Medical treatment, nerve block, and a surgical opinion when the pain stops responding, under one roof.
Trigeminal neuralgia causes sudden, severe, electric-shock-like pain in the face, often triggered by something trivial: brushing teeth, a cold breeze, chewing, or even speaking. It usually affects one side, and between attacks there may be no pain at all.
It is frequently mistaken for dental pain, and people sometimes lose healthy teeth to extractions before the real diagnosis is made. If facial pain persists after dental treatment, this is worth considering.
The good news is that it responds well to the right treatment, and there is a clear ladder of options from medicines through to surgery.
Treatment almost always begins with medication, and specific drugs work here that ordinary painkillers do not touch. Most people get substantial relief from medicines alone, at least initially.
Where medicines fail, or the side effects become intolerable, further options exist. NeuroMet Wellness already offers a sphenopalatine ganglion (SPG) nerve block, a minimally invasive procedure performed here by Dr. Bhupesh Kumar. Where pain persists beyond that, Dr. Rana can advise on surgical options.
Surgery is considered when the pain no longer responds to medicines, or when the doses required leave someone too drowsy or unsteady to function. In many cases the nerve is being compressed by a blood vessel where it leaves the brainstem, which an MRI may show.
Dr. Rana can review the scans and advise whether a surgical procedure is appropriate, what it would involve, and what it can realistically achieve. As everywhere else in this clinic, the honest answer may be that you are not yet at that point.
Please note: NeuroMet Wellness is an outpatient clinic. Consultation, review of your scans, and second opinions happen here; if a surgery is advised, it is carried out by Dr. Rana at his hospital, Paras Health, Gurugram.
It is typically sudden, electric-shock-like, lasts seconds, and is triggered by light touch, a breeze, chewing or brushing. Dental pain is usually more constant and throbbing. People sometimes lose healthy teeth before the correct diagnosis is made.
Usually not. Trigeminal neuralgia responds to specific nerve-pain medicines rather than common analgesics, which is one reason the diagnosis matters so much.
A minimally invasive nerve block performed at NeuroMet Wellness by Dr. Bhupesh Kumar, used for facial pain and certain headache conditions when medicines are not enough.
When medicines no longer control the pain, or when the doses needed cause unacceptable side effects. An MRI may show a blood vessel pressing on the nerve, which is treatable surgically.
Medicines and the nerve block are handled at NeuroMet Wellness. If surgery is advised, it is carried out by Dr. Rana at his hospital, Paras Health, Gurugram.
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