Nummular Headaches


Nummular means coin-shaped (think numismatist-coin collector). These are rare and often difficult to treat. Patients complain of a constant, severe pain, without migraine features, localized to a specific area of the scalp, about the size of a silver dollar. Nothing abnormal can be felt in the scalp and it is not tender. MRI is normal. Perhaps some unrecognized injury to scalp sensory nerves is the cause. Medications are usually ineffective. Injecting local anesthetics, e.g. Marcaine, or BOTOX may help.

Dr. Florin is committed to treating all patients compassionately with state-of-the-art techniques while maintaining their dignity and independence. He views each patient encounter as a collaboration. Dr Florin has over 35 years of experience. He is Adjunct Clinical Professor at Keck School of Medicine (USC) and is the founder and medical director of the Fullerton Neurology and Headache Center. He has been recognized by the Orange County Medical Association as a Physician of Excellence in Neurology. US News and World Report ranks him in the top 10% of neurologists nationwide.

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