The goal of migrane surgery is to reduce or eliminate pain and frequency of headaches. Migranes can be associated with compression and irritation of sensory nerves and blood vessels in the head. When these compression points are released during surgery, the severity of the migrane may be reduces or even removed.
Nerve compression sites are also known as /„trigger points“/. You may have one or more trigger points, depending on the symptoms. The most common and main sites of migraines are frontal (forehead, pain above the eyes and/or forehead), temporal (pain abode the temple), rhinogenic (pain inside the nose that can spread behind the eyes), occipital (pain in the back of the head that can radiate towards your eyes or behind them). You may also feel pain in less common areas around your head.
Who is a suitable candidate for a migraine surgery?
Migrane surgeries require a very individual approach. Depending on the symptoms, you may have one or more places on your head where you need to release a nerve.
In general, you may be a suitable candidate for a migraine surgey if :
- Your neurologist has diagnosed you with migrane or occipital/neuralgia (not all headaches are migranes!)
- You have tried several therapies (drugs) without auccess
- You are physically healthy
- You have realistic expectations
What to expect during a migraine surgery examination?
During your examination, there are three main components that will determine if you are a suitable person for migrane surgery. First one is your past and present medical hisotry. This part of assessment is crucial because it gives the surgeon insight into what has led to the current condition and indicates how to avoid mistakes that have been repeated in the past. Secondly, you should prepare for a systematic examination, which will be focused on the symptoms and possible places of compression of the head, which cause migranes. Thirdly, you will undergo diagnostic test, such as nerve blocks/local anesthetics or botox injections, to confirm whether peripheral nerve pathology is a factor in your migrane symptoms.