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    Radio frequency neurotomy genicular nerve-knee pain treatment dr sanjay sharma a well known name as pain physician in india, with vast experience in knee pain management with non surgical option, his main intention to avoid unwanted surgery adopt to relieve knee pain.#avoid knee replacement. how this technique is best alternative to surgery?Radiofrequency Ablation of the Genicular Nerves of the Knee What is Radiofrequency Ablation of the Genicular Nerves of the Knee? Osteoarthritis (OA) is a common cause of knee pain. The pain signal is carried from the knee to the brain/central nervous system via the genicular nerves of the knee. Radiofrequency ablation is when heat is applied to these nerves. What is the purpose of Radiofrequency Ablation of the Genicular Nerves of the Knee? Radiofrequency Ablation of the Genicular Nerves of the Knee interrupts the nerves ability to carry the pain signal to the brain. The effects last until the nerve regrows which can be anywhere from 6 months to 2 years. How is Radiofrequency Ablation of the Genicular Nerves of the Knee performed? This procedure is completed in the operating theatre. You will be given medication to make you drowsy (not a general anaesthetic). Three special needles are placed into position along the pathway of the nerve. Two needles are placed above the knee and one below. The placement of these needles is guided by x-ray. Testing occurs to confirm the needles are close to the nerve and then the area is numbed using local anaesthetic. The needles are then used to heat up the nerve preventing it from passing the pain signal. What happens after the procedure? Your usual pain will improve almost immediately but there will be some discomfort where the nerves have been heated. This can last for a few weeks and can be reduced with cold packs and simple medications such as panadol. Will I damage my knee more if I can't feel the joint? The pain signals from the joint in persistent pain no longer have a helpful role and reducing these signals will not alter the Osteoarthritis in the joint.
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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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    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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    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,
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