- No Surgery Required
- 30 Min Procedure
- Same Day Discharge
- Join Work in 48 Hours
- Cured in 1 Day
I was suffering with severe neck pain since last 7years , hav all type of physiotherapy and massages and chiropractor but no relief then I met Dr Sudheer and Dr minal at this center…
Very good doctor. Suffering from knee pain from last 4 years and didn’t want to get a surgery. They treated my knee pain with out surgery with stem cell therapy. I am very happy with the results.
By far the best pain management specialists in town. After consulting several places with no effect, Epione made sure that they treated my mother’s delicate pain condition with patience…
I am very thankful to doctors in Epione pain management center. My neck pain has gone which I was fighting since last 4 years . Dr sudhir Dara and dr minal have helped me come out…
I finally got relief from my back pain thanks to Epione
Dr Sudheer cured me from knee pain due to arthritis
I suffered from foot pain for 5 years but finally found pain relief at Epione
I can’t believe I got relieved of my back pain in a single day
Paroxysmal attacks of pain lasting from a fraction of a second to two minutes that affect one or more division of face
V1 Nerve involvement- Forehead and eye are painful
V2 Nerve involvement- Pain in cheek ,upper lip
V3 Nerve involvement- Pain in ear, side of face, teeth, jaws lower lip and mandible
Pain has at least one of the following characteristics-
sharp, superficial, or stabbing, burning pain or some abnormal sensations like crawling of worms.
Typical attack comes in paroxysm of 2-4 minutes lasting for 2-20 seconds.
Idiopathic – are caused by compression of the trigeminal nerve close to its exit from the brainstem by an aberrant loop of artery or vein.
Secondary causes– tumours or the demyelinating plaques of multiple sclerosis, produce similar lesions of the root entry zone of the trigeminal nerve
Clinical diagnosis– usually the pain is unilateral , bilateral only in cases of multiple sclerosis, comes in paroxysm
MRI Brain in Feista View– May show compression of trigeminal
nerve by aberrant vessel or tumour.
Sometimes no compression of the trigeminal may be seen.
First line drug– Carbamazepine is the drug of choice
Started in low dose of 100 mg two times daily and later increased to maxium upto 800mg per day. Beyond this dose there is very little efficacy and the side effects become more prevalent.
Second line drugs- Gabapentin, baclofen and lamotrigine are added to decrease the dose and side effects of carbamazepine.