The Migraine Procedure San Francisco

Over the past 10 years, medical researchers have identified trigger points in the head and neck that cause migraine headaches to start. This research culminated with a placebo-controlled research trial showing that surgery directed at the trigger points will eliminate or markedly relieve migraines in more than 84% of patients over the long term.

Migraine surgical solutions vary from patient to patient, depending upon the trigger point muscles identified through injectable treatment methods. The muscles (or conditions) that are most likely correlated with migraine headaches are the forehead, temple, back of the head or deviated septum. 

How is migraine surgery performed? 

  • Migraine surgery is typically an outpatient procedure.
  • Surgery involves the triggering nerve(s) being decompressed (trigeminal, supra-trochlear, and/or great occipital) or divided (zygomatico-temporal).
  • Decompression is conceptually similar to carpal tunnel surgery.
  • The procedure can be done endoscopically for the supra-orbital, supra-trochlear and zygomatico-temporal.
  • The procedure can be performed endo-nasally for naso-septal trigger points.
  • Migraine procedures are similar in approach to an endoscopic brow lift and/or septoplasty.
  • Patients do not have much to worry about in regards to the incisions made during the procedure. These are typically hairline incisions which can barely be seen.

What is the recovery like?

Recovery time is usually between 1 and 2 weeks and many patients see marked improvement in symptoms shortly after surgery. 

What are the benefits of migraine surgery?

Migraines begin to resolve anywhere from 2 days to 2 months post-surgery.

  • 5/6 patients report some kind of improvement of migraines
  • 3/6 patients report near 100% migraine relief
  • 2/6 patients report near 50% improvement in migraine intensity and/or frequency
  • 1/6 patients report 0% improvement of migraines