Our Services

Northeastern Migraine Surgery Center offers a number of treatments and procedures. Please contact us if you have questions about any of these procedures.

Nerve Decompression

The process of releasing a trapped nerve from surrounding tissue or muscle. Usually found in the current location or zone of the offending migraine.

Botox / Chemodenervation

BOTOX® is the first and only FDA-approved preventive treatment for Chronic Migraine. It’s also the only treatment for people with Chronic Migraine that can help prevent headaches and migraines before they even start. There are minimal side effects of the outpatient procedure including soreness, redness or bruising of the injection area. Some patients may experience temporary weakened muscles surrounding the targeted site.

Turbinectomy for Migraines

The lateral nasal walls contain 3 pairs each of small, thin, shell-like bones: the superior, middle, and inferior conchae, which form the bony framework of the turbinates. Sometimes these bones contain bubbles making them take up more space than normal. They are called conchobullosae.

As the primary controller of nasal airflow, the nasal turbinates, play an important role in normal nasal respiratory function. The mucosa of the turbinate is an essential tissue for proper respiratory function. Nasal obstruction due to enlarged turbinates is a relatively common occurrence, often causing a contact point within the nasal cavity.

Although the nasal mucosa of the turbinates swell as part of the nasal cycle, menstrual mucosal hyperactivity or abnormal shape of the turbinate can cause irritation at the contact point, necessitating a need for intervention.

Turbinectomy is a partial or complete resection of the turbinate. Complete turbinectomiesy are really done, usually partial turbinectomiesy involve removing the thin bone and leaving the mucosal lining. Conchobullosae are also removed when present in this bone.

Nerve Block

A nerve block is an injection to decrease inflammation or “turn off” a pain signal along a specific distribution of nerve. A nerve block may allow a damaged nerve time to heal, provide temporary pain relief and help identify a more specific cause of pain.

Neuroplasty

The process of surgical repair of a nerve.

Steroid Injection

A steroid injection is an anti-inflammatory agent that is injected with a needle into an area associated with pain. Inflammation is a common component of many conditions and reducing inflammation helps reduce pain.

Concho bullosa

A concha bullosa is an air-filled cavity within a turbinate in the nose. Concha is another term for turbinate. Bullosa refers to the air-filled cavity within the turbinate. It is a normal anatomic variant seen in up to half the population. Occasionally, a large concha bullosa within a turbinate may cause it to bulge sufficiently to obstruct the opening of an adjacent sinus, possibly leading to a contact point and irritation.

The presence of a concha bullosa is often associated with deviation of the nasal septum toward the opposite side of the nasal cavity which may or may not cause a contact point within the nasal cavity.

In such a case the turbinate can be reduced in size by endoscopic nasal surgery.

Neuralgia Testing

The term neuralgia is used to describe pain that radiates along the path of a nerve. In some cases the cause is unknown, but the condition can often be caused by pressure on nerves due to a number of different reasons, such as infection or injury.

Trigeminal neuralgia is the most common type and involves facial pain. Neuralgia can occur at any age, but it is most common among the elderly. Neuralgia is not life-threatening, but the pain can be severe. Early diagnosis is critical in preventing continued pain. 

Neuralgia is diagnosed by history and physical findings such as tenderness and radiated pain. The diagnosis can be confirmed by nerve block.