Dr. Shapira's Chicago Headache Blog

Neuromuscular Dentist in Chicago, IL Accepting Patients Nationwide & Worldwide

Status Migrainosus Resistant to Medication Responds to Sphenopalatine Ganglion Blocks

October 29, 2020

Medication resistant Status Migrainous (SM) is a nightmare for patients who frequently have a migraine history which evolves into continuous migraine lasting 72 hours or more.  SM is frequently resistant to over the counter and prescription abortive medications.  This article looks at the use in the Emergency Department of the use of the  Suprazygomatic approach to injecting the Sphenopalatine Ganglion or SPG.

Transnasal Sphenopalatine Ganglion Blocks can be effective but the Suprazygomatic injection has a high success rate in these cases.  The article concludes that "The SPG is known to play an integral role in the pathophysiology of facial pain and the… Read Full Post

Status Migrainosus Resistant to Medication Responds to Sphenopalatine Ganglion Blocks

October 29, 2020

Medication resistant Status Migrainous (SM) is a nightmare for patients who frequently have a migraine history which evolves into continuous migraine lasting 72 hours or more.  SM is frequently resistant to over the counter and prescription abortive medications.  This article looks at the use in the Emergency Department of the use of the  Suprazygomatic approach to injecting the Sphenopalatine Ganglion or SPG.

Transnasal Sphenopalatine Ganglion Blocks can be effective but the Suprazygomatic injection has a high success rate in these cases.  The article concludes that "The SPG is known to play an integral role in the pathophysiology of facial pain and the… Read Full Post

Trigeminal Nerve is the “MASTER OF THE UNIVERSE OF HEADACHE”! All Headaches and Migraines are products of the Trigeminal Nervous System.

October 11, 2020

All migraines and headaches are products of the Trigeminal Nervous System. 

It could be stated that the Trigeminal Nerve is the “MASTER OF THE UNIVERSE OF HEADACHE”

The entire universe of headaches is directly related to the Trigeminal Nervous System.  One major system of the Trigeminal Nervous System is the Trigemino-vascular System.  This is the system where the trigeminal nerve controls the blood flow to the anterior two… Read Full Post

All Headaches and Migraines are products of the Trigeminal Nervous System.

October 11, 2020

All migraines and headaches are products of the Trigeminal Nervous System. 

 

It could be stated that the Trigeminal Nerve is the “MASTER OF THE UNIVERSE OF HEADACHE”

 

The entire universe of headaches is directly related to the Trigeminal Nervous System.  One major system of the Trigeminal Nervous System is the Trigemino-vascular System.  This is the system where the trigeminal nerve controls the… Read Full Post

Sphenopalatine Ganglion (SPG) Blocks: What is the Best Route of Administration?

August 24, 2020

Sphenopalatine Ganglion Blocks have been in use for over 100 years.  The blocks fell out of use for many years as pharmaceuticals became widely utilized for a wide variety of conditions.  Unfortunately, often the the promise of new drugs fell far  short of the expected results  which led to a new renaissance in the utilization of Sphenopalatine Ganglion Blocks. They are primarily utilized for chronic head and neck pain, migraines, vestibular migraines, tension headaches, cluster headaches and TMJ disorders. but can also be utilized for multiple  ENT symptoms, Anxiety, PTSD, for treating Essential Hypertension as well as a wide variety of other issues.… Read Full Post

Sphenopalatine Ganglion (SPG) Blocks: What is the Best Route of Administration?

August 24, 2020

Sphenopalatine Ganglion Blocks have been in use for over 100 years.  The blocks fell out of use for many years as pharmaceuticals became widely utilized for a wide variety of conditions.  Unfortunately, often the the promise of new drugs fell far  short of the expected results  which led to a new renaissance in the utilization of Sphenopalatine Ganglion Blocks. They are primarily utilized for chronic head and neck pain, migraines, vestibular migraines, tension headaches, cluster headaches and TMJ disorders. but can also be utilized for multiple  ENT symptoms, Anxiety, PTSD, for treating Essential Hypertension as well as a wide variety of other issues.… Read Full Post

Sphenopalatine Ganglion (SPG) Blocks: What is the Best Route of Administration?

August 24, 2020

Sphenopalatine Ganglion Blocks have been in use for over 100 years.  The blocks fell out of use for many years as pharmaceuticals became widely utilized for a wide variety of conditions.  Unfortunately, often the the promise of new drugs fell far  short of the expected results  which led to a new renaissance in the utilization of Sphenopalatine Ganglion Blocks. They are primarily utilized for chronic head and neck pain, migraines, vestibular migraines, tension headaches, cluster headaches and TMJ disorders. but can also be utilized for multiple  ENT symptoms, Anxiety, PTSD, for treating Essential Hypertension as well as a wide variety of other issues.… Read Full Post

Sphenopalatine Ganglion (SPG) Blocks: What is the Best Route of Administration?

August 24, 2020

Sphenopalatine Ganglion Blocks have been in use for over 100 years.  The blocks fell out of use for many years as pharmaceuticals became widely utilized for a wide variety of conditions.  Unfortunately, often the the promise of new drugs fell far  short of the expected results  which led to a new renaissance in the utilization of Sphenopalatine Ganglion Blocks. They are primarily utilized for chronic head and neck pain, migraines, vestibular migraines, tension headaches, cluster headaches and TMJ disorders. but can also be utilized for multiple  ENT symptoms, Anxiety, PTSD, for treating Essential Hypertension as well as a wide variety of other issues.… Read Full Post

Sphenopalatine Ganglion (SPG) Blocks:

August 24, 2020

Sphenopalatine Ganglion Blocks have been in use for over 100 years.  The blocks fell out of use for many years as pharmaceuticals became widely utilized for a wide variety of conditions.  Unfortunately, often the the promise of new drugs fell far  short of the expected results  which led to a new renaissance in the utilization of Sphenopalatine Ganglion Blocks. They are primarily utilized for chronic head and neck pain, migraines, vestibular migraines, tension headaches, cluster headaches and TMJ disorders. but can also be utilized for multiple  ENT symptoms, Anxiety, PTSD, for treating Essential Hypertension as well as a wide variety of other issues.… Read Full Post

Vestibular Migraine and Occipital Headaches: The Best Approach is not Medication.

August 24, 2020

Trigeminal Nervous System is key to 100% of headaches and migraines.

The standard medical approach considers this a migraine problem where it is frequently a posture and airway issue.

Occipital headaches are extremely common in patients with forward head posture.  Forward head posture can independently lead to symptoms identical with vestibular migraine.  

Forward head posture is also associated with TMJ or Temporomandibular Disorders (TMD).  There is also  a close association between small nasopharyngeal airways and TMJ disorders. All of the symptoms of Vestibular Migraine are commonly associated with TMJ disorders as well.

Read Full Post