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    Learn About Pain Treatment - Pain Management We want everyone who visits this site to know exactly what to expect before they go in for treatment. Pain treatment education is a key component to JPRC spine& joint centre, where Pain SUFFERER or patients. will get a definitive approach towards Minimally invasive procedures , undoubtedly they are a vital part of interventional pain management and can be found in the Pain Treatments section. On JPRC, , you will find an in-depth article.to enrich your knowledge, most of people and even medical doctor only have opinion about interventional pain management is as just simply giving a diagnostic or therapeutic blocks.poking steroid injection should not be considered as main event of pain management. we are best Spine Centre in Jaipur, with our Neurosurgery and pain management team doctors , doing all basic and advance interventional surgical procedures at our JPRC Spine centre jaipur. *Biofeedback *Botox Injections *Complementary and Alternative Medicines *Comprehensive Pain Management *End of Life Pain Management *Epidural Blood Patch *IntraDiscal Electrothermal Therapy *Intrathecal Pump Implants *Ketamine For Pain Management *Platelet Rich Plasma Therapy (PRP Therapy) *Platelet, Or Plasma, Rich Protein Injections Regenerative Medicine *Relaxation and Guided Imagery *TENS Unit Therapy what are Interventional Procedures ? Botox for Headaches Caudal Steroid Injection Celiac Plexus Block Cervical Facet Radiofrequency Neurotomy Cervical Steroid Injection Cluneal Nerve Blocks Coccygeal Nerve Blocks Continuous Catheter Nerve Block Disc Denervation Discography Dorsal Root Ganglion Stimulation – DRG Stimulation Epidural Steroid Injection Epidurolysis Facet Joint Injections Facet Joint Injections And Medial Branch Blocks Failed Back Surgery Syndrome - Post Laminectomy Syndrome Ganglion Impar Block Hip Injection Intra-articular Peripheral Joint Injections Intra-Articular Steroid Injection Joint Injections Knee Joint Injections Lumbar Epidural Steroid Injection Lumbar Facet Block Lumbar Medial Branch Block Lumbar Spondylosis Radiofrequency Ablation[RFA] Lumbar Sympathetic Block Lysis of Adhesions[adhesionolysis] Medial Branch Block Occipital Nerve Block Percutaneous Discectomy Peripheral Nerve Field Stimulation Posterior Facet Block - Rhizotomy Posterior Superior Iliac Spine Blocks - Ablations Radio Frequency Lesioning Radiofrequency Ablation Sacral Nerve Stimulation - SNS Sacroiliac Joint Injections Sciatic Nerve Block Selective Nerve Root Blocks Sphenopalatine Ganglion Block Spinal Cord Stimulation Spinal Disc Decompression Splanchnic Nerve Block Stellate Ganglion Block Superior Hypogastric Plexus Block Sympathetic Nerve Blocks Trigger Point Injections Trochanteral Bursal Injections Vertebroplasty kyphoplasty endoscopic surgery[minimal invasive] Pain Medications; 1-Antidepressants For Pain 2-Long Term Opioid Use 3-Muscle Relaxants 4-Muscle Relaxants For Pain Management 5-Non-Steroidal Anti-Inflammatory Drugs, NSAIDs 6-Opioid Medications 7-Opioid Uses For Chronic Pain 8-Steroid Medications
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    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
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    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.
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    trigeminal neuralgia-suicidal diseaseTrigeminal Neuralgia: Treatment, Procedure, Cost And Side Effects What is the treatment? Trigeminal neuralgia is a condition that results in chronic pain in the face, particularly in the trigeminal nerve. This condition often occurs in women who are aged over 50, however there are fewer than a million cases per year in India, making this condition a rare one. The pain experienced as a part of this condition can often be triggered by speaking, chewing, or brushing the teeth. There is no cure for this condition and the treatment options mainly focus on making it a more manageable condition to live with. Trigeminal neuralgia is treated with the help of medications. The medicines that will be prescribed function by blocking the pain receptors so that you don’t feel it. Pain management is a large part of living with this condition and you may be prescribed anti-spasmodic medicines, anticonvulsants, or even botox injections to help you with the pain. However, medication is not the only answer. There are many surgical procedures that can be used to control this condition and make it easier to live with. Some of the surgical options include microvascular decompression and brain stereotactic radio surgery. Since this condition occurs mainly in women over 50, the treatments that are employed take into consideration the patient’s medical history and age. Once the severity of the pain is mapped, the doctor will decide what treatment options will suit you the most. How is the treatment done? Trigeminal neuralgia is diagnosed on the basis of the type of pain you are experiencing, the part of the face that hurts, and the triggers that activate the pain. With this condition, the pain is often short and sharp and triggered by any stimulation to the cheeks, such as chewing, speaking, or even brushing your teeth. A neurological examination can help doctors understand what is causing the pain. In some cases, an MRI scan is also recommended to get a clearer picture of the problem. Once trigeminal neuralgia is diagnosed, the treatment can begin. When it comes to the medicines that can be prescribed for this treatment, they range in type from antispasmodic and anticonvulsants, to botox injections. Anticonvulsants can help control the trigeminal nerve in the face in order to lessen the pain. Antispasmodic medications also work on a similar principal. Botox injections are also known to lessen the pain in the nerve, however further studies may be needed to substantiate this. Trigeminal neuralgia can also be controlled with the help of surgical options. With microvascular decompression, an incision is made behind the ear on the side of the face where you feel the pain. The doctor removes the arteries and veins that come in contact with the nerve, and then adds a soft cushion between the nerve and other arteries. With brain stereotactic radio surgery, the goal is to destroy the root of this nerve. A controlled shot of radiation is given to the nerve to make it stop functioning. The relief in this form of treatment is gradual, but the treatment itself can be very effective. By destroying the nerve, you eliminate the chances of it transmitting the pain to your brain. Who is eligible for the treatment? (When is the treatment done?) Once trigeminal neuralgia is diagnosed, you can seek out the treatment. It is better to start with the medicinal treatments before going in for surgery. However, if they don’t work, you can certainly explore the surgical options. Who is not eligible for the treatment? Sometimes, pain in the face is caused to due multiple sclerosis. It may imitate the symptoms and signs of trigeminal neuralgia but it is an entirely different condition. If you are suffering from multiple sclerosis, then seeking out treatment for trigeminal neuralgia will not help you with your condition. The doctor must treat the sclerosis first for you to experience any relief from the pain. Are there any side effects? As is the case with most treatments, there are certain side effects to be vary of. Anticonvulsants can lead to side effects like dizziness, nausea, drowsiness, and confusion. Certain anticonvulsants have negative effects on people with Asian descent. Antispasmodic agents also have a few side effects such as confusion, drowsiness, and nausea. Multiple botox injections can eventually make it harder to move your face naturally. It can also give you a stiff and shiny appearance. Microvascular decompression has side effects that include stroke, facial numbness, loss of hearing, and facial weakness. Brain stereotactic radio surgery can lead to developing numbness in the face as well. Surgery in general comes with side effects like bruising, swelling, and pain. What are the post-treatment guidelines? With some medications, you have to monitor your diet and control your lifestyle. Since trigeminal neuralgia can mostly be treated through pain management techniques, identifying and controlling your exposure to your triggers can go a long way in helping you. For instance, if your trigger is a cold breeze that brushes against your cheek, you may have to limit your exposure to the same. How long does it take to recover? It can take up to a month for the treatment to start taking effect. What is the price of the treatment in India? The surgical treatments range in price from Rs. 50, 000 to Rs. 1, 50, 000, depending on where you are getting the procedures done from. Are the results of the treatment permanent? There is no cure for trigeminal neuralgia, therefore the treatment results cannot be permanent. The treatment focusses on reducing and managing the pain you feel and you can expect the pain to swing from low to high throughout your life. The trick is to identify the treatment options that work best for you and continue to administer them as and when they are needed. What are the alternatives to the treatment? There are a few alternative treatments that are being explored for this condition. One such treatment is injecting glycerol injections at the base of the skull in order to damage the trigeminal nerve in the face. Balloon compression is also a treatment that can be used to damage the nerve sufficiently. Radiofrequency thermal lesioning can also be used for the same purpose. It damages the nerve fibres that are associated with pain. Safety: High Effectiveness: Medium Timeliness: Medium Relative Risk: Low Side Effects: Medium Time For Recovery: Medium
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    Discogenic Back Pain Occurs as the Condition of the Discs in the Spine Gradually Changes Over Time As we get older, the discs in our back go through a natural aging process. For many, this occurs without causing any noticeable symptoms. For others, it can be the source of persistent lower Back or Neck Pain. Those most commonly affected are 30 to 60 years of age. If you are among those who suffer, the good news is that Discogenic back pain usually improves with the proper medical attention. Our Pain Management Specialists[Pain Physician] will help you understand what’s causing your Pain, develop personalized Non-Surgical Treatment regimens to resolve your Pain, and strengthen your Spine now and for years to come. How & Why Does Discogenic Back Pain Develop? Discogenic pain occurs as the condition of the discs in the spine gradually changes over time. It is one of the most prevalent causes of acute or chronic back pain. You may experience only a few days of pain, or you may suffer prolonged, moderate to severe, recurrent pain. Most discogenic pain occurs in the lumbar spine (lower back). When pain occurs, it may be spontaneous or it may result from an activity. The most frequent symptoms of Discogenic Pain are Lower Back Pain and Spasm. Occasionally, pain may radiate to the buttocks, groin, or thighs. Typically, the pain is made worse by bending, sitting, or standing in a stationary position, and often relieved by lying down. However, mild activity such as walking may actually provide some relief. Certain tasks, such as lifting or bending, will likely make the symptoms worse. The lumbar (lower) spine has five vertebrae with soft discs in between. Each disc is composed of a tough outer ring (annulus) surrounding a soft center (nucleus). When we are young, the discs consist predominantly of water (about 80%), but as we age, the discs lose hydration and become more susceptible to cracking and fissures called Annular tears. These tears lead to inflammation and pain. " Symptoms" *Lower (lumbar) Back Pain *spasms *Pain radiating to the buttocks, groin, or thighs Diagnosis Proper diagnosis starts with an experienced pain management doctor.The type of pain that you may have with Discogenic Back Pain can be similar to the symptoms of several types of disorders. Accurately determining the correct source of your pain is critical to successful treatment. Begins with a thorough clinical evaluation Including a complete medical history, analysis of your symptoms, and physical examination Testing may include xW-rays, MRI and/or CT scans, and electro-diagnosis (EMG) These advanced diagnostic techniques definitively pinpoint the source of pain Possible Treatments*** 1-Disc Regenerative Therapy 2-Epidural Nerve Block 3-Spinal Cord Stimulation We're Here to Help get Your Life Back Living with acute or chronic discogenic back pain is a daily struggle and finding relief can be challenging. We are here for you. Our highly skilled pain doctors get right to the source of your pain and will provide treatment tailored to your needs. Stop letting pain ruin your life, discuss in detail with Best Pain Specialist in Jaipur, Dr.sanjay sharma
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