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As the name suggest Neuralgia, it comprises of two words Neuro which means related to nerve and Algesia mean sensitivity to pain. Neuralgias mean pain felt in nerve or along the nerve pathway , due to abnormal structure and function of nerve occurring due to damage of the nerve either by physical damage due to direct trauma or due to certain medical conditions most commonly diabetes mellitus or due to virus invading the nerves. Nerve Pain differs from other kind of pain in the type of pain and has specific characters and so the treatment is different. Neuralgias can sometimes be temporary but most often its is stubborn and agonising for the patients.
Other symptoms like-
Some of the neuralgias are easy to treat and most of them are difficult not only to treat but also to identify.
Radiofrequency Ablation is an minimally invasive procedure done to inhibit the
pain signals to be carried by the sensory nerves. This is done using radiofrequency machines . Once the target nerve is identified by identifying the distribution of pain , then the nerve is ablated using radiofrequency waves
This procedure is done as a day care procedure. The target nerve is identified using ultrasound or fluoroscopic machine. Then the nerve is confirmed by sensory stimulation which is done using the radiofrequency machine.
Sensory stimulation- Sensory stimulation is done to identify the correct nerve by stimulating this nerve and eliciting the same pain regular pain of the patient.
Motor stimulation- After sensory stimulation, motor stimulation is done in which the motor movements is elicited .
If the culprit nerve is sensory nerve, conventional radiofrequency wave is given and if the culprit nerve is motor nerve then pulsed radiofrequency waves are passed.
Peripheral nerve stimulation is done to stimulate the sleeping nerve which is causing pain. This is a technique in which pain is converted to numbness and hence patient does not feel pain. This is done as a minimally invasive procedure as a day care procedure.