Peripheral Nerve Stimulation Migraine Treatment on DFWs Ask The DFW News Tutorial 1

Speaker 1: The following program is sponsoredby Reed Migraine Center and features medical questions from viewers. Nothing within theprogram establishes patient confidentiality. Mike Burger: Hello and welcome to Ask The. I am your host, Mike Burger. Joining us today is Kenneth Reed from Reed MigraineCenters to discuss the revolutionary procedure used to alleviate migraine. Reed is thefounder of the revolutionary Reed procedure, used specifically for treatment of chronicsevere headaches. We are also will be taking your calls and email questions. The numberis 18555MIGRAINE or log on to the website at reedmigraine . Reed, thanks for being here. Tell us a

little bit about the neurostimulation andthe Reed migraine. This is really fascinating. I know people who have had migraines. Mostof our viewers know those people and this sounds pretty impressive. Reed: I think it is. For patients that respond to this, it can be amatic. It canchange their life. Neurostimulation has actually been used for quite a while for paintheneck and back, called the spinal cord stimulator. These have been implanted around the world,numerous sDFW area have been doing it since 1960s, huneds of thousandsof patients, for chronic neck and back pain. What we did is used the same technology, butapplied it for headaches initiallythe

back of the head1990s, where we had aseries of patients, we reportedthe medical literature, excellent results. It is calledoccipital nerve stimulation. That procedure is actually done around theworld now for painthe back of the head. We found it didn't work as well for migraineheadaches, more commonly painthe front and side of the head, so about six years ago,we extended this technique, addeda frontal component and now we've seen an excellentresponse rate with indeed amatic responses with most of our patients for this.Mike Burger: That sounds fabulous. Can you tell us little bit about the micro stimulatorand actually how it works. Is that like a

little battery somewhere? Reed: Exactly so. I think we have a graphic, if we can put it up. A neurostimulator, thedevice, it's made by three large companiesthe United States, all excellent equipment.It consists of a small battery very similar to pacemaker battery. In fact, the companiesmake thesethree long wires, plasticcovered wires. The battery is actually typically implantedin the upper outer hip and there are reasons for that. It is very simple to pass theselittle wires up under the skin, two of them end themthe back of the head, right underthe skin what we call the occipital nerves, and two pass over the front just right inthe eyebrows.

You cannot see it. There are no scars. Youcan't even tell it is there. It is actually a very safe procedure. When it is turned on,the patient will feel just a mild tingling sensation, tends to feel very good, by certainmechanisms that will opt and amatically ease the patient's pain.Mike Burger: I have to ask you, and I am thinking about football players or anybody that playssports. Any chance that these wires would break or . ? Reed: Another good question. We implant thesea lot of athletes. We have 30 teenagersso far, cheerleaders, gymnasts, water skiers, snow skiers, baseball player, haven't hada football player yet, but we could absolutely

put themfootball players. There are norestrictions. It is very safe. It is medical equipment. It could move or something, buteven then, it is very safe and we could replace it back there, but it has been very successfulin our very active young patients. Mike Burger: How many types of neurostimulatorsare being used? Reed: If you look on the Internet, thereis actually a lot of types and can be easily confused. For our purposes, we describe fourdifferent main types of neurostimulators. The most common one is what I mentioned earlier.It has been used around the world for neck and back pain and that's called the spinalcord stimulator. By the way, the equipment