OK
12
12

Order Summary

3 Services

 1,234

View Cart
MORE
Store Timings
    Trigeminal Neuralgia Well known painful condition also known as Suicidal disease to Trigeminal neuralgia is a chronic pain condition that affects the trigeminal nerve, which carries sensation from your face to your brain. If you have trigeminal neuralgia, even mild stimulation of your face — such as from brushing your teeth or putting on makeup — may trigger a jolt of excruciating pain. You may initially experience short, mild attacks. But trigeminal neuralgia can progress and cause longer, more-frequent bouts of searing pain. Trigeminal neuralgia affects women more often than men, and it's more likely to occur in people who are older than 50. Because of the variety of treatment options available, having trigeminal neuralgia doesn't necessarily mean you're doomed to a life of pain. Doctors usually can effectively manage trigeminal Neuralgia with medications, injections or surgery. Radiofrequency ablation is best non surgical intervention.under fluroscopic guidance by any interventional pain physician.who is expert one to manage without opening your skull. Branches of the trigeminal nerve There are three branches of trigeminal nerve originated from ganglion. 1-Ophthalmic 2-maxillary 3-mandibular Trigeminal neuralgia symptoms may include Any single division or mixed pattern of one or more of these division. Episodes of severe, shooting or jabbing pain that may feel like an electric shock Spontaneous attacks of pain or attacks triggered by things such as touching the face, chewing, speaking or brushing teeth Bouts of pain lasting from a few seconds to several minutes Episodes of several attacks lasting days, weeks, months or longer — some people have periods when they experience no pain Constant aching, burning feeling that may occur before it evolves into the spasm-like pain of trigeminal neuralgia Pain in areas supplied by the trigeminal nerve, including the cheek, jaw, teeth, gums, lips, or less often the eye and forehead Pain affecting one side of the face at a time, though may rarely affect both sides of the face Pain focused in one spot or spread in a wider pattern Attacks that become more frequent and intense over time When to see a doctor If you experience facial pain, particularly prolonged or recurring pain or pain unrelieved by over-the-counter pain relievers, most often patient get Treatment from dentist, who knowingly or unknowingly derooted many teeth.made edentulous jaw.sometime patient goes to ENT surgeon, because of ear pain problem.but none has no definite roles in Pain management. Any Neurophysician or Pain physician is right doctors to consult for further management.but Pain physician not only facilate medical treatment.but he performed minimal invasive procedures like - 1-glycerol rhizolysis 2-Radiofrequency thermocoagulation 3-Ballon decompression 4-Gama knife therapy Causes- In trigeminal neuralgia, also called tic douloureux, the trigeminal nerve's function is disrupted. Usually, the problem is contact between a normal blood vessel — in this case, an artery or a vein — and the trigeminal nerve at the base of your brain. This contact puts pressure on the nerve and causes it to malfunction. Trigeminal Neuralgia can occur as a result of aging, or it can be related to multiple sclerosis or a similar disorder that damages the myelin sheath protecting certain nerves. Trigeminal neuralgia can also be caused by a tumor compressing the trigeminal nerve. Some patients may experience Trigeminal neuralgia due to a Brain lesion or other abnormalities. In other cases, surgical injuries, stroke or facial trauma may be responsible for trigeminal neuralgia. Triggers factors- A variety of triggers may set off the pain of trigeminal Neuralgia, including: Shaving Touching your face Eating food Drinking Brushing your teeth Talking/speech Putting on makeup Encountering a breeze Smiling/chewing Washing your face
    Read More
    Details
    Query
    Share
    `
    SEND
    What is TN? Trigeminal neuralgia (TN) is considered to be one of the most painful afflictions known to medical practice. TN is a disorder of the fifth cranial (trigeminal) nerve. The typical or “classic” form of the disorder (called TN1) causes extreme, sporadic, sudden burning or shock-like facial pain in the areas of the face where the branches of the nerve are distributed – lips, eyes, nose, scalp, forehead, upper jaw, and lower jaw. The pain episodes last from a few seconds to as long as two minutes. These attacks can occur in quick succession or in volleys lasting as long as two hours. The “atypical” form of the disorder (called TN2), is characterized by constant aching, burning, stabbing pain of somewhat lower intensity than TN1. Both forms of pain may occur in the same person, sometimes at the same time. Biology of TN The trigeminal nerve is one of 12 pairs of nerves that are attached to the brain. The nerve has three branches that conduct sensations from the upper, middle, and lower portions of the face, as well as the oral cavity, to the brain. (See Figure 1) More than one nerve branch can be affected by the disorder. Rarely, both sides of the face may be affected at different times in an individual, or even more rarely at the same time (called bilateral TN). Figure 1: Distribution of the 5th Cranial Nerve: Disorders of the Maxillary and Mandibular Branches Can Present as a Toothache Causing Patients to Seek Dental Treatment. fpa What Causes TN? TN is associated with a variety of conditions. It can be caused by a blood vessel pressing on the trigeminal nerve as it exits the brain stem, which prompts the wearing away or damage to the protective coating around the nerve (the myelin sheath). The intense flashes of pain can be triggered by vibration or contact with the cheek (such as when shaving, washing the face, or applying makeup), brushing teeth, eating, drinking, talking, or being exposed to the wind. People with TN avoid social contact and daily activities such as eating and talking because they fear an attack. Pain from TN is frequently very isolating and depressing for the individual. Depression and sleep disturbance may render individuals more vulnerable to pain and suffering. Thus, there are individual, family, and societal costs of TN. Diagnosis Issues TN diagnosis is based primarily on the person’s history and description of symptoms, along with results from physical and neurological examinations. Because of overlapping symptoms and the large number of conditions that can cause facial pain, obtaining a correct diagnosis is difficult, but finding the cause of the pain is important as the treatments for different types of pain may differ. Pharmacological treatment options include anticonvulsant medications used to block nerve firing and tricyclic antidepressants used to treat pain. Common analgesics and opioids are not usually helpful in treating the pain. The condition is progressive. The attacks often worsen over time, with fewer and shorter pain-free periods before they recur. Eventually, the pain-free intervals disappear and medication to control the pain becomes less effective. Patients opt to have surgery which may or may not be effective. Pain free periods after surgery vary. Sometimes surgery exacerbates the pain. Who is Affected? TN occurs most often in people over age 50, although it can occur at any age, including infancy. The incidence of newly diagnosed cases of TN in the United States population averages approximately 4.3 per 100, 000 individuals (per year) and the average for women is slightly higher than for men. If people have TN for an average of 8 years, then a rough estimate of prevalence in United States is 108, 000. The definition of a rare disease in the United States is one that affects fewer than 200, 000 at any one time. Thus, TN is a rare disease.
    Read More
    Details
    Query
    Share
    `
    SEND
    What Causes Neck Pain? dr sanjay sharma interventional pain physician says Your neck is made up of vertebrae that extend from the skull to the upper torso. Cervical discs absorb shock between the bones. The bones, ligaments, and muscles of your neck support your head and allow for motion. Any abnormalities, inflammation, or injury can cause neck pain or stiffness. Many people experience neck pain or stiffness occasionally. In many cases, it’s due to poor posture or overuse. Sometimes, neck pain is caused by injury from a fall, contact sports, or whiplash. Most of the time, neck pain isn’t a serious condition and can be relieved within a few days. But in some cases, neck pain can indicate serious injury or illness and require a doctor’s care. If you have neck pain that continues for more than a week, is severe, or is accompanied by other symptoms, seek medical attention immediately. Causes of neck pain Neck pain or stiffness can happen for a variety of reasons.depend on pathology. Muscle tension and strain This is usually due to activities and behaviors such as: poor posture working at a desk for too long without changing position sleeping with your neck in a bad position jerking your neck during exercise Injury The neck is particularly vulnerable to injury, especially in falls, car accidents, and sports, where the muscles and ligaments of the neck are forced to move outside of their normal range. If the neck bones (cervical vertebrae) are fractured, the spinal cord may also be damaged. Neck injury due to sudden jerking of the head is commonly called whiplash. Heart attack Neck pain can also be a symptom of a heart attack, but it often presents with other symptoms of a heart attack, such as: shortness of breath sweating nausea vomiting arm or jaw pain If your neck hurts and you have other symptoms of heart attack, call an ambulance or go to the emergency room immediately. Meningitis Meningitis is an inflammation of the thin tissue that surrounds the brain and spinal cord. In people who have meningitis, a fever and a headache often occur with a stiff neck. Meningitis can be fatal and is a medical emergency. If you have the symptoms of meningitis, seek help immediately. Other causes Other causes include the following: Rheumatoid arthritis causes pain, swelling of the joints, and bone spurs. When these occur in the neck area, neck pain can result. Osteoporosis weakens bones and can lead to small fractures. This condition often happens in hands or knees, but it can also occur in the neck. Fibromyalgia is a condition that causes muscle pain throughout the body, especially in the neck and shoulder region. As you age, the cervical discs can degenerate. This is known as spondylosis, or osteoarthritis of the neck. This can narrow the space between the vertebrae. It also adds stress to your joints. When a disk protrudes, as from a trauma or injury, it may add pressure on the spinal cord or nerve roots. This is called a herniated cervical disk, also known as a ruptured or slipped disk. Spinal stenosis occurs when the spinal column narrows and causes pressure on the spinal cord or the nerve roots as it exits the vertebrae. This can be due to long-term inflammation caused by arthritis or other conditions. In rare instances, neck stiffness or pain occurs due to: congenital abnormalities infections abscesses tumors cancer of the spine When to see your doctor If symptoms persist for more than a week, consult with your doctor. You should also see a doctor if you have: severe neck pain without apparent cause lump in your neck fever headache swollen glands nausea vomiting trouble swallowing or breathing weakness numbness tingling pain that radiates down your arms or legs inability to move your arms or hands inability to touch your chin to your chest bladder or bowel dysfunction If you’ve been in an accident or fall and your neck hurts, seek medical care immediately.
    Read More
    Details
    Query
    Share
    `
    SEND
    trigeminal neuralgia? suicidal disease-electric shock over face? dr sanjay sharma, interventional spine pain physician JPRC SPINE& JOINT CARE, JAIPUR expert view Trigeminal Neuralgia, or TN, is a cranial nerve condition that causes intense facial pain on one or both sides of the face in sudden and sporadic episodes. most often its noticed over one side of face but some timetimes happened on both side of face, Though the pain typically only lasts seconds, many people with Trigeminal Neuralgia describe the pain as debilitating and unbearable. Usually, this impulsive pain occurs unexpectedly and without warning, though some patients report tingling, Numbness or Achiness in the days leading up to an attack. Pain comes on quickly and frequently for several days, weeks or even months during each episode. Doctors are not sure of the exact cause of TN, but it is believed to be associated with pressure placed on the trigeminal nerve by surrounding blood vessels. Fortunately, treatments are available to help TN patients manage pain and reduce episodic recurrences. primarily most of general physician or Neurophysicians think its only managed by medicines, after a long fail trials, he refer to neurosurgeon for brain surgery, like open surgery of brain-patient become reluctant for any surgery. now we had many minimal invasive procedure like radiofrequency ablation, ballon decompression, GAMA knife etc radiofrquency ablation is one supposed to be safest and non cutting, bloodless day care procedure, under local anesthesia, and mild sedation.results of pain relief by rf ablation are immediately,
    Read More
    Details
    Query
    Share
    `
    SEND
    Next >