Occipital Nerve Blocks: Miracle therapy or glorified placebo?

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Occipital Nerve Blocks: Miracle therapy or glorified placebo?

Over the past two decades, this author has performed occipital nerve blocks (ONBs) over 10,000 times for the treatment of headache. The patients receiving those blocks have been a varied lot, but most have had “cervicogenic headache“,  a term surprisingly unpopular with a number of headache specialists but nevertheless adequate for its descriptive value if not its specificity.

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Letter from the Editor

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Letter from the Editor

Within the period of only a few months, we have been challenged by profoundly stressful events that have influenced virtually every aspect of our day-to-day lives. The COVID-19 pandemic and the recent civil unrest have produced a pervasive sense of unease. The stress accompanying that unease impairs our ability to cope gracefully and healthfully with whatever obstacles we must face.

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Shout-Out

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Shout-Out

For many of us, one of the consequences of the ongoing pandemic and associated "social distancing" has been a heightened appreciation of those merchants who continue to supply both our basic needs and those welcome extras that inject a bit of spice into day-to-day life. This would seem to be an especially good time to express gratitude to at least some of those merchants.

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A Migraine Revolution! Understanding the New Migraine Therapies

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A Migraine Revolution! Understanding the New Migraine Therapies

There is currently occurring nothing short of a revolution in migraine therapeutics. Little had emerged in the way of new migraine medications since onabotulinumtoxinA (Botox) became available for the treatment of chronic migraine in 2010. Suddenly, starting with the appearance of erenumab (Aimovig) in May 2018, new therapies for migraine prevention and acute migraine treatment have been dropping in our laps like eggs from an especially ambitious hen.

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