Migraine pain is not caused by the blood vessels in the brain. In many sufferers though the more superficial branches of the external carotid artery on the outside of the skull are sources of excruciating and sometimes chronic pain. Although sufferers may sometimes feel as though the pain is originating inside their skull, it’s in fact caused by those parts of the face, head, and neck that lie outside the skull.
Fortunately for headache and migraine sufferers, this means that the structures, be they muscles, nerves, arteries or others, that cause this pain are easily accessed and can often be treated successfully and the pain and aura permanently prevented without medication.
We achieve our excellent treatment results with Dr. Shevel’s unique and comprehensive diagnosis protocol that accurately determines each patient’s individual pain map. The accuracy of the diagnosis allows us to pinpoint the anatomical structures that are responsible for causing the pain.
There are four main origins of pain: 1) Muscle tension 2) Arterial dilation/inflammation 3) Nerve sensitivity 4) Tendon sensitivity. These anatomical structures are the focus of our diagnosis and treatment. Of the thousands of patients Dr. Shevel treats each year almost all of them present with pain from one or more of these structures. Dr. Shevel’s Maxillo-Facial and Oral expertise has allowed him to develop drug-free treatments that offer permanent relief from these painful structures.
Dr. Shevel’s treatment focuses on the muscles of the jaw, face, head and neck as well as the many small arteries that lie on the outside of the skull. Muscle tension is treated using a thin plastic plate worn against the pallet, and painful arteries are closed, as a day procedure, and often using only local anaesthetic. These tiny superficial cuts on the scalp do not affect blood flow to the brain.
These structures are ignored by other headache specialists and neurologists because conventional medical thinking has been that the pain originates in the brain. However published medical research has proved conclusively that the pain is extra-cranial, and Dr. Shevel’s treatment success rate bears testament to this. Specialists can read this breakthrough article that explains how headache pain does NOT originate from arteries in the brian, by Schoonman et al (Brain 2008).
MUSCLE PAIN: The Posture Modifying Appliance (PMA).The PMA is a thin and comfortable custom-made plate worn against the palate. The PMA adjusts the tongue position, which in turn relaxes the jaw, and then the muscles around the temples, cascading relaxation in the muscles all the way down to the neck and back. This re-calibration of the muscle equilibrium modifies the patients posture. This is where the appliance, designed by Dr. Shevel, derives its name. Once equilibrium is restored and all the contributing muscles have relaxed, the pain dissipates and harmony is restored.
ARTERIAL PAIN: Minimally invasive surgery. When arteries are indicated as the primary source of pain, Dr. Shevel’s diagnostic method allows for these tiny problem arteries to be accurately located (using full colour #D image scan and a Doppler flow-meter) and then closed. In many patients closing these small arteries provides almost immediate relief. However there are four additional factors that may undermine the initial result: 1) hypersensitivity; 2) shunting (when the blood redirects to an alternate dormant artery); 3) idiosyncrasies of each individuals anatomy and hormones 4) effects of medication.
At the Headache Clinic, we offer a complete diagnosis of anatomical causes of your headache. If the causes can be successfully treated, the headaches will no longer occur with the same intensity or frequency, and the dependence on harmful medication can be drastically reduced and often completely eliminated.
Assessment and consultation with Dr. Manny Orellowitz.
If you’re experiencing migraine you can rest and have your migraine healed in our clinic.
If you’re experiencing migraine you can rest and have your migraine treated in our clinic.
Where medically indicated (C-section, Sinus, TMJ, Pan, CEPH)
Electromyography and other diagnostic tests
With the internationally accredited migraine research specialist, Dr. Elliot Shevel, where necessary
of results and discussions of treatment options available.
are not included. Our team of doctors and specialists will advise if you need a brain scan or blood tests.
The cost of the treatment is not included. We will provide a quotation for treatment after we diagnosed the cause of your headache: Migraine.
If you require on-going emergency pain relief, this will be an additional expense
Our patients are generally those that have already tried everything including the free advice we give below. Try these easy suggestions – some headache sufferers from these simple tips, and you may not need any further treatment. If you have suggestions on what we could add to this page to benefit sufferers, please contact us.