Dr. Pamela Blake helps many people with chronic headaches lead a more fulfilling life. A subject of particular interest to Dr. Blake is the role of occipital nerve compression as a cause of chronic headaches and led her to develop effective medical interventions as well as further the role of nerve decompression surgery. Let’s discuss her process and publications in an open forum where you can ask questions and write your personal experience at patient.zone

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  • The Puzzle of Refractory Headaches: Part IV

    As I alluded to in Part III of this conversation, many factors can contribute to the development of refractory headache. I promised to return to the matter of emotional factors affecting pain, and we will discuss that here. This is a topic that I recognized to be a critical factor years ago, and for which,…

  • The Puzzle of Refractory Headaches: Part III

    In Part II of this series, we explored the very important question of How and why do migraine headaches start? Why, especially, do refractory headaches occur? Refractory headaches, which are generally understood to be headaches that do not respond well to treatment and which can pose significant disability for the afflicted, are often felt to…

  • The Puzzle of Refractory headaches: Part II

    In Part I of this blog, we talked about the first published report, in 1992, that stated that compression of the occipital nerves in the posterior neck could cause chronic head and neck pain, and that surgical removal of pressure from the nerves in a surgical procedure called ‘decompression’ could provide relief. Work in this…

  • patient.zone

    This post is for you to share your experiences of your headache journey; both the ups and the downs – your experience will help someone else. Click on the post title to start describing your journey. If you do not have time to complete in one post, label it Part I, Part II etc., and…

  • “Are my headaches really migraines?”

    The term ‘migraine’ is often used to mean severe headache, however, there are diagnostic criteria that should be used to diagnose migraine to ensure consistency across all practices. These criteria are in the ICHD-3, the Intenational Classification of Headache Disorders – 3rd edition, which is available online. The diagnostic criteria for migraine do not state…

  • The Puzzle of Refractory Headaches: Part I

    Refractory headaches are very problematic, causing pain for the patient and consternation for the physician.  A possible cause of refractory headaches and neck pain is pressure on the occipital nerves, which travel from the upper neck to the back, top and sides of the head.  Welcome to headache.zone.  I am Dr. Pamela Blake.  I am…

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  • Rethinking the root of chronic headaches

    Chronic headaches are a leading cause of health burden worldwide and are debilitating for people living with the condition. Pamela Blake, MD, Director of the Headache Center of River Oaks, and Carlton Perry, MD, River Oaks Plastic Surgery Center, are exploring the underlying cause of the condition in the hope of finding ways to provide…