Trigeminal Neuralgia Treatment in Ahmedabad

Trigeminal Neuralgia Treatment in Ahmedabad

In this disease there is acute pain of nerve on one side of face. This pain is due to trigeminal nerve. When trigeminal nerve comes in contact with blood vessel, which presses on it, then pain occurs. There is intolerable pain in one or more area of one side of face either forehead, cheek or chin. So there is short circuit of sensory nerve, it aches like an electric current.

It occurs after the age of 50, but sometimes it occurs at younger age. There are trigger points of this pain, where a simple touch or pressure gives similar recurrence of pain. It occurs with any activity like washing face, eating or drinking any type of food, shaving, brushing or with blow of wind. Hence the patient becomes helpless to do all this activities. Such patients have unshaven face, foul odor from mouth, unable to speak and weak body. The medicine i.e. carbamezapine, is effective. Dosage of this medicine can start from 1 or 2 tablets of 100 mg and increase or reduce as per necessity. If pain is controlled then it is confirmed as trigeminal neuralgia. But gradually the dose increases. Sometime pain may be completely relieved, then medicine can be withdrawn. If the dose reaches to 1600 to2000 mg, pain is not relieved, patient feels giddiness, lethargy or skin reaction, then it is better to change the medicine. Trials of 2 or 3 medicine can be taken, and if not cured then patient consults neurosurgeon.

With the help of X-Ray or IITV and stimulation, nerve is localized by electrode (needle) the patient is given anaesthesia for 5 to 10 minutes, nerve is lesioned by Radio Frequency Lesion Generator machine (RFLG).


Since 2001 we are doing RF Operations for trigeminal Neuralgia. More than 430 (upto 2014) patients had been operated succesfully. Cure rate/ success rate is 98%. Immediate relief of pain occours in most of the cases.Medicines for trigeminal pain are tappered & stopped in 12 days. Although pain relief lasts for minimum 3-5 years in 90% of cases. Recurrence rate is 30%. 70- 80% are pain free for 7-8 years. More than 10% of patients who are pain free for 10 years may remain pain free throughout their life. On recurrence of pain, medicines may be started again. If require RF Operations can be repeated. RF Operation may be repeated any number of time. Main advantage is, it is a minimally invasive procedure, with hospital stay of 6 hours, no risk, no major complication, very safe & very effective & less than 1/3 to 1/4 cost of major operation.

Case History 1:

Mr. Patel (father of a doctor) aged 95 years was operated for left V2, V3 rhizotomy before 8 years. Since 1 year he had pain in left V1 region for which rhizotomy can not be done. So left V1 radio frequency operation was done under GA, & he was cured of his pain & stopped his medicines. Case History 2: A female patient Mrs. F aged 26 years had trigeminal neuralgia pain in left V2 region since last 9 months. Since 3 months she was pregnant, pain was increasing & Tab Mazetol for pain was contraindicated for fetus (side effects to child). So she was operated for Trigeminal pain by Radio frequency operation. She was relieved of pain & medicines were stopped.


Left V1 Trigeminal Pain
Bilateral V3 trigeminal Pain
IITV Guided RF Operation
IITV Guided RF Operation

Cerebral palsy - Spasticity Treatment in Gujarat | Trigeminal Neuralgia Treatment in Rajasthan | Trigeminal Neuralgia Treatment in Udaipur


© 2016 Dr. Vijay R Sheth Website. All rights reserved| Design by City Business | Google+

 Neurologist Surgeons in Rajasthan Reviewed by 15 Patient . Rated: 3.9 / 5