In this episode, Ziv M. Peled, MD speaks with board-certified neurologist, Pamela Blake, MD about the role of peripheral nerves in "unremitting head and / or neck pain".
4:00 I recently shared your paper on unremitting head and / or neck pain. Can you share a summary of your findings and thoughts?
5:50 Headaches are generally considered intracranial processes, a chemical abnormality of the brain. Your paper really bridges the idea that an injured nerve could have a similar presentation as a migraine. Can you talk about that?
9:30 Amongst your colleagues in the neurology community, are you finding that people are open to these ideas?
10:46 You recently opened a headache practice with plastic surgeon, Dr. Carlton Perry. Can you tell us about the make-up of that practice?
11:40 Take us through what would happen when a patient presents to your office.
15:35 Tell me a bit more about your use of cognitive behavioral therapy. When does that begin?
18:35 Another thing that I found interesting in your papers is your view on the role of opiates for treatment and also if a patient is a candidate for surgery. Can you talk about your thinking here?
21:45 How do you see headache medicine changing in the next 5 - 10 years?
25:00 When I started doing these operations and interacting with my neurology colleagues, a patient could go the surgical route or the medical route but they weren't complementary. One of the things that I believe will make a big difference to the standard of care and outcomes for headache patients is taking a multi-disciplinary approach. Any thoughts on that?
Ziv M. Peled, MD* is a Board-Certified plastic surgeon trained to perform the full spectrum of aesthetic and reconstructive plastic surgical procedures. He completed his medical school training at the University of Connecticut School of Medicine where he earned honors in multiple surgical disciplines. He subsequently completed four years of rigorous general surgical training at the University of Connecticut during which he also completed an additional two-year, post-doctoral Basic Science Research Fellowship at Stanford University under the tutelage of Dr. Michael T. Longaker, a pioneer in the field of scarless wound healing. During that time, Dr. Peled not only helped establish Dr. Longaker’s laboratory at Stanford, but was also awarded a 5-year NIH grant for his work in keloid biology and scarless wound repair. Ziv then completed a prestigious and highly sought-after plastic surgical residency at Harvard University. While there, he was awarded an “Excellence in Teaching” award from the Harvard medical students. Dr. Peled continued to hone his specialty skills with an additional year of training in peripheral nerve surgery at the Dellon Institute for Peripheral Nerve and Plastic Surgery. He is Board-Certified by the American Board of Plastic Surgery, which means that he graduated from an accredited medical school, completed numerous years of residency training, and successfully passed a series of comprehensive written and oral examinations. The American Board of Plastic Surgery is one of only a select few specialty boards recognized by the American Board of Medical Specialties (ABMS) and is the only ABMS board which certifies candidates in the specialty of plastic surgery of the entire body. Dr. Peled is also a member of the California Society of Plastic Surgeons.
In addition to his cosmetic and reconstructive work, Dr. Peled helped to found a perpiheral nerve surgery institute here in San Francisco. In that institute, he served as Director and Chief Plastic & Peripheral Nerve Surgeon. His specific training enables him to perform a unique set of surgical procedures designed specifically to restore sensation and minimize/eliminate pain in patients suffering from migrainesas well as neuropathy due to diabetes, chemotherapy and thyroid disorders. He has also treated many patients with various forms of nerve trauma as well as many other types of nerve disorders. Dr. Peled has authored and co-authored over 40 manuscripts and book chapters on all aspects of plastic surgery and has presented his work at numerous national meetings. He has performed several hundred peripheral nerve procedures of various kinds. Ziv is an Active Member of the American Society of Plastic Surgeons and was also recently elected as a member of the American Society for Peripheral Nerve. This honor recognizes and highlights Dr. Peled's breadth of work with peripheral nerve patients suffering from migraines and diabetes as well as his published work on peripheral nerve surgery. He continues to volunteer for the American Diabetes Association and has recently traveled to South America to provide reconstructive surgery to underprivileged children. In his spare time, he actively competes in both Half-Ironman and Ironman-distance triathlons.