Treatment Option

Trigeminal Nerve is the 5th cranial nerve taking sensation from face to brain. Trigeminal Neuralgia is the neuralgic pain along distribution of Trigeminal Nerve. Trigeminal Neuralgia has been described as one of the most severe pain syndromes. It is characterized by excruciating, electric shock like, shooting/stabbing pain in the distribution of Trigeminal nerve in the face.

A. Medical Management :
Majority of time anti convulsants like carbamazepine, oxcarbamazepine , pregabalin works nicely for the initial period. Later on this medicines does not cause significant pain relief .

B. RFTC ( Radio Frequency Thermo Coagulation ) :
At Pain Care Clinic with this advanced procedure patient get more than 90 % pain relief for longer duration .It is done mainly with Live X-ray machine with high accuracy after anaesthetizing skin only . Sometimes it can be done with help of CT Scan machine . In this procedure High Frequency current is passed along painful division ( V1, V2, V3 )of trigeminal nerve, so damage to other division of nerve can be avoided. At Pain Care Clinic , we have treated more than 200 cases of Trigeminal Neuralgia with RFTC.

C. Sphenopalatine Ganglion RFTC :
In Refractory or Recurrent Trigeminal Neuralgia advanced treatment like Pulsed Radio Frequency procedure of Sphenopalatine Ganglion is done with higher success rate & long lasting pain relief .It is again done under Local anesthesia & live X-ray Guidance . This procedure is also useful for management of headache ,Head - neck Cancer Pain , Atypical Fascial Pain or any Neuropathic Pain of Face.

D. Ballon Compression :
Here a balloon is inflated along trigeminal nerve to ablate the pain signals.

E. Other Treatment options :
Cyber Knife , Galvanic Knife are other treatment options, but not common in India.

F. Micro Vascular Decompression :
This is a surgery performed by neurosurgeon in patient having no pain relief with other treatment options.

Reasons

Compression on nerves by vascular loops or tumours
Post Traumatic or post surgery
Repeated tooth extraction
Post Radio Therapy in Cancer Patients
Infection
Idiopathic

Symptoms

Current like pain along chick or one side of face
Episodic ( few seconds to few minutes )
Aggravated with eating, speaking , heat /cold air , chewing
more at night
Initially good response with medicine
Touch aggravates the pain

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Testimonials

Sciatica/SI Joint

Renukaben P Bhatt : Earlier I had pain in low back more than 30 years & knee pain more than 7 years, I had consulted many doctors & took medicine but they all had advised me for operation of spine & both knee. Then I heard about Dr. Palak Mehta. She had performed PRP treatment in my both knee & for Back Pain she put injection in SI joint . Now I had 80% relief in my knee Pain & Back Pain. Thanks to Dr. Palak Mehta for giving relief from very old pain.

Back Pain

Shantaben Bhanubhai Raiyani: When I consulted Dr Palak Mehta I was suffering from back pain since 1 year. I had severe pain while walking, sleeping and doing my routine activity. Dr Mehta suggested me for injection treatment and after her treatment there is complete relief in pain. Now I can walk, sleep, sit down and can do my routine activity without any pain.

Knee Pain

Sakinabibi Mehboobbhai Mansuri: I was suffering from knee pain since 5 years and I consulted so many doctors but there was no relief in pain and even some doctors suggested me for knee replacement or they asked me to take complete bed rest. Once I saw Dr Palak Mehta's interview and consulted her and through her procedure treatment there is 95% relief in pain. I came to her clinic on wheel chair but now after taking her treatment I can do my routine activity independently without any support.

Neck Pain

Bhanubhai Nanjibhai Raiyani: I was suffering from Neck Pain since 3 years. After consulting Dr Palak Mehta and through her treatment there is complete relief in neck pain

Shoulder Pain

Indravadan B Surti : I was suffering from shoulder pain since 32 years. After consulting Dr Palak Mehta and through her injection treatment there is 70% relief in pain.

Trigeminal Neuralgia

Vimalaben Ambalal Patel : Pain before the operation was severe which was not bearable while talking, eating and during washing face, but now after operation it's really good, no more pain. Basically I will rate this operation of Trigeminal Neuralgia is 97%.

Endoscopic Discectomy

Jayaben Sureshbhai Panchal : Doctor's practice is good. I had back pain since 5 years and I saw Dr Palak Mehta's interview on television and consulted her. After examining she advised me for Endoscopic Discectomy treatment and after taking treatment there is 65% relief in pain.