A. Medical Management :
Majority of time anti convulsants like carbamazepine, oxcarbamazepine , pregabalin works nicely for the initial period. Later on this medicines does not cause significant pain relief .
B. RFTC ( Radio Frequency Thermo Coagulation ) :
At Pain Care Clinic with this advanced procedure patient get more than 90 % pain relief for longer duration .It is done mainly with Live X-ray machine with high accuracy after anaesthetizing skin only . Sometimes it can be done with help of CT Scan machine . In this procedure High Frequency current is passed along painful division ( V1, V2, V3 )of trigeminal nerve, so damage to other division of nerve can be avoided. At Pain Care Clinic , we have treated more than 200 cases of Trigeminal Neuralgia with RFTC.
C. Sphenopalatine Ganglion RFTC :
In Refractory or Recurrent Trigeminal Neuralgia advanced treatment like Pulsed Radio Frequency procedure of Sphenopalatine Ganglion is done with higher success rate & long lasting pain relief .It is again done under Local anesthesia & live X-ray Guidance . This procedure is also useful for management of headache ,Head - neck Cancer Pain , Atypical Fascial Pain or any Neuropathic Pain of Face.
D. Ballon Compression :
Here a balloon is inflated along trigeminal nerve to ablate the pain signals.
E. Other Treatment options :
Cyber Knife , Galvanic Knife are other treatment options, but not common in India.
F. Micro Vascular Decompression :
This is a surgery performed by neurosurgeon in patient having no pain relief with other treatment options.
Renukaben P Bhatt : Earlier I had pain in low back more than 30 years & knee pain more than 7 years, I had consulted many doctors & took medicine but they all had advised me for operation of spine & both knee. Then I heard about Dr. Palak Mehta. She had performed PRP treatment in my both knee & for Back Pain she put injection in SI joint . Now I had 80% relief in my knee Pain & Back Pain. Thanks to Dr. Palak Mehta for giving relief from very old pain.
Shantaben Bhanubhai Raiyani: When I consulted Dr Palak Mehta I was suffering from back pain since 1 year. I had severe pain while walking, sleeping and doing my routine activity. Dr Mehta suggested me for injection treatment and after her treatment there is complete relief in pain. Now I can walk, sleep, sit down and can do my routine activity without any pain.
Sakinabibi Mehboobbhai Mansuri: I was suffering from knee pain since 5 years and I consulted so many doctors but there was no relief in pain and even some doctors suggested me for knee replacement or they asked me to take complete bed rest. Once I saw Dr Palak Mehta's interview and consulted her and through her procedure treatment there is 95% relief in pain. I came to her clinic on wheel chair but now after taking her treatment I can do my routine activity independently without any support.
Bhanubhai Nanjibhai Raiyani: I was suffering from Neck Pain since 3 years. After consulting Dr Palak Mehta and through her treatment there is complete relief in neck pain
Indravadan B Surti : I was suffering from shoulder pain since 32 years. After consulting Dr Palak Mehta and through her injection treatment there is 70% relief in pain.
Vimalaben Ambalal Patel : Pain before the operation was severe which was not bearable while talking, eating and during washing face, but now after operation it's really good, no more pain. Basically I will rate this operation of Trigeminal Neuralgia is 97%.
Jayaben Sureshbhai Panchal : Doctor's practice is good. I had back pain since 5 years and I saw Dr Palak Mehta's interview on television and consulted her. After examining she advised me for Endoscopic Discectomy treatment and after taking treatment there is 65% relief in pain.