have headaches. Now, those headaches if they're caused by those greater occipital nerves those nerves run between the skull and the cervical I, and they run right up the back of the head. Some of that can come to the top of the head. Some of that.
Can come to just above the eyes. Some of those branches will come down into your temple areas. So there can be three areas, towards the top and front, that can be from those nerves. Where the nerve can get pinched in the back here and come all the way to the front, especially if that pinching causes swelling around that nerve and that nerve stays swollen for a while, it will travel up and over. You can still have the headache at the back called the occipital headache, because those nerves can get pinched back here and just not travel to the front.
But you can have it on both sides. Some people will have it just on the right or just on the left. But, those nerves can travel up and over, and up and over, and you can also have it here. Your pain can be at the base of that skull. Now, sometimes people if it gets really bad these headaches stay and they can become chronic for them. Long term they keep having them over and over again. Maybe they're taking some sort of pain killer to try to settle those down. But sometimes you'll have it not just here but all the way.
To the front to where you feel like the headache is pretty much everywhere around the head. What we want to try to do with these headaches is eliminate the cause of the problem. At Schneider Clinic, we are going to look at this area when we see those type of symptoms. We will see if there is something we can work on in that area to determine, Do you have headaches caused by the greater occipital nerves That is today's lesson in headaches caused by problems caused by the greater occipital nerve in the upper part of your neck or the.
Lower part of your skull called the occiput. So, if you have tried all of those other things, some of them I would say are good things. Maybe you've tried essential oils and rubbed those on the neck or on the back of your head. Maybe you've done the drug route with over the counter medicine where you've taken Advil, Aleve, or Tylenol. Maybe you've even visited your medical doctor and they have prescribed a stronger medication for you. It would still be a good idea, in my opinion, to check this and see Is that where my headaches are originating.
From and can that be helped to where you do not need the medications and all the side effects that go with them. What I would tell you is. call us. We'll do a free consultation with you. You can call our number, 5742937000. You can also visit us on the web, which you are on, at SchneiderClinic and learn more about this. You can live chat us on our website, or go to the New Patient request section and request to be a new patient. Come visit us. We'd love to help you.
Occipital Nerve Stimulation Migraine Treatment FAQ Tutorial Dr. Reed Explains the Permanent Unit
For a permanent stimulator, that means we've done the test on the patient. It's worked extremely well and they want to do the permanent. What we do is the day that we take out the test stimulator, I sit down, and once again, go over the process of a permanent stimulator. It's usually done about two weeks later. It's also a relatively simple medical procedure. The difference in the test and the permanent stimulator is that the permanent stimulator has the battery implanted under the skin versus the test, where it's on top.
In the test stimulator, we mentioned that there's four very, very thin, little, what look like IV tubes, actually plasticcovered wires under the skin over the eyebrows and then in the back of the head. With the test unit, conceptually, the little leads come out of the skin to a battery on the outside of the body. With the permanent stimulator, we pass the leads from the front, the little wires from the front around the right side to the back of the head, and then all four of them, there's.
Two in the back under the skin to where the battery is. This is the battery we use for the implant. This is actually their newest model that's available. It doesn't matter where in the body for the permanent stimulator that the battery goes. It can go anywhere. For technical reasons, we usually put the battery under the upper outer rear, the upper outer gluteal region. A little incision is made. The battery is inserted into the skin and closed up. With the permanent stimulator from this battery, we have those four tiny little wires passing under the skin, again two to the back of the.
Dr. Reed Discusses Excellent Safety Record of Occipital Nerve Stimulation for Headache Treatment
Neurostimulation has been in use for a long period of time, a very standard, wellaccepted treatment that involves a very small or relatively small, little battery under the skin. To repeat, you really can see anything. It doesn't limit you. The patient can't even feel that it's there, but what it is doing, in a very safe fashion, is stopping their headaches. The process of putting in an implanted stimulator is really a twostep process. The first step is a test, or a trial, stimulator to see if it works. The thing to emphasize about the.
Trial is that it is very simple. While we take all medical procedures very seriously, including this, it's hard to get much simpler than a tiny little IV tube that's coming under the skin. The thing that we look at with any treatment is the pro and con. What good can a treatment do versus what's the downside The upside of this, of a temporary stimulator, is very clear. The pro is, if it works, the patient will be very happy. Their headaches have finally been taken care of. What's the down side, physical downside None. Minimal. This cannot make headaches worse.
Peripheral Nerve Stimulation Headache Treatment News Tutorial Who is a good candidate
The people that are candidates for this are patients with severe headaches that have been through other courses of treatment, and they're just not responding or they're not responding that well to high doses of medications. We treat a lot of different diagnostic categories. I want to emphasize that a patient shouldn't worry so much about whether their diagnosis works or not. They all do. In particular, what we're looking for here are patients with severe headaches, whether it's severe tension, migraine, whatever. This can work on them off of the severity. The type of pain that that we're talking about here typically are.
Patients that have frequent headaches. Number one, by frequent, at least several times a week and, most often, daily pain, and within that group, most often almost continuous pain. The severity of the pain is typically pain that will actually put them to bed. They cannot go to work. They're going to bed with it. They can't go to school. Oftentimes, it's bad enough they're going to emergency room for treatment. Certain types of headaches are described like a knife going in through the eye and will escalate. Then it involves other symptoms, very commonly nausea and vomiting with it. A lot of people,.
Either during or more commonly before a headache, will get what we call an aura. They may feel a certain way. They may have a certain weird smell. Often, they will see little flashing lights in front of their eyes, which heralds a headache coming on. These are all very real physiologic phenomenon that's going on in the brain itself. Again, we're talking about a constellation of symptoms and a spectrum, but generally, very severe, frequently cannot participate in normal activities, frequently to the emergency room. Universally, they have to go to bed and it's to the point that the medications.
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