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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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    Spinal Canal stenosis? It's clinical condition where canal of Spinal column get narrow down to expected dimensions, leading to claudication, means difficulty in walking for certain distance as oneself experience with his normal walking. Symptoms* Low Back Pain Paresthesia , Numbness, Spasms in Calf Muscles, Tingling sensation, Heavier feet. Sometimes Bowl and Bladder incontinence. Investigation- X-ray, MRI, CT scan, EMG, NCV, VIt B12 Treatment* Most of the time someone who is suffering with such symptoms.whenever visit to any general doctors, they simply labelled such conditions as #slipped disc.for that medical conservative treatment start with exercises, physiotherapy and Pain killer. Clinically we can broadly categorised Spinal Canal Stenosis in three types. Mild, Moderate, Severe Medical treatment has values in mild to moderate types with specific safety precautions, unless Motor Power, Bowl and bladder incontinence is not affected. Severe Canal stenosis Most often dealt with Surgery.because of risk with cauda equina syndrome.if not treated timely manner it may compromise your spine vital structure like spinal cord and other important structures.leading to demand for emergency surgery. Type of surgery Patient who is present with symptoms of severe Canal Stenosis demand conventional surgery or Minimal Invasive surgery, Minimal invasive techniques are far safe and with good prognosis. with accuracy and affordable to patients.in such situations if someone who is scared about open surgery, can opt for Minimal Invasive surgery. There'ssmall incision, early ambulatory, , no blood loss and less abstinence from work. Conclusion-if you are feeling or living with such clinical findings can opt for best medical/surgical treatment with proven prognosis with qualified Spine Neurosurgeon.or Pain physician, Neurophysician.who can help you with definite answer.
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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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