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Chronic Daily Headache (CDH): There Is a Different Way Forward
Living with a headache almost every single day is incredibly draining. Some days the pain is there when you wake up, other days it builds as the hours go by, but it rarely gives you a full break. If you’ve already tried the usual route — different medications, injections, nerve blocks, and maybe even a peripheral nerve stimulator — and still find yourself searching for real relief, you’re far from alone. Many people reach a point where they feel completely worn out by the whole process.
The Issues With Classic Therapies
Many patients with daily or near-daily head and neck pain from chronic daily headache become deeply disillusioned after trying and failing classic therapies — including medications, injections, nerve blocks, and other treatments — that simply don’t deliver the lasting relief they need. The real reason these options often fall short is that inflammation and mechanical compression are squeezing the occipital nerves and cutting off normal blood flow. The nerves start to starve for oxygen and nutrients — this is called ischemia — and they begin firing off intense, ongoing pain signals to the brain. This ischemic pain signaling is why pills, injections, or anything carried in the blood frequently can’t reach the nerves effectively, no matter how good the treatment is.
A Different Approach To Chronic Daily Headache
There may be a good explanation about why your medical therapies aren’t working. Whether you take a pill, capsule, cream, salve, injection, or any other form of medication, the medicine is absorbed by your body and goes into the bloodstream. The blood is supposed to carry the medicine to the problem area and fix it. But if the blood flow is blocked and can’t get where it needs to go, then anything absorbed into the bloodstream can’t get there either.
This is where Dr. Carlton Perry’s approach feels different. He pioneered peripheral nerve decompression surgery to gently release those entrapped nerves and the surrounding inflammatory tissue so normal blood flow can return. Once the nerves are revascularized and getting the oxygen and nutrients they need again, the ischemic pain signaling often quiets down, giving many people a real chance at more lasting relief — without any implants, batteries, or repeated procedures.
What sets Dr. Perry apart
What truly sets Dr. Perry apart is how carefully he works with the nerves themselves. Unlike many surgeons who perform this type of decompression, he does not cut your nerves. And if any nerves have been damaged — whether from natural causes, a previous procedure or for any other reason — he performs immediate nerve reconstruction at the same operation. Where you go for your nerve decompression surgery first truly matters. His meticulous, nerve-preserving technique has helped patients from all 50 states and 12 foreign countries, with an overall success rate of about 85%. You can read their real stories on our patient reviews page.
Important Note
This is not medical advice, and individual results vary. Neither approach is a treatment for classic episodic migraine (though some patients have overlapping conditions). The best way to determine what might help your specific situation is a thorough evaluation.
If you are dealing with occipital neuralgia (ON), chronic daily headache (CDH), or new daily persistent headache (NDPH) and feel like you’ve run out of effective options, take Dr. Perry’s Free Pain Survey or call our office at 713.522.8228. It includes an extensive screening and interactive 3D anatomical modeling to help assess whether nerve decompression surgery may address the compression-related component of your pain.
Ready to Take the Next Step?
Start the Free Pain Survey or call our office at 713.522.8228 to learn more. Patients have come from all 50 states and 12 foreign countries for this evaluation.
Where you go for nerve decompression surgery first truly matters — Dr. Perry does not cut nerves and performs immediate reconstruction if needed during the procedure.
Call our Houston office at 713-522-8228. We’re happy to answer your questions and help you figure out if this could be the right path for you.
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We have developed an extensive protocol to help us determine which patients might have these issues and would be the best candidates for possible nerve decompression surgery for headache.
Occipital Neuralgia
(ON)
We have developed an extensive protocol to help us determine which patients might have these issues.
New Daily Persistent Headache (NDPH)
The exact cause of NDPH is still unknown, some medications and therapies can help manage the symptoms.
Occipital Nerve Stimulator (ONS)
This procedure addresses inflammation and scar tissue that compress or entrap the occipital nerves, restricting blood flow.
Frequently Asked Questions
Why haven’t my medications or injections helped?
Often it’s because the compressed nerves aren’t getting enough blood flow, so treatments carried in the bloodstream simply can’t reach the problem area effectively.
What if I’ve already tried a nerve stimulator?
You’re not alone. Many patients see the benefits fade after 18–24 months. Decompression offers a hardware-free alternative that goes after the root cause instead of just masking the pain. See our peripheral nerve stimulator page for more information.
Is this treatment for migraine headache?
No. We focus on occipital neuralgia (ON), chronic daily headache (CDH), and new daily persistent headache (NDPH). Some people have both nerve compression headaches and classic episodic migraine at the same time, and the survey helps sort out what might be contributing to your pain.
How do I know if I’m a candidate?
The quickest and easiest way is to complete Dr. Perry’s Free Pain Survey or call our office at 713.522.8228. It’s confidential and specifically designed to evaluate suitability for nerve decompression surgery.
What makes Dr. Perry’s approach different?
He does not cut the nerves and performs immediate nerve reconstruction if any damage is present. Plus, he focuses exclusively on getting to the actual source of the pain rather than just managing symptoms.
If you are tired of dealing with that shooting pain in the back of your head and neck, you’re not out of options. Start the Free Pain Survey or call our office at 713.522.8228. All correspondence is confidential – we’re here to listen and help you explore whether nerve decompression surgery might finally make a meaningful difference.