Clinical Specializations And Credentials

-- Diagnosis and Treatment of Polyneuropathies Local nerve entrapment Painful and diabetic neuropathies Chronic neuropathic pains and RSD- CRPS

-- Publications Neurology Neuropathology Neurophysiology

-- Clinical Endorsements

-- Photographs

Photographs

Jay Sonnad obtains electronic Thermogram.	Bill Triplett demonstrates Quantitative Sensory Test to prominent neurologists and scientists.
Neurogenic inflammation and thermogram in patients with sensitized pain nerve fibers.

Diagnosis and Treatment

Diagnosis and treatment of Polyneuropathies Integrated clinical, neurophysiological and pathological assessment of generalized neuropathies, especially small fiber neuropathies. Quantitative sensory testing. Electron microscope criteria for pathology of unmyelinated (pain and sympathetic) nerve fibers (see Ph.D. Thesis, 1970). Microneurography criteria for hyperexcitable nerve fibers (See Journal Brain, 1980 and 1989; Journal Muscle and Nerve, 1998).

Diagnosis and treatment of local nerve entrapment Integrated clinical and neurophysiological evaluation of Carpal Tunnel Syndrome, ulnar neuropathy, peroneal neuropathy, meralgia paresthetica...etc) (See Book, Rosenbaum and Ochoa, 1993). Characterization of the fine structural pathology of nerve fibers, and its cause, in acute and chronic nerve entrapment (See Nature, 1971; Journal of Anatomy, 1972).

Diagnosis and treatment of painful and diabetic neuropathies Integrated clinical, neurophysiological and pathological evaluation. Characterization of the ABC syndrome of irritable nociceptors ("erythromelalgia" or "erythralgia") (see our chapter in Book edited by Belmonte and Cervero, 1996).

Diagnosis and treatment of chronic neuropathic pains and RSD- CRPS Integrated clinical, neurophysiological and pathological evaluation. Differential characterization of the syndromes of painful neuropathy vs. pseudoneuropathy (see Journal Contemporary Neurology, 1997)

Key Publications in Neurology:

Ochoa J. (1980) Criteria for the assessment of polyneuropathy. In: Experimental and Clinical Neurotoxicology, Eds. Spencer PS, Schaumburg HH. Baltimore:Williams and Wilkins, 681-707.

Ochoa J, Torebjörk HE. (1980) Paresthesiae from ectopic impulse generation in human sensory nerves. Brain 103:835-853.

Ochoa J, Torebjörk HE. (1983) Sensations evoked by intraneural microstimulation of single mechano-receptor units innervating the human hand. Journal of Physiology, 342:633-654.

Cline MA, Ochoa J. Torebjörk HE. (1989) Chronic hyperalgesia and skin warming caused by sensitized C nociceptors. Brain. 112:621-647.

Lindblom U, Ochoa J. (1992) Somatosensory Function and Dysfunction. In: Diseases of the Nervous System, Vol. II. Eds. Asbury AK, McKhann GM, McDonald WI. Second Edition. Philadelphia: W.B. Saunders Co. 213-228.

Ochoa J. (1992) Thermal hyperalgesia as a clinical symptom. In: Hyperalgesia and Allodynia. Ed. Willis WD Jr. New York: Raven Press,151-165.

Rosenbaum R, Ochoa J. 1993 (Book authors) The Carpal Tunnel Syndrome and Other Disorders of the Median Nerve. Boston:Butterworth-Heinemann.

Verdugo R, Ochoa J. (1994) Placebo response in chronic, causalgiform, 'neuropathic' pain patients: study and review. Pain Reviews, 1:33-46.

Verdugo R, Campero M, Ochoa J. (1994) Phentolamine sympathetic block in painful polyneuropathies. II. Further questioning of the concept of 'sympathetically maintained pain'. Neurology, 44:1010-1014

Ochoa J. (1995) Editorial: Reflex? Sympathetic? Dystrophy? Triple Questioned Again. Mayo Clinic Proceedings, 70:1124-1126.

Ochoa J. (1997) Chronic pain associated with positive and negative sensory, motor, and vasomotor manifestations:CPSMV (RSD; CRPS?). Heterogeneous somatic versus psychopathological origins. Journal of Contemporary Neurology, 2:2,1-21.

Key Publications in Neurophysiology:

Culp W, Ochoa J. 1982 ( Book editors and Chapter authors) Abnormal Nerves and Muscles as Impulse Generators. Oxford University Press.

Sivak M, Fernández JM, Ochoa J. (1993) Positive Manifestations of Nerve Fiber Dysfunction: Clinical, Electrophysiological, and Pathologic Correlates. In: Clinical Electromyography, Second Edition. Eds. Brown W, Bolton C, Boston:Butterworths. 117-147.

Ochoa J, Serra J, Campero M. (1996) Pathophysiology of human nociceptor function.In: Neurobiology of Nociceptors. Eds. Belmonte C, Cervero F. London: Oxford University Press. 489-516.

Campero M., Serra J., Ochoa J. (1998) Ectopic impulse generation and autoexcitation in single myelinated afferent fibers in patients with peripheral neuropathy and positive sensory symptoms. Muscle & Nerve, 21:1661-1667.

Ochoa J, Bell LA. (1999) Microneurography as a clinical-research tool. In:Electrodiagnosis in clinical neurology:4th Edition. Ed. Aminoff MJ. Churchill-Livigstone Inc. 291-301.

Serra J, Campero M, Ochoa J. Bostock H. (1999) Activity-dependent slowing of conduction differentiates functional subtypes of C fibres innervating human skin. J. Physiol, 515;3:799-811.

Key Publications in Neuropathology:

Ochoa J, Mair WGP. (1969) The normal sural nerve in man. I. Ultrastructure and numbers of fibres and cells. Acta Neuropathologica, 13:197-216.

Ochoa J, Mair WGP. (1969) The normal sural nerve in man. II. Changes in Axons and Schwann cells due to age. Acta Neuropathologica, 13:217-239.

J. Ochoa (1970) The structure of developing and adult sural nerve in man and the changes which occur in some diseases. A light and electron microscopic study. Ph.D. Thesis, University of London (202 pages).

Ochoa J, Danta G, Fowler TJ, Gilliatt RW. (1971) Nature of the nerve lesion caused by a pneumatic tourniquet. Nature (Lond.) 233:265-266.

Ochoa J, Fowler TJ, Gilliatt RW. (1972) Anatomical changes in peripheral nerves compressed by a pneumatic tourniquet. Journal Anatomy, 113:433-455.

Ochoa J. (1978) Recognition of unmyelinated fiber disease: morphologic criteria. Muscle & Nerve, 1:375-387.

Ochoa J. (1975) Microscopic anatomy of unmyelinated fibres. In: Peripheral Neuropathy, Ed. Dyck PJ, Thomas PK, Lambert EH. Philadelphia:Saunders, 131-150.

Thomas PK, Ochoa J. (1984) Microscopic anatomy of peripheral nerve fibers. In: Peripheral Neuropathy, 2nd Edition, Eds. Dyck PJ, Thomas PK, Lambert EH. Philadelphia:Saunders, 39-96.

Thomas PK, Berthold C.-H, Ochoa J. (1993) Microscopic Anatomy of the Peripheral Nervous System. Nerve Trunks and Spinal Roots. In: Peripheral Neuropathy, Third Edition. Eds. Dyck PJ, Thomas PK, Griffin JW, Low PA, Poduslo JF. Philadelphia:Saunders, 28-73.

Clinical Endorsements:

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Published Books

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