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.