How long has it been known that compressed nerves cause migraines?
Dr. Ducic: It has been known for several years. I would say there were reports already published in the early 90s about nerves in this anatomic distribution that causes headaches. The biggest problem is that it may be difficult for an everyday physician to know exact inclusion criteria, who should qualify for the surgery and when it should be considered. It should be considered for anybody with chronic headaches, migraines for longer than six months despite the optimal care provided by headache specialist providers, or tenderness over the nerves when the nerve is pressed very vividly. If the nerve block is effective in that anatomical, their headaches can temporarily be controlled, relieved, or eliminated. That is an indirect sign that the nerves are truly involved into photogenesis of the headaches which makes them clear candidates for the surgery. Is this a new surgery? Dr. Ducic: I have been doing this for three and a half years myself. Some other physicians might have been doing th