A Proven Surgical Solution for Medically Refractory Migraine
For millions of people suffering from chronic migraines, dark rooms, prescription triptans, and preventive medications offer only temporary or inadequate relief. In a significant subset of migraine patients, the neurological cascade is physically triggered by the compression and chronic irritation of sensory nerve branches as they pass through tight muscular, fascial, or vascular tunnels in the head and neck.
Dr. Vishal Purohit performs peripheral nerve decompression surgery. By surgically releasing the tight fascia, muscles, or crossing blood vessels irritating these sensory nerves, we eliminate the peripheral trigger point, dramatically decreasing or completely resolving migraine attacks.
The 4 Primary Migraine Trigger Sites We Treat
Site I: Frontal Trigger (Forehead & Above Eyes)
Compression of the supraorbital and supratrochlear nerves by the corrugator and depressor supercilii muscles. Released via an endoscopic hairline incision or through hidden eyelid creases.
Site II: Temporal Trigger (Temples)
Compression of the zygomaticotemporal nerve as it passes through the temporalis muscle.
Site III: Occipital Trigger (Back of Head & Upper Neck)
Entrapment of the Greater and Lesser Occipital Nerves (GON/LON) by the semispinalis capitis and trapezius muscles.
Site IV: Rhinogenic Trigger (Behind Eyes & Nose)
Deviated nasal septum or enlarged turbinates pressing against internal nasal sensory mucosa.