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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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    Disc problem is very common in all age group, low back pain one suppose to be a simple problem, now appearing as measure health issue, more over treated by anyone with different name-slipped disc or scitica or naska dabav etc, but keep in mind without a proper diagnosis by specialist doctor if you are taking a treatment for your Disc problem, you may be relieved for hors or days or week but longterm solution is not by anyone. if you are going to any doctor, he will simply ask for xrays-can anybody tell me, how a nerve can be seen by your doctor in xrays ?as a patient its your right to ask for etiology as well as prognosis, about your problem of # low Back pain.unless acomple picture of your disesase is not taken in to consideration, its useless to get such treatment. if you are having this complaints? numbness, tingling sensation in leg or hands heaviness in hands and leg cramps in legs hands or shoulder heaviness with restricted movement. buttocks pinching hip pain or heaviness in lower back. what you shuld do to avoid complication???? 1-consult any qualified doctors like pain physician, neurosurgeon, orthopaedic, neurophysican, physiatrist. but unwanted exercise by anyone may leads to undesire situation like loss of power, or sensation or sometime problemin toilet or latrine etc.so always be careful brfore taking treatment. you can have any option as mentioned simple bed rest but not longtime rest simple medicine like pain killer or muscle relaxants simple exercise under supervision of any technical physiotherapist if your problem still persist after long term trial with any method above then surgery may last option! we can think for minimal invasive techniques ? , that are possible with interventional pain physician oe neurosurgeon only. avoid unwanted surgery by common practicing conventional surgery. endoscopic laser or pn hole techniques are possible way to avoid open surgery for spine.
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