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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-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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    What's Brachialgia? Any Pain condition start from your Neck region travel towards shoulder and may radiating down'to hand fingers, maybe associated with Nerves root's compression or Disc pathology from C1 to C7 like Disc Bulge, Protrusion, Extrusion etc.but commenest one is C4-5-6. Most of people's have myths about this problem-keep on saying it's Cervical Spondylitis or Cervical pain, they visit to doctors intially for relief, first doctors will ask them to get done X-ray, Cervical Spine .just after seeing x-rays he will advise you neck collar or pillow for couple of days or weeks. Without knowing what exact structure is involved in Neck Pain, wether it's Nerves, muscles, cervical vertebrae, vascular structure, artery or vein.how your doctor is commenting it's cervical Spondylitis or something else? How your doctor will see Nerves root's in X-ray? . Clinical findings* -patients may experience Tingling sensation Heaviness or burning sensation, spasms in area.of dermatome.in severe condition your power of limbs may affected, even patient feel difficulty in gripping or holding object. Investigation- X-ray Cervical Spine, MRI scan cervical, Doppler ultrasound arterial or venous.EMG, , NCV etc Treatment of Brachialgia* Medical treatment-analgesics muscles relaxant or rest for limited duration, some Physiotherapy if be needed but contraindications if neurological function with warning signs.present . Every medical treatment has its own limitations with time frame. Surgical options* If conservative treatment has been non responsive to medical treatment. May opt for-Epidural injections for Pain relief as directed by your Pain physician or Neurosurgeon. Etc. Nucleoplasty procedures, Laser procedures, Disc Fix Discectomy, Laminectomy etc Never mind if you are feeling any Pain condition associated with Unwanted paresthesia Numbness Spasms Tingling sensation etc must consult with Pain physician or Neurosurgeon.but keep on trial with medicine by any physician or therapist or unwanted exercise may be catastrophic events if spinal cord vital functions compromise.. anything unwanted action there may have deleterious effects.
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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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    Treatment Options for a Herniated Disc The primary goal of treatment for each patient is to help relieve pain and other symptoms resulting from the herniated disc. To achieve this goal, each patient’s treatment plan should be individualised based on the source of the pain, the severity of pain and the specific symptoms that the patient exhibits. What Happens when a Disc Herniate? While the spinal discs are designed to withstand significant amounts of force, injury and other problems with the disc can occur. When the disc ages or is injured, the outer portion (annulus fibrosus) of a disc may be torn and the disc's inner material (nucleus pulposus) can herniate or extrude out of the disc. Each spinal disc is surrounded by highly sensitive nerves, and the inner portion of the disc that leaks out contains inflammatory proteins, so when this material comes in contact with a nerve it can cause pain that can travel down the length of the nerve. Even a small disc herniation that allows a small amount of the inner disc material to just touch the nerve can cause significant pain. In general, patients usually are advised to start with a course of conservative care (non-surgical) prior to considering spine surgery for a herniated disc. Whereas this is true in general, for some patients early surgical intervention is beneficial. For example, when a patient has progressive major weakness in the arms or legs due to nerve root pinching from a herniated disc, having surgery sooner can stop any neurological progression and create an optimal healing environment for the nerve to recover. In such cases, without surgical intervention, nerve loss can occur and the damage may be permanent. There are also a few relatively rare conditions that require immediate surgical intervention. For example, cauda equina syndrome, which is usually marked by progressive weakness in the legs and/or sudden bowel or bladder dysfunction, requires prompt medical care and surgery. Conservative Treatments options- For lumbar and cervical herniated discs, conservative (non-surgical) treatments can usually be applied for around four to six weeks to help reduce pain and discomfort. A process of trial and error is often necessary to find the right combination of treatments. Patients may try one treatment at a time or may find it helpful to use a combination of treatment options at once. For example, treatments focused on pain relief (such as medications) may help patients better tolerate other treatments (such as manipulation or physical therapy). In addition to helping with recovery, physical therapy is often used to educate patients on good body mechanics (such as proper lifting technique) which helps to prevent excessive wear and tear on the discs. If conservative treatments are successful in reducing pain and discomfort, the patient may choose to continue with them. For those patients who experience severe pain and a high loss of function and don’t find relief from conservative treatments, surgery may be considered as an option. The different conservative options for a lumbar herniated disc and a cervical herniated disc are described below. Lumbar herniated disc treatments Conservative approach to herniated disc treatment A combination of the following conservative treatment options can be used through at least the first six weeks of discomfort and pain: Physical therapy, exercise and gentle stretching to help relieve pressure on the nerve root Ice and heat therapy for pain relief Manipulation (such as chiropractic manipulation) Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen or COX-2 inhibitors for pain relief Narcotic pain medications for pain relief Oral steroids to decrease inflammation for pain relief Epidural injections to decrease inflammation for pain relief
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