Peripheral Nerve Stimulation Migraine Treatment on DFWs Ask The DFW Tutorial 2
Mike Burger: Welcome back to Ask The .I am your host, Mike Burger. Here to talk about a new procedure to alleviate migrainesis Kenneth Reed from Reed Migraine Centers. Remember we are also taking your calls andemail questions. The number is 18555MIGRAINE, or you can log on to our website at reedmigraine . Reed, who would qualify for this type of neurostimulation procedure, everyone thathas a migraine or . ? Reed: Absolutely not. Who is a candidatefor this procedure? It is probably the first question that people ask, quot;Am I a candidate?quot;It is actually pretty straightforward. This tends to work on most types of severe headaches,migraine, tension headaches. It is not for
everybody. The candidate for this patient,if somebody has frequent severe headaches, maybe two or more times a week, and the keyis they have tried more conservative treatment. This is not a first step in treatment.It is a surgical procedure, tends to be towards the end. People with headaches or a candidatethat's gone to a headache specialist and neurologist have been working with it, maybe several neurologists,medications or adjunctive treatment such as Botox, very often those will work and if theyare working, you certainly don't need this, but oftentimes they don't work or if theydon't work and there is really nothing left to do, that patient becomes a candidate, sofrequent, severe headaches that have tried
more conservative treatment, they are stillhaving them, they're a candidate. Mike Burger: Are there different types ofmigraine headaches? Reed: There are a lot of different typesof migraine headaches. Migraine headaches, some people just classify as a severe headache,but neurologically, they are very specific diagnoses. Patients that have them tend toknow, they are going to neurologists, they can tell us the type. This treatment has beenstudied in several different types, classic migraines, common migraines, tension headaches,chronic daily headaches, cluster headaches and in all of the studies, it shows it tobe very and similarly effective.
Mike Burger: How effective would you say theReed procedure is? Reed: How effective is it? Not everybodyresponds, but if they respond, it tends to be dramatically effective. People describeit as getting their life back. quot;I have my wife back. The children can function again.They are going back to school. They are enjoying life.quot; A percentage, they'll describe over80 to 90% improvement in the headaches, sometimes nearly complete resolution of the headaches.Mike Burger: I just want to quickly mention. I went to YouTube and I saw the tutorial of theyoung lady. I think she is a sophomore in college now, had a migraine for nine monthsand this procedure literally gave her life
back. Reed: Exactly so. Kim, who could not function, she had to withdraw from college, she wasliving with her parents. Here in Dallas, her dad is a wellknown orthopedic surgeon. Shecould literally not leave the house. About just over four years ago, they contacted us.We did the first step, which is test procedure to confirm that it works, and then we implantedthe full system. This is four years later, she is virtually headachefree. She takesno medications, lives a full active lifestyle and is doing just great.Mike Burger: She likes you a lot. Reed: It has been very gratifying, mostof the patients are very, very pleased.
Mike Burger: We have got to take a short breakand then we are going to come back with some more calls and some email questions. Stayright here with us.
Electrical Signal Therapy to Treat Nerve Pain
This is Silvester at the Next Step Footand Ankle , and I'm going to talk to you a little bit today about somethingthat, for our neuropathy patients, has been a real game changer. It's really given usanother powerful tool in being able to eliminate or significantly decrease the symptoms ofpainful peripheral neuropathy. There's also significant evidence that this procedure,this treatment that we do, actually helps the nerves regrow helps the nerves to healand become better. It's a matter of circulation in the nerve, it's also a matter of openingthe gates that how a nerve functions is that there are gates that allow electricalcurrents to pass down the nerve, and the nerve
uses a lot of energy to keep those gates eitheropen or closed, depending on what it's trying to do. The anatomy of a nerve is such that if youtook a nerve out of this young lady's back and down to her foot. If you spread that nerveout and magnified it at maybe 1000 times, the relative proportions of the nerve wouldbe like a string the length of a football field.A nerve uses more energy than any cell in the body, so the nerve, being that long andthat skinny, the nerve's ability to heal itself and deliver energy to all those littlegates all along that nerve is somewhat hampered.
This treatment tends to restore that and helpsthe nerve heal. It's a very simple procedure, and I'm going to show you this is themachine, it's called the Neurogenx 4000 Pro. It has an electrical current that goesinto the nerve and helps fire the nerve repeatedly over a period of time. Our treatments lastabout 3045 minutes, depending on the severity of the patient's symptoms. We do this withan integrated nerve block. I'm going to show you where the nerves comedown into your leg. There's one right here, and this is called the common peroneal nerve.We're going to put one patch there. There's a nerve right back here, and this is the tibialnerve, and that comes down right there, and
we'll put a patch there. All the nervesthat innervate the bottom of the foot come through here, and this is called the tarsaltunnel and the plantar nerves. Then on the top of the foot there's also a deep peronealnerve and there are also branches of the superficial peroneal nerve that are up here. Dependingon where the symptoms are the worst, we kind of move the pads to try and treat the nervesthat we're involved with. If you don't have very many symptoms on the deep peronealnerve, we do it up here at the superficial peroneal nerve. The first pad goes over the common fibularnerve, the next one goes back here where the
tibial nerve comes down into the leg and it'skind of deep right there. Most of the time we'll treat the superficial peroneal nerve.Then, on the inside of the foot, the area of the tarsal tunnel. Now that's all setup for nerve treatment, and all we do is turn the machine on, and we just bring up the intensityuntil the patient feels it. It shouldn't be uncomfortable, but you should be able tofeel it when it's working. It's a fairly substantial current. The next thing that wedo with this is either during or after the procedure, we give local anesthetic blocksinto those nerves that are most badly affected by nerve disease. We determine that with oural examination. Those injections consist
of just a longacting local anesthetic andso the patient leaves, they may be numb for a while or they may not feel any numbness.What happens is, the signal therapy followed with the local anesthetic therapy causes thenerve to be able to reestablish itself as far as the surrounding environment with nutritionalsupport, vasodilation and really helps the nerves heal themselves. This has been, inabout 80% of our patients who undergo this therapy, they have significant relief of theirperipheral neuropathy. It's not a one time thing. We have to do it 13 times, and sometimeswe extend it beyond that. 13 treatments in general, but sometimes we extend it beyondthat. That's electrical nerve stimulation