No more injections: surgery targets the nerve behind chronic migraines

A new option is emerging for people with chronic migraines: Sheba Medical Center recently began performing minimally invasive microsurgery for patients whose condition has not responded adequately to conventional treatments. Sheba says the service is the first of its kind in Israel and focuses on relieving pressure on sensory nerves in the head and face. The approach is based on identifying an anatomical “trigger point” — the area where the pain begins and where a muscle, connective tissue or blood vessel may irritate or compress a sensory nerve. Once the point is located, the surgeon releases the nerve using microsurgical techniques. The service is led by Dr. Ayman Khoury, a specialist in hand and peripheral nerve surgery and a senior physician in Sheba’s Department of Hand Surgery, Limb Salvage and Microsurgery. Khoury completed advanced training at leading centers in Taiwan in peripheral nerve surgery and microsurgery under Prof.