Precision Personalized Medical Treatment for Headaches and Migraines

Neuromuscular Approach is Pinnacle of Personalized Precision Medicine.

Measurement is essential for precision treatment! “If it is measured it is a fact otherwise it is an opinion” Barney Jankelson founder of precision neuromuscular dentistry.

In general treatment for headaches and migraines is far from personalized or precision but rather consists of trial and error treatment with pharmaceuticals.

After you read this article you may appreciate these patient testimonials:

100% of Headaches and Migraines are Trigeminally innervated either partially or predominantly. There is only one precision approach to the Trigeminal Nervous System that concentrates on reducing nociception and that is Neuromuscular Dentistry.

The fastest connection in the trigeminal nervous system, the brain or anywhere in the body is the Proprioceptive Mesencephalic Nucleus of the Trigeminal Nerve. This incredibly important area is the only place in the nervous system that has direct electrical conduction of impulses between neurons rather that the more common and slower acting chemical neurotransmitters found in other nerve connections. Only precise personalized precision adjusts of neuromuscular dentistry accurately adjust this crucial and unique area of the brain.

The brain is very complex and there are different chemical neurotransmitters that transmit impulses across neuro-junctions. Much of the pharmaceutical attack on headache symptoms concentrate on altering these neurotransmitters such as serotonin, Norepinephrine, CGRP, Substance P, Acetyl Choline, glutamate (most prevalent and usually excitatory 90% of the time), aspartate, γ-aminobutyric acid (GABA) which is the second most prevalent. Gamma-Aminobutyric Acid, or GABA, which is inhibitory at more than 90% of the synapses that do not use glutamate.

Learn more about the Personalized Precision Medicine Approach to correcting nociptive input into the trigeminal nervous system that is a major cause of all headaches, migraines and autonomic cephalgias at

Elimination of headaches is different than correction of the nociceptive input into the CNS due to neuroplasticity and previous muscle splinting, taut bands, triggerpoints and other myofascial issues from chronic muscle over-adaptation. Correcting long standing problems requires directly addressing myofascial trigger points and taut bands with ULF-TENS, trigger point injections, spray and stretch, myofascial trigger point therapy, myofascial release and other techniques as well as correcting postural issues throughout the body. Trigger Point Injections as espoused by Dr Janet Travell and David Simons MD is perhaps one of the single most personalized precision types of treatment for headaches, myofascial pain and Fibromyalgia as opposed to the dangerous approach of pharmaceuticals used in a shotgun fashion. There is a place for medications in all these disorders but it should be secondary or tetiarry not primary.

The autonomic nervous system is also a major area of concern and perhaps the best approach is to avoid all psychoactive drugs with their widespread side effects and instead alter the incoming messages into the autonomic nervous system with Sphenopalatine Ganglion Blocks which can turn off the Sympathetic Fight or Flight response and allow the Parasympathetic system to predominate with its Feed and Breed or Eat and Digest functions.

Personalized Precision Medicine is ideally approached in the autonomic nervous system when patients can self administer SPG Blocks, the same technique used by DR Milton Reder in the best selling book about his practice “Miracles on Park Avenue” which discussed the miraculous “cures” that were obtained with this amazing block first discovered and reported by Dr Sluder in 1908.

The same SPG Block I teach patients to self administer has been arounfd for a very long time but was kind of forgotten as doctors began writing more prescriptions of newer drugs.  The older treatment is often far more effective than medications and far safer without danferous side effects.

This amazing article from 1930 discussed Sphenopalatine Ganglion Blocks:

The original work includes more than 2,000 cases and more than 10,000 instances, counting multiples and repetitions, of remote dysfunctions being arrested by anesthetizing the sphenopalatine ganglions.

December 1930


Arch Intern Med (Chic). 1930;46(6):1026-1038. doi:10.1001/archinte.1930.00140180127013

Our object in this paper is to bring together the more important observations that have accumulated in the literature on the sphenopalatine ganglion during the past twenty-five years and the more important observations that have been made during eight years of original work on this subject. The original work includes more than 2,000 cases and more than 10,000 instances, counting multiples and repetitions, of remote dysfunctions1 being arrested by anesthetizing the sphenopalatine ganglions. This should provide a working guide that will bring the student of the subject to the front lines of advance without unnecessary delay.

Anesthetization of the sphenopalatine ganglions and the injection of alcohol into them have one feature in common: They render the ganglions impervious to the passage of nerve currents. An injection may be considered the equivalent of an anesthetization lasting several months instead of several hours, and so the associate phenomena need not be discussed

Byrd H, Byrd W. Sphenopalatine phenomena: present status of knowledge. Arch Intern Med. 1930;46(6):1026–1038. doi: 10.1001/archinte.1930.00140180127013.

This video is of a Physician who was  “TRICKED INTO BECOMING A DOCTOR” after receiving a SPG Block.  This video is the day he found out from me that what he had experienced was a Sphenopalatine Ganglion Block.

Chair, Alliance of TMD Organizations
Diplomat, American Academy of Pain Management
Diplomat, American Board of Dental Sleep Medicine
Regent & Fellow, International College of CranioMandibular Orthopedics
Board Eligible, American Academy of CranioFacial Pain
Dental Section Editor, Sleep & Health Journal
Member, American Equilibration Society
Member, Academy of Applied Myofunctional Sciences

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