Surgery for Occipital Neuralgia?

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    I was diagnosed by my neurologist with Occipital Neuralgia two years ago. I have pain and burning in the back of my neck and where the skull and the spinal cord meet.  I have a level of pain daily. I can function with pain some days, sometime I can be in bed for a couple of days with severe pain and or migraine.  I have found a Dr. Dudic, in Washington D.C.  He claims he has done hundreds of surgery [decompression] for ON.  I was wondering if you can tell me if you know anything about him, the surgery, or how I can check out his information to be accurate. Thank you, Lolita.

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    Dear Lolita;


    There are a few journal articles about such surgical techniques, but they don't yet offer a great deal of evidence, nor are there many revealing clinical trials at this point in time.


    There is a question in the community question and answer section of this site where a woman discusses her experience with this type of surgery for Migraines. You can read it here -- I have had occipital decompression and temporal nerve removal, yet the migraines have come back.


    Beyond that, the best suggestion we can make is for you to gather all the information you can about the doctor and the procedure, share it with a doctor whose judgment you trust, and ask for his or her opinion. This kind of advice should really come from someone who knows you and your past and current medical history well.


    Good luck,
    John Claude Krusz and Teri Robert


    To review other questions from our Ask the Clinician Column, browse the Ask the Clinician archives.


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    About Ask the Clinician:

    Dr. Krusz is a recognized expert in the fields of headache and Migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and Migraines. You can read more about Dr. Krusz or more about Teri Robert.


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    Last updated August 18, 2009.

Published On: August 18, 2009