Duloxetine is a medication in the class of anti-depressant drugs, used to treat major depression and provide relief from nerve pain or peripheral neuropathy in diabetics. It belongs to a class of medicines called the selective serotonin and norepinephrine reuptake inhibitors (SSNRIs). Originally produced by Lilly researchers, Duloxetine hydrochloride was patented in 1981 and was approved for use by the Food and Drug Administration (FDA) in 2004. The drug is sold under the drug name Cymbalta and is officially prescribed for the following purposes: Major Depressive Disorder Diabetic Peripheral Neuropathic Pain http://www.londonpainclinic.com/antineuropathic-medication/duloxetine/ As a consultant in pain medicine at the Imperial Healthcare NHS Trust in London and Medical Director of the London Pain Clinic http://www.londonpainclinic.com/ , Dr Chris Jenner works daily with patients who suffer from some of the most common, painful and yet misunderstood conditions to affect people around the world today. Alongside a raft of professional qualifications and more than 15 years’ experience in the specialised field of pain medicine, Dr Jenner possesses a true passion for his subject, a fact which is not only evident through his commitment to using the very best cutting-edge treatments, but also through his desire to understand the impact of acute and chronic pain on the everyday lives of his patients. Dr Jenner’s experience in treating conditions such as spinal pain, fibromyalgia and arthritis has led him to become one of the leading authorities in his field. Using a holistic approach and a variety of treatments which typically combine medication with minimally-invasive pain management procedures, he works with his patients to restore a pain-free existence, higher levels of physical function and a vastly improved quality of life. Dr Jenner has several published books on related conditions, you can purchase them from Amazon on the below Links. Arthritis: A practical guide to getting on with your life (How to Self-Help Guide) https://www.amazon.co.uk/gp/product/1845284712?keywords=dr%20chris%20jenner&qid=1457818154&ref_=sr_1_2&sr=8-2 Fibromyalgia and Myofascial Pain Syndrome: A self-help guide https://www.amazon.co.uk/gp/product/1845284674?keywords=dr%20chris%20jenner&qid=1457818142&ref_=sr_1_1&sr=8-1 Neck and Back Pain: A self-help guide (How to Self-Help Guide) https://www.amazon.co.uk/gp/product/1845284682?keywords=dr%20chris%20jenner&qid=1457818154&ref_=sr_1_3&sr=8-3
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Neuropathic (Nerve) Pain -- from Toe to Head In this video, Dr. Ian Carroll discusses neuropathic pain, which involves damage to the nerve. The condition causes the nerves to fire incessantly, even if the initial source of the pain has been remedied. The brain responds by creating an ongoing message of pain. Speaker: Ian Carroll, MD, Assistant Professor, Anesthesia, Stanford University Medical Center Learn more: http://stanfordhealthcare.org/stanford-health-now/health-library-videos/carroll-nerve-pain.html http://stanfordhealthcare.org/medical-clinics/pain-management.html Visit: http://stanfordhealthcare.org/
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Focal Pain Syndrome (CPS). What is focal agony disorder?. Harm to the focal sensory system (CNS) can cause a neurological issue called focal torment disorder (CPS). The CNS incorporates the cerebrum, brainstem, and spinal string. A few different conditions can cause it like: *a stroke. *brain injury. *tumors. *epilepsy. Individuals with CPS commonly feel distinctive sorts of torment sensations, for example, *aching. *burning. *sharp torments. *numbness. The side effects fluctuate generally among people. It can begin quickly after an injury or other condition, or it might take months or years to create. No cure for CPS is accessible. Torment pharmaceuticals, antidepressants, and different sorts of drugs can for the most part help give some alleviation. The condition can drastically influence personal satisfaction. What are the side effects of focal torment disorder?. The fundamental side effect of CPS is torment. The agony changes enormously among people. It can be any of the accompanying: *constant. *intermittent. *limited to a particular body part. *widespread all through the body. Individuals for the most part depict the agony as any of the accompanying: *burning. *aching. *prickling or shivering, which is here and there called "sticks and needles". *stabbing. *itching that turns agonizing. *freezing. *shocking. *tearing. The torment is commonly direct to extreme. The agony may even be depicted as anguishing by a few people. In extreme cases, individuals with CPS may have torment notwithstanding when touched daintily by garments, covers, or a solid breeze. An assortment of components may exacerbate the torment. These variables incorporate the accompanying: *touch. *stress. *anger. *other compelling feelings. *movement, for example, work out. *reflexive, automatic developments, such as wheezing or yawning. *loud clamors. *bright lights. *temperature changes, particularly icy temperatures. *sun presentation. *rain. *wind. *barometric weight changes. *altitude changes. As a rule, CPS remains a long lasting condition. What causes focal torment disorder?. CPS alludes to torment that originates from the cerebrum and not from the fringe nerves, which are outside of the mind and spinal line. Consequently, it contrasts from most other agony conditions. Torment is generally a defensive reaction to a destructive jolt, for example, touching a hot stove. No hurtful jolt causes the agony that happens in CPS. Rather, damage to the cerebrum makes the impression of agony. This damage as a rule happens in the thalamus, a structure inside the mind that procedures tactile signs to different parts of the cerebrum. The most well-known conditions that can prompt CPS include: *brain discharge. *a stroke. *multiple sclerosis. *brain tumors. *an aneurysm. *a spinal line damage. *a horrendous mind damage. *epilepsy. *Parkinson's infection. *surgical methods that include the mind or spine. The Central Pain Syndrome Foundation evaluates that about 3 million individuals in the United States have CPS. How is focal agony disorder analyzed?. CPS can be hard to analyze. The agony might be broad and may appear to be irrelevant to any damage or injury. No single test is accessible to empower your specialist to analyze CPS. Your specialist will survey your indications, play out a physical exam, and get some information about your therapeutic history. It's critical to illuminate your specialist about any conditions or wounds you have now or may have had before, and any meds you're taking. CPS doesn't create without anyone else's input. It just happens following damage to the CNS. How is focal torment disorder treated?. CPS is hard to treat. Torment meds, for example, morphine, are now and again utilized however aren't generally effective. A few people can deal with their torment with antiepileptic or energizer pharmaceuticals, for example, *amitriptyline (Elavil). *duloxetine (Cymbalta). *gabapentin (Neurontin). *pregabalin (Lyrica). *carbamazepine (Tegretol). *topiramate (Topamax). Extra prescriptions that may help include: *transdermal creams and fixes. *medical maryjane. *muscle relaxants. All Photos Licensed Under CC Source : www.pexels.com www.pixabay.com www.commons.wikimedia.org
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Trigger point injections with Botox in the treatment of neck pain
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Orphenadrine Orphenadrine sold under many brand names worldwide1 is an anticholinergic drug of the ethanolamine antihistamine class; it is closely related to diphenhydramine It is used to treat muscle pain and to help with motor control in Parkinsons disease, but has largely been superseded by newer drugs It was discovered and developed in the 1940s As of 2015 the cost for a typical month of medication in the United States is US$25 to 503 Contents 1 Medical use 2 Side effects 3 Pharmacology 4 Chemistry 41 Preparations 5 History 6 References 7 External links Medical use Orphenadrine is used to relieve pain caused by muscle injuries like strains and sprains in combination with rest and physical therapy4 A 2004 review found little clinical evidence for the safety or efficacy of orphenadrine for this use5 Orphenadrine and other muscle relaxants are sometimes used to treat pain arising from rheumatoid arthritis but there is no evidence they are effective for that purpose6 A 2003 Cochrane Review of the use of anticholinergic drugs to improve motor function in Parkinsons disease f Orphenadrine Click for more; https://www.turkaramamotoru.com/en/orphenadrine-23167.html There are excerpts from wikipedia on this article and video
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Visit http://www.FibromyalgiaCentersAtlanta.com now! There's a common misconception that fibromyalgia and chronic fatigue syndrome is a women's only medical condition, but out of the 5 million people diagnosed with these conditions, 10% of those are men. Men experience the same symptoms: widespread muscular pain, brain fog, anxiety, depression, insomnia, abdominal pain, etc. Thanks to a BREAKTHROUGH dietary solution that's 100% natural WITHOUT side effects, we can now better the lives of fibromyalgia patients and put this condition into remission! Please go to http://www.fibromyalgia-cure.com right now so we can help you gain your life back! Fibromyalgia Atlanta Atlanta fibromylagia atlanta fibromyalgia treatment center chronic fatigue syndrome cfs atlanta cfs chronic fatigue syndrome atlanta chronic fatigue syndrome treatment chronic fatigue syndrome symptoms fibromyalgia doctor atlanta fibromyalgia clinic atlanta fibromyalgia medication brain fog fibro fog myofascial pain syndrome muscle pain fibromyalgia trigger points fibromyalgia symptoms fibromyalgia diagnosis fibromyalgi adrenal fatigue sypmtoms chronic fatigue atlanta ga fibromyalgia treatment fibromyositis idiopathic myalgia https://www.youtube.com/watch?v=u4B7dFt9IGk
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Thanks for watching! See more at https://elivera.co.uk/products/promyalgan-x-30-tablets-bone-pain-syndrome-called-fibromyalgia ProMyalgan is a natural dietary supplement whose formula was developed to help people suffering from indisposition due to bone pain syndrome called fibromyalgia. ProMyalgan includes natural plant extracts. Composition:4 tablets include leaf extract daisies 280 mg extract from the leaves of grapes 280 mg, seed extract oil 260 mg extract from the fruit of pineapple 160 mg Taurine 120 mg, almonds powder 40 mg Orange juice 40 mg Magnesium stearate cellulose mikroktystaliczna, stabilizer, potato starch. Action: ProMyalgan, special preparation, whose composition is based on natural extracts: from the leaves of daisies, with grape leaves, seed oil, the fruit of the pineapple, almonds and oranges, which fantastically affect the smooth operation affecting their muscle tension. The formulation also contains taurine, which helps creatine transport into the muscle causing its more effective use, and accelerates the regeneration of muscles after exercise. Therefore ProMyalgan is particularly recommended for a person suffering from fibromyalgia - a disease called muscular rheumatism, at which symptoms include not joint, but muscle. The product gives a noticeable improvement in mood after taking a few days, even if the illness lasted many years. Application: ProMyalgan regulates muscle tension and improves mood. She soothes and relieves many symptoms of fibromyalgia. Directions: Take 1 to 2 tablets twice a day during or after a meal. The interval between successive doses should not be shorter than 4 hours.
Просмотров: 30 elivera.co.uk
At Pride Dental, Dr. Masoud Attar and Dr. Allen Sprinkle use conventional and non-traditional methods to address individual needs of patients. Our office is located in Arlington, Texas. Please visit www.PrideDentalOffice.com for more information.
Просмотров: 241 standtallmedia
it's so important to spread awareness about invisible illness, and I hope maybe sharing some of my experiences might help give you a better understanding of who I am. love you guys lots ~hailey stay positive, your pain (physical or mental) definitely doesn't define you.
Просмотров: 196 life livin'
I recently started a drug study for a generic form of Lyrica. Lyrica was the only medicine that has worked for me and I had to stop it because it was too expensive. It's been two weeks so far and I don't feel any different. Thanks to the Fibromyalgia and brain fog, this video isn't to the quality my videos used to be. I forgot how to use the editing program I was great at 4 years ago.
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Take Dr. Berg's Body Type Quiz: http://bit.ly/BodyTypeQuiz Dr. Berg explains how to help plantar fasciitis with this simple stretch by using the principle of opposites. Anytime a muscle is tight or inflamed work on the opposite, not the involved area. You will be stretching a muscle called the anterior tibialis, which is opposite to the bottom of your foot. Dr. Berg shows how to fix plantar fasciitis. It is a simple and one of the most easiest plantar fasciitis exercises that can be used for plantar fasciitis treatment. What is plantar fasciitis : Plantar Fasciitis is a pain in the bottom of the foot. This is caused due to a sheet of tissues that get inflammed in the bottom part of our feet. Dr. Berg tells how to cure plantar fasciitis with this simple stretching exercise by using the principle of opposites. Anytime a muscle is tight or inflamed work on the opposite, not the involved area. You will be stretching a muscle called the anterior tibialis, which is opposite to the bottom of your foot. Repeat the plantar fasciitis exercises to get relief from the plantar fasciitis heel pain treatment. You will also learn about the plantar fasciitis symptoms and what causes plantar fasciitis. Dr. Eric Berg DC Bio: Dr. Berg, 50 years of age is a chiropractor who specializes in weight loss through nutritional and natural methods. His private practice is located in Alexandria, Virginia. His clients include senior officials in the U.S. government and the Justice Department, ambassadors, medical doctors, high-level executives of prominent corporations, scientists, engineers, professors, and other clients from all walks of life. He is the author of The 7 Principles of Fat Burning, published by KB Publishing in January 2011. Dr. Berg trains chiropractors, physicians and allied healthcare practitioners in his methods, and to date he has trained over 2,500 healthcare professionals. He has been an active member of the Endocrinology Society, and has worked as a past part-time adjunct professor at Howard University. DR. BERG'S VIDEO BLOG: http://www.drberg.com/blog FACEBOOK: http://www.facebook.com/DrEricBergDC TWITTER: http://twitter.com/DrBergDC YOUTUBE: https://www.youtube.com/user/drericbe... ABOUT DR. BERG: http://www.drberg.com/dr-eric-berg/bio DR. BERG'S SEMINARS: http://www.drberg.com/seminars DR. BERG'S STORY: http://www.drberg.com/dr-eric-berg/story DR. BERG'S CLINIC: https://www.drberg.com/dr-eric-berg/c... DR. BERG'S HEALTH COACHING TRAINING: http://www.drberg.com/weight-loss-coach DR. BERG'S SHOP: http://shop.drberg.com/ DR. BERG'S REVIEWS: http://www.drberg.com/reviews The Health & Wellness Center 4709 D Pinecrest Office Park Drive Alexandria, VA 22312 703-354-7336 Disclaimer: Dr. Eric Berg received his Doctor of Chiropractic degree from Palmer College of Chiropractic in 1988. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Berg is a licensed chiropractor in Virginia, California, and Louisiana, but he no longer practices chiropractic in any state and does not see patients. This video is for general informational purposes only. It should not be used to self-diagnose and it is not a substitute for a medical exam, cure, treatment, diagnosis, and prescription or recommendation. It does not create a doctor-patient relationship between Dr. Berg and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. The Health & Wellness, Dr. Berg Nutritionals and Dr. Eric Berg, D.C. are not liable or responsible for any advice, course of treatment, diagnosis or any other information, services or product you obtain through this video or site.
Просмотров: 737354 Dr. Eric Berg DC
Conventional methods of pain treatment have often proved ineffective in the treatment of neuropathic pain. Here, in an effort to develop a new therapeutic approach, Allan Basbaum and colleagues transplanted immature telencephalic GABAergic interneurons into the adult mouse spinal cord. These transplants integrated into the spinal cord circuitry and reversed the mechanical hypersensitivity produced by peripheral nerve injury. For more details, see Braz et al., Neuron 74(4).
Просмотров: 3736 Cell Press
Sciatica – Why You Have Been Treating It Wrong Get Help with Your Pain: http://memefic.com/l/sciatica-sos12 Read more about my story: https://sciaticasosreviewblog.wordpress.com http://memefic.com/l/sciatica-sos12 was what helped me out of Sciatica. I recommend it to everyone I talk to online. Sciatica Treatment Options One day I woke up the worst pain I've ever had in my left leg,it started at the groin and went right the way down the front of my leg in to my foot the shin area being the most painful. I couldn't sit down as even trying sitting down made it worse and I could only stand for short periods,yet if I tried to lay down flat it was a bit more bearable. My doctor says it was sciatica even though I hadn't had any X-rays she finally prescribed me naproxen and gabapentin. Gabapentin used to make me drowsy. The naproxen briefly helped me but moved the pain from my back to my feet. The gabapentin really made me drowsy and did little or nothing for the pain in my feet. It helped a little at night to give me a few hours sleep. My X-ray showed a disc problem, waiting for MRI scan, but got told it'd take 32 weeks. Doctor would not do anything until MRI scan was done. So catch22 situation. For me there was no position I have found that eases the pain. I thought that hopefully with time it would pass. I used to take 2 Naproxen 250mg a day, 1 omeprazole 20mg (this was to counter act possible ulcer causing from long term use of naproxen) and 3 gabapentin 300mg. Never taken so many pills in my life, and really and trully they did nothing for the pain. However, I found a product called "Sciatica SOS", which is an ebook containing information about curing sciatica and back pains. "Sciatica SOS" was written by Glen Johnson, who used to suffer from sciatica as well. After years of struggling with pain that was becoming increasingly worse – and trying every conventional treatment, such as pain medication and regular visits to a chiropractor – Glen realized it was time to try something new. That’s when he was introduced to a different way of treating sciatica by a family friend. The treatment, originally developed in Ancient Nepal, gave Glen almost instant pain relief. And within five days, his sciatica pain had disappeared completely. The book contains rich information about sciatica, why conventional treatments, drugs and chiropractors fail and detailed exercise plans for the lower body parts which I've read multiple times. This is link I have found that takes to http://memefic.com/l/sciatica-sos12. Performing the wrong exercise for the underlying cause of your sciatica could actually make your pain worse – and may increase the time taken for a full recovery. This is why you should be extremely careful when finding a sciatic exercise routine online. In fact, unless the program recommends different exercises for each cause of sciatica, you SHOULD avoid it. There are a number of effective treatments available. These include certain home remedies that combat the inflammation, specific movements that re- align the body and eliminate stresses on the nerve, therapy while you sleep and others. These treatments have helped thousands of people overcome their sciatic pain without expensive or dangerous therapies. Sciatica SOS will help you indentify the underlying reasons for your pain. Glen will guide you through the different treatments and will tell you exactly which to use depending on the underlying cause you discovered earlier. The process is laid out step-by-step, and is very easy to follow, requiring just a few minutes each day. You should notice dramatic improvement in your pain in the very first day, and your sciatica should be gone completely in 7 days or less. I suggest you try out http://memefic.com/l/sciatica-sos12. It changed my life and I no longer have sciatica.
Просмотров: 687 Phil Golgham
Get Free Presentation Reveals 1 Tip to Eliminate Your Tinnitus Forever in 30-60 Days "Guaranteed!" click here : http://tinyurl.com/mr2qwh8 related topics : ear tinnitus; tinnitus treatment; tinnitus cure; tinnitus causes; tinitus; tinnitus symptoms; pulsatile tinnitus; tinnitus cause; ears ringing; what is tinnitus
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Subscribe to The Doctors: http://bit.ly/SubscribeTheDrs LIKE us on Facebook: http://bit.ly/FacebookTheDoctors Follow us on Twitter: http://bit.ly/TheDrsTwitter Follow us on Pinterest: http://bit.ly/PinterestTheDrs Disco music legend Gloria Gaynor performs her hit song, "I Will Survive"! Hear how music helps improve your physical and emotional well-being. Plus, learn about a new implant for treating alcohol addiction. And, a rare syndrome that caused a young boy's skin to turn rock-hard.
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For more information http://www.MidwestHeadaches.com If you are suffering from severe headaches, migraine other symptoms that are disabing you, don't readily accept confusing diagnoses from neurologists as the final word. If an oral surgeon says that your jaw joints are "fine" and yet you have facial pain and headaches, don't accept that as the final word on "TMJ". These are not the final words, if it means living a life of pain and heavy medications. No need to keep suffering with migraine, headache, neck pain, back pain, jaw pain, ear pain, TMJ disorder and TMD when the underlying cause is a "bad bite". It is not just teeth, but a poor jaw, head and neck alignment that could be causing these neurological symptoms. It may be hard to believe. But neuromuscular dentistry can actually solve these problems in most cases. So if you are tired of the pain and hate taking medications with no end in sight, there is hope. Watch this video of an actual patient who is a speech pathologist and a medical patient. She had been treated by several neurologists who diagnosed her, at different times, with Migraine, Headache, Trigeminal neuralgia, atypical dystonia, SUNCT and Tourette's syndrome. They tried various medications: Tegretol, Prednisone, Neurontin, Lyrica, Topamax and other anti-seizure and anti-depressant medications without any improvement. There were steroid injections into the back of the neck as well. She was told that since nothing they tried worked, it must be a psychological issue. She needs to learn to accept it. Through Neuromuscular orthotic and neuromuscular orthodontics she is 90% pain free and completely off ALL medications. Once the optimal bite was diagnosed through advanced Neuromuscular protocols, moving the teeth along with bone support and gum tissue to this position is called Neuromuscular Functional Orthodontics. This is different from traditional orthodontics where teeth are moved to give a nice smile. 4 out of 5 patients we treat for TMD had previously had traditional orthodontics.
Просмотров: 5465 Prabu Raman
Migraine, Headache, jaw pain, face pain, jaw joint pain, Neck ache, back pain, Fibromyalgia, TMJ disorder resolved with Neuromuscular orthodontics when Dental school TMJ clinic could not help. Stress alone does not cause headaches and other symptoms. For more information http://www.MidwestHeadaches.com Don't readily accept a Dental school 'expert' on TMJ that says your symptoms are not "TMJ" but just due to "stress" as the final word. If an "orofacial pain" doctor says that your jaw joints are "fine" and yet you have facial pain and headaches, don't accept that as the final word on "TMJ". If they say that you need medications such as Neurontin to "manage your neuropathic pain" don't think that is the final word. These are not the final words, if it means living a life of pain and heavy medications. No need to keep suffering with migraine, headache, neck pain, back pain, jaw pain, ear pain, TMJ disorder and TMD when the underlying cause is a "bad bite". It is not just teeth, but a poor jaw, head and neck alignment. It may be hard to believe. But neuromuscular dentistry can actually solve these problems in most cases. So if you are tired of the pain and hate taking medications with no end in sight, there is hope. Watch this video of an actual patient who first went to the dental school TMJ clinic hoping for a solution for her headaches which she felt were due to her tense jaws. The expert examined her jaws and declared her that her TMJ was fine since she did not have clicking or popping jaw joints. She was given a plastic mouth guard first. When that did not help, she was told that her headaches are not due to jaw problems. It could be neuropathic -- coming from her nerves -- that would need medications and need psychological counseling to help with her mental stress. She tried psychological counseling but did not resolve her headaches. Her physician had previously tried muscle relaxers and pain medications which had not really helped. So she looked far and wide for solutions but did not consider jaw problems any more since the dental school TMJ expert had already declared that she had no "TMJ". Her one headache went non-stop for over 6 years! The headache will be worse at times than others, but it NEVER went away. She had gone to pain management physicians who had given her injection in the back of the neck, back of the head and in the spine that did not help. She was also given Botox injections in the muscles of the temple and face and that did not help either. She was going to a holistic medicine physician (M.D.) in Wichita, Kansas which is 4 hours away every month. She was diagnosed with Fibromyalgia. He was pursuing allergies and sensitivities to foods etc. That did not resolve her headaches either. She was tired of getting her hopes up with each doctor that she saw who said that he or she can help only to be dashed when it did not work to resolve her headaches. After spending the money and time, the emotional low was too much. She described it as an emotional roller coaster. . It bothered her that she was missing out on her only son's young life. But Kathy had given up all hopes of getting better. What changed? Her mother read somewhere that"if you have unrelenting headaches and you don't have a brain tumor, it is your jaw alignment". So Kathy's parents convinced her to give it one more try and go see us. After an hour long evaluation ($230 fee), we only accept for treatment those that 1. Have evidence of poorly aligned jaws AND 2. Show evidence that their chief concerns / symptoms are most likely related to the poorly aligned jaws. ONLY IF they meet both of the above criteria, would they be accepted for treatment since we don't want to waste people's money and time as well as raise their hopes, if we are not the right practice for that particular person. If we do accept for treatment then the rate of success if quite high -- over 90% of our patients get substantial improvement or complete resolution of symptoms. Through Neuromuscular orthotic and neuromuscular orthodontics she is 90% pain free and completely off ALL medications. Once the optimal bite was diagnosed through advanced Neuromuscular protocols, moving the teeth along with bone support and gum tissue to this position is called Neuromuscular Functional Orthodontics. This is different from traditional orthodontics where are teeth are moved to give a nice smile. 4 out of 5 patients we treat for TMD had previously had traditional orthodontics. Kathy did not NEED a single porcelain crown to get this result.
Просмотров: 4057 Prabu Raman
THIS IS THE RESULT OF SOMA 8 MINUTES AFTER HE TOOK IT ....HE HAS NEVER TAKEN BEFORE.....FAF .NOTE HE WAS COMPLETELY SOBER 8 MINUTES PRIOR TO TAKING...........PRICELESS
Просмотров: 3095 HowlingEyes Ride or Die
Plantar fasciitis cortisone injection is given for chronic heel pain after incomplete relief from conservative treatments like stretching, proper footwear, ice, and elastic pressure bands. The cortisone shot includes both immediate-acting local anesthetic and a longer acting steroid. Conservative treatment can include the use of night splints in an effort to avoid the need for injection therapy. Amazon affiliate link for night splints: http://amzn.to/2cv94L5 This video features Dr. Gawayne Vaughan of the Auburn Medical Group. New videos are posted on Friday afternoons. This video is not intended to diagnose or treat any condition. It is for educational purposes only. It is not a substitute for evaluation by your own doctor. Be sure to subscribe to the Auburn Medical Group YouTube Channel: http://www.youtube.com/c/auburnmedicalgroup?sub_confirmation=1 You can follow Dr. Mark Vaughan on Twitter and Instagram: @doctorvaughan. You can find the Auburn Medical Group on Facebook: https://www.facebook.com/Auburn-Medical-Group-Inc-102055798325/?fref=ts Please comment and ask questions. Share with your friends who would be interested in seeing this video. Go to http://www.auburnmedicalgroup.com to learn about primary medical care in Auburn, California. All patients on our videos give written consent to post videos on YouTube of their office visit and for discussion of their medical condition voluntarily and without coercion. Music Credit: "BirdBrainz" by Otis McDonald (Royalty Free Music on YouTube).
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Learn more about our rheumatology services: http://coordinatedhealth.com/services/rheumatology/ Get to know Dr.Chiappetta: http://coordinatedhealth.com/team/nicole-chiappetta-do/ More info: http://coordinatedhealth.com/video/the-fibromyalgia-seminar/ Dr Nicole Chiappetta, of Coordinated Health, explains the myths and truths about Fibromyalgia.
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Peg originally came to a workshop for Fibromyalgia and it was discovered that she also had severe Peripheral Neuropathy in her feet, balance problems and daily severe neck, back and shoulder pain. A retired Operating Room nurse who was a bit skeptical about the Brain Based Therapy program, Peg is now living a normal life where she can bend over, get up off the floor by herself, has very little pain now and no longer feels "like an 88 year old"!
Просмотров: 277 Brian A. Prax, DC
http://www.arthritistreatmentcenter.com Virus ruled out as cause of FM Sally Koch Kubetin writing in Rheumatology News reported that Xenotropic murine leukemia virus-related virus - whew what a mouthful - often shortened to XMRV- has been touted as a possible cause of fibromyalgia. Researchers at the Hospital; Universitario, Madrid compared blood from 15 patients who met the American College of Rheumatology diagnostic criteria for fibromyalgia and 10 healthy controls. They screened using a DNA extraction and polymerase chain reaction. They failed to find evidence of XMRA in the blood.
Просмотров: 152 Nathan Wei
TMJ Muscle Relaxant - TMJ No More - Guaranteed! For more details, please visit: http://tinyurl.com/tmj-relaxant Success Story #11: Eve Drescher "...within 10 days I was seeing amazing results. I highly recommend your guide to anyone suffering with jaw or facial pain and other TMJ symptoms." "Sandra, I have been experiencing a tormenting myofacial pain for over 7 years. My doctor had prescribed several drugs. One of these drugs was Neurontin. While it reduced the pain for a while, my condition however became worse with time. I was desperate and have seen numerous dentists and chiropractors, but none of those professionals including the doctors who have x-rayed me, had no idea of the source of my pain. Fortunately for me I did further research and came across your book. It was so enlightening and full of hope. With your help and personal guidance we have developed a plan that suited my specific condition and within 10 days I was seeing amazing results. I highly recommend your guide to anyone suffering with jaw or facial pain and other TMJ symptoms. THANK YOU, I feel so much better." Eve Drescher (Berlin, Germany) Now it's your turn. Immediate action to free yourself from the clutches of TMJ. Do not waste your life. Do not waste your time. Do not waste your money. Deliver your life of misery because of TMJ Now. Enjoy a very pleasant life that already belong to you. TMJ Muscle Relaxant that Work - Guaranteed! For more details, please visit: http://tinyurl.com/tmj-relaxant http://www.youtube.com/watch?v=nDSoTzsHYsI You can help others, just by sharing this video link.
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Dr John Hayes Jr Discusses the key components of good neuropathy self care. Learn much more and get your free Ebook download at http://NeuropathyDR.com
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I feel great today and this is part 2 to my first journal were I feel pretty good. Happy Thanksgiving
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Click More http://www.MyTrigeminalNeuralgiaStory.com AWC 4398 5-6 Microvascular Decompression MVD Click Dr.Parrish Neurosurgeon TN Tic douloureux Facial Pain Electric Shocks. TNA BrianNelson123 Suicide Painful Jannetta Association Teflon Nerve THIS WEBSITE IS DESIGNED TO HAVE EACH TRIGEMINAL NEURALGIA patient tell there story from the beginning of the problem to the current status which is understandably changing daily as the body processes more of the pain. My personal story is very long and and be seen at w htttp[://www.IamFightingCancer.com Important words found on this site. Trigeminal Neuralgia Minneapolis TN Pain Personal Story, Balloon Compression Mentor, dysesthesia, bad feeling constant spasm. excruciating pains, Henry, Pneumonia Electrical Shocks, Shirley, Shelly Wilson, Support Group, Education, Association, Stabbing, Jolts, Suicide Disease, Neuropathic, rare Disorder, Treatment, destructive surgery, Procedure, Microvascular Decompression, tic douloureux Marge Prietz Trigeminal Neuralgia Extreme Facial Pain TN Websites insert. YouTube. From NelsonIdeas.com Trigeminal Neuralgia Extreme Facial Pain TN Websites insert. Websites insert. My Trigeminal Neuralgia Extreme Facial Pain TN Websites http:/./www.NelsonIdeas.com Click Dental Education Trigeminal Neuralgia Extreme Facial Pain http://www.NewMedicalDirectories.com/Trigeminal-Neuralgia-Dental/Dentist-Dentists.html Click Trigeminal Neuralgia Patient Painful-Stories http://www.BrianNelsonConsulting.com/trigeminal-neuralgia-tn/patient-painful-stories.html Click My Trigeminal Neuralgia (TN) Story only http://www.PartyTentCity.com/mytnstory.html Click My Story on TN Brian N http://www.PartyTentCity.com/trigeminal-neuralgia-tn-tmj-my-story/directory.html Click Trigeminal Neuralgia Slide Show Story of Pain http://www.NewMedicalDirectories.com/Trigeminal-Neuralgia-Slide-Show/Draft.html Click Medical Data Base Medical Costs More Expensive Due to Non Use of Technology http://www.briannelsonconsulting.com/medical-data-base/faq-info.html Click MyTrigeminal Neuralgia Story Directory http://www.MyTrigeminalNeuralgiaStory.com Click Slide Show Draft for New TN Patients. http://www.newmedicaldirectories.com/Trigeminal-Neuralgia-Slide-Show/Draft.html Click-Trigeminal Neuralgia Assn Page 1 http://newmedicaldirectories.com/Trigeminal-Neuralgia-Association/TN-Facial-Pain.html Click-Trigeminal Neuralgia Assn Page 2 http://newmedicaldirectories.com/Trigeminal-Neuralgia-Association/TN-Facial-Pain-2.html Click What is Trigeminal Neuragia? Portland,OR Slide Show http://www.NewMedicalDirectories.com/Trigeminal-Neuralgia-Slide-Show/Draft.html Click Trigeminal Neuralgia National Conference http://www.NewMedicalDirectories.com/Trigeminal-Neuralgia-Slide-Show/Draft.html Click Trigeminal Neuralgia Brian's Journal Tic Douloureux (TN) FacialPain-Cancer http://www.BrianNelsonConsulting.com/trigeminal-neuralgia-tn/faq-info.html http://www.BrianNelsonConsulting.com/trigeminal-neuralgia-tn/faq-info.html Click Page 1. Trigeminal Neuralgia http://www.BrianNelsonConsulting.com/trigeminal-neuralgia-tn/faq-info.html Click Page 2 Trigeminal Neuralgia http://www.briannelsonconsulting.com/trigeminal-neuralgia-tn/faq-info2.html Click Page 3 Trigeminal Neuralgia http://www.briannelsonconsulting.com/trigeminal-neuralgia-tn/faq-info3.htm Click Page 4 Trigeminal Neuralgia http://www.BrianNelsonConsulting.com/trigeminal-neuralgia-tn/faq-info4.html Click MyTrigeminal Neuralgia Stories Directory http://www.MyTrigeminalNeuralgiaStory.com/Index.html Click Brian's TN Story Quck Version http://www.MyTrigeminalNeuralgiaStory.com/BrianNelson/TN1.html Click Shirley's Story Trigeminal Neuralgia http://www.MyTrigeminalNeuralgiaStory.com/ShirleyH/TN3.html Click Sand's Story TN WHAT IS TRIGEMINAL NEURALGIA? TN (Trigeminal Neuralgia) is a pain that is described as among the most acute known to mankind. TN produces excruciating, lightning strikes of facial pain, typically near the nose, lips, eyes or ears. It is a disorder of the trigeminal nerve, which is the fifth and largest cranial nerve. TN (Trigeminal Neuralgia / tic douloureux) is a disorder of the fifth cranial (trigeminal) nerve that causes episodes of intense, stabbing, electric shock-like pain in the areas of the face where the branches of the nerve are distributed - lips, eyes, nose, scalp, forehead, upper jaw, and lower jaw. By many, it's called the "suicide disease". A less common form of the disorder called "Atypical Trigeminal Neuralgia" may cause less intense, constant, dull burning or aching pain, sometimes with occasional electric shock-like stabs. Both forms of the disorder most often affect one side of the face, but some patients experience pain at different times on both sides. Onset of symptoms occurs most often after age 50, but cases are known in children and even infants. Something as simple and routine as brushing the teeth, putting on makeup or even a slight breeze can trigger an attack, resulting in sheer agony for the individual. Trigeminal neuralgia (TN) is not fatal, but it is universally considered to be the most painful affliction known to medical practice. Initial treatment of TN is usually by means of anti-convulsant drugs, such as Tegretol or Neurontin. Some anti-depressant drugs also have significant pain relieving effects. Should medication be ineffective or if it produces undesirable side effects, neurosurgical procedures are available to relieve pressure on the nerve or to reduce nerve sensitivity. Some patients report having reduced or relieved pain by means of alternative medical therapies such as acupuncture, chiropractic adjustment, self-hypnosis or meditation. http://www.MyTrigeminalNeuralgiaStory.com/SandiW/TN4.html What is Trigeminal Neuralgia? Trigeminal neuralgia (TN), also called tic douloureux, is a chronic pain condition that causes extreme, sporadic, sudden burning or shock-like face pain that lasts anywhere from a few seconds to as long as 2 minutes per episode. The intensity of pain can be physically and mentally incapacitating. TN pain is typically felt on one side of the jaw or cheek. Episodes can last for days, weeks, or months at a time and then disappear for months or years. In the days before an episode begins, some patients may experience a tingling or numbing sensation or a somewhat constant and aching pain. The attacks often worsen over time, with fewer and shorter pain-free periods before they recur. The intense flashes of pain can be triggered by vibration or contact with the cheek (such as when shaving, washing the face, or applying makeup), brushing teeth, eating, drinking, talking, or being exposed to the wind. TN occurs most often in people over age 50, but it can occur at any age, and is more common in women than in men. There is some evidence that the disorder runs in families, perhaps because of an inherited pattern of blood vessel formation. Although sometimes debilitating, the disorder is not life-threatening. The presumed cause of TN is a blood vessel pressing on the trigeminal nerve in the head as it exits the brainstem. TN may be part of the normal aging process but in some cases it is the associated with another disorder, such as multiple sclerosis or other disorders characterized by damage to the myelin sheath that covers certain nerves. Is there any treatment? Because there are a large number of conditions that can cause facial pain, TN can be difficult to diagnose. But finding the cause of the pain is important as the treatments for different types of pain may differ. Treatment options include medicines such as anticonvulsants and tricyclic antidepressants, surgery, and complementary approaches. Typical analgesics and opioids are not usually helpful in treating the sharp, recurring pain caused by TN. If medication fails to relieve pain or produces intolerable side effects such as excess fatigue, surgical treatment may be recommended. Several neurosurgical procedures are available. Some are done on an outpatient basis, while others are more complex and require hospitalization. Some patients choose to manage TN using complementary techniques, usually in combination with drug treatment. These techniques include acupuncture, biofeedback, vitamin therapy, nutritional therapy, and electrical stimulation of the nerves. What is the prognosis? The disorder is characterized by recurrences and remissions, and successive recurrences may incapacitate the patient. Due to the intensity of the pain, even the fear of an impending attack may prevent activity. Trigeminal neuralgia is not fatal. What research is being done? Within the NINDS research programs, trigeminal neuralgia is addressed primarily through studies associated with pain research. NINDS vigorously pursues a research program seeking new treatments for pain and nerve damage with the ultimate goal of reversing debilitating conditions such as trigeminal neuralgia. NINDS has notified research investigators that it is seeking grant applications both in basic and clinical pain research. An Alternate Strategy Instead of waiting for the pain to become intractable or the medications toxic, an individual with trigeminal neuralgia has the option to request early surgery. This has a number of potential advantages: • Avoid years of medication and intermittent pain • Avoid facing surgery when old or infirm • If the person has a vascular loop, early microvascular decompression will increase the possibility of a successful operation with decreased risk of recurrence (evidence suggests better outcomes and lower recurrence rate the shorter the interval between onset of symptoms and nerve decompression) How To Find Out If You Have a Vascular Loop The conventional MRI scans used to rule out the presence of a brain tumor or multiple sclerosis as a cause of a patients face pain are not adequate to visualize the trigeminal nerve or an associated blood vessel. Fortunately, the continued improvement in MRI neuro-imaging now makes it possible to visualize both. The technique, which is called 3-D volume acquisition, is performed with contrast injection and utilizes thin cuts (0.8mm), without gaps similar to what was developed for MRI angiography and venography. The trigeminal nerve is easily visualized in the axial plane when the MRI series is centered at the midpoint of the fourth ventricle. To ensure an adequate evaluation, the nerve should be seen on three adjacent cuts. Early studies indicate that when an offending vessel is present it will be detected 80% of the of the time. With continued imaging improvements this percentage will definitely increase. Click here for UCSD Trigeminal Neuralgia Sequence Parameters for Seimens and GE MR Scanners. Surgical Options: Non-Destructive Procedures The only non-destructive procedure which reliably relieves the symptoms of Trigeminal Neuralgia is Microvascular Decompression (MVD). This involves surgical exploration with the operating microscope and visualization of the junction where the Trigeminal nerve enters the base of the brain, followed by coagulation or moving and padding away any compressing blood vessels. The advantage is pain relief without numbness in the majority of patients, which usually lasts indefinitely. If the pain recurs after a MVD, which it does in 10-15% of patients, it can usually be controlled with low dose Tegretol® or Neurontin®. If the pain continues, it will require a repeat MVD or one of the destructive procedures. Surgical Options: Destructive Procedures There are multiple destructive procedures which are beneficial in the treatment of Trigeminal Neuralgia. The most common of which are glycerol injections, gamma knife radiation, electrocoagulation, and balloon compression. These procedures are all based on interrupting the pain by partial damage to Trigeminal nerve fibers. Generally the more numbness they produce, the longer they last. The specific advantages and disadvantages need to be discussed with the surgeon performing the procedure. These procedures are recommended for patients who have failed MVD or are not candidates for major surgery. Comments Treatment is always individualized. All of the options above should be considered in consultation with a neurosurgeon familiar in their use. Recommendations Based on the data currently available, and in an effort to maximize quality of life, we recommend the following: Patients with less than 10 year life expectancy Refer for destructive procedure if pain not controlled medically without significant side effects Patients with more than 10 but less than 20 year life expectancy Consider destructive procedure May abolish need for continued increasing medications Will make medical therapy easier even if fails Patients with more than 20 year life expectancy Perform thin cut MRI with 3-D Volume Acquisition If vessel present recommend MVD 25 ARTICLE SECTIONS From the Mayo Clinic. Trigeminal neuralgia http://www.mayoclinic.com/health/trigeminal-neuralgia/DS00446 Introduction Signs and symptoms Causes When to seek medical advice Screening and diagnosis Treatment Coping skills Introduction Imagine having a jab of lightning-like pain shoot through your face when you brush your teeth or put on makeup. Sound excruciating? If you have trigeminal neuralgia, attacks of such pain are frequent and can often seem unbearable. You may initially experience short, mild attacks, but trigeminal neuralgia can progress, causing longer, more frequent bouts of searing pain. These painful attacks can be spontaneous, but they may also be provoked by even mild stimulation of your face, including brushing your teeth, shaving or putting on makeup. The pain of trigeminal neuralgia may occur in a fairly small area of your face, or it may spread rapidly over a wider area. Because of the variety of treatment options available, having trigeminal neuralgia doesn't necessarily mean you're doomed to a life of pain. Doctors usually can effectively manage trigeminal neuralgia, either with medications or surgery. Signs and symptoms An attack of trigeminal neuralgia can last from a few seconds to about a minute. Some people have mild, occasional twinges of pain, while other people have frequent, severe, electric-shock-like pain. The condition tends to come and go. You may experience attacks of pain off and on all day, or even for days or weeks at a time. Then, you may experience no pain for a prolonged period of time. Remission is less common the longer you have trigeminal neuralgia. People who have experienced severe trigeminal neuralgia have described the pain as: Lightning-like or electric-shock-like Shooting Jabbing Like having live wires in your face Trigeminal neuralgia usually affects just one side of your face. The pain may affect just a portion of one side of your face or spread in a wider pattern. Rarely, trigeminal neuralgia can affect both sides of your face, but not at the same time. Causes Branches of the trigeminal nerve CLICK TO ENLARGE The condition is called trigeminal neuralgia because the painful facial areas are those served by one or more of the three branches of your trigeminal nerve. This large nerve originates deep inside your brain and carries sensation from your face to your brain. The pain of trigeminal neuralgia is due to a disturbance in the function of the trigeminal nerve. Trigeminal neuralgia is also known as tic douloureux. The cause of the pain usually is due to contact between a normal artery or vein and the trigeminal nerve at the base of your brain. This places pressure on the nerve as it enters your brain and causes the nerve to misfire. Physical nerve damage or stress may be the initial trigger for trigeminal neuralgia. After the trigeminal nerve leaves your brain and travels through your skull, it divides into three smaller branches, controlling sensation throughout your face: The first branch controls sensation in your eye, upper eyelid and forehead. The second branch controls sensation in your lower eyelid, cheek, nostril, upper lip and upper gum. The third branch controls sensations in your jaw, lower lip, lower gum and some of the muscles you use for chewing. You may feel pain in the area served by just one branch of the trigeminal nerve, or the pain may affect all branches on one side of your face. Besides compression from blood vessel contact, other less frequent sources of pain to the trigeminal nerve may include: Compression by a tumor Multiple sclerosis A stroke affecting the lower part of your brain, where the trigeminal nerve enters your central nervous system A variety of triggers, many subtle, may set off the pain. These triggers may include: Shaving Stroking your face Eating Drinking Brushing your teeth Talking Putting on makeup Encountering a breeze Smiling Trigeminal neuralgia affects women more often than men. The disorder is more likely to occur in people who are older than 50. About 5 percent of people with trigeminal neuralgia have other family members with the disorder, which suggests a possible genetic cause in some cases. When to seek medical advice Some people mistake the pain of trigeminal neuralgia for a toothache or a headache. It's not uncommon for people to believe that their facial pain is dental-related, particularly when the pain seems to stem from the gumline or is located near a tooth. If you experience facial pain, particularly prolonged pain or pain that hasn't gone away with use of over-the-counter pain relievers, see your dentist or doctor. Screening and diagnosis If you go to your dentist, an examination of your mouth can reveal whether a problem with your teeth or gums is causing your pain. If you go to your doctor, he or she will want to ask about your medical history and have you describe your pain — how severe it is, what part of your face it affects, how long pain lasts and what seems to trigger episodes of pain. You'll also undergo a neurologic examination. During this examination, your doctor examines and touches parts of your face to try to determine exactly where the pain is occurring and — if it appears that you have trigeminal neuralgia — which branches of the trigeminal nerve may be affected. Your doctor may exclude other possible conditions based on your medical history, the examination, and a magnetic resonance imaging (MRI) scan of your head. Treatment Medications are the usual initial treatment for trigeminal neuralgia. Medications are often effective in lessening or blocking the pain signals sent to your brain. A number of drugs are available. If you stop responding to a particular medication or experience too many side effects, switching to another medication may work for you. Medications Carbamazepine (Tegretol, Carbatrol). Carbamazepine, an anticonvulsant drug, is the most common medication that doctors use to treat trigeminal neuralgia. In the early stages of the disease, carbamazepine controls pain for most people. However, the effectiveness of carbamazepine decreases over time. Side effects include dizziness, confusion, sleepiness and nausea. Baclofen. Baclofen is a muscle relaxant. Its effectiveness may increase when it's used in combination with carbamazepine or phenytoin. Side effects include confusion, nausea and drowsiness. Phenytoin (Dilantin, Phenytek). Phenytoin, another anticonvulsant medication, was the first medication used to treat trigeminal neuralgia. Side effects include gum enlargement, dizziness and drowsiness. Oxcarbazepine (Trileptal). Oxcarbazepine is another anticonvulsant medication and is similar to carbamazepine. Side effects include dizziness and double vision. Doctors may sometimes prescribe other medications, such as lamotrignine (Lamictal) or gabapentin (Neurontin). Some people with trigeminal neuralgia eventually stop responding to medications, or they experience unpleasant side effects. For those people, surgery, or a combination of surgery and medications, may be an option. Surgery The goal of a number of surgical procedures is to either damage or destroy the part of the trigeminal nerve that's the source of your pain. Because the success of these procedures depends on damaging the nerve, facial numbness of varying degree is a common side effect. These procedures involve: Alcohol injection. Alcohol injections under the skin of your face, where the branches of the trigeminal nerve leave the bones of your face, may offer temporary pain relief by numbing the areas for weeks or months. Because the pain relief isn't permanent, you may need repeated injections or a different procedure. Glycerol injection. This procedure is called percutaneous glycerol rhizotomy (PGR). "Percutaneous" means through the skin. Your doctor inserts a needle through your face and into an opening in the base of your skull. The needle is guided into the trigeminal cistern, a small sac of spinal fluid that surrounds the trigeminal nerve ganglion (the area where the trigeminal nerve divides into three branches) and part of its root. Images are made to confirm that the needle is in the proper location. After confirming the location, your doctor injects a small amount of sterile glycerol. After three or four hours, the glycerol damages the trigeminal nerve and blocks pain signals. Initially, PGR relieves pain in most people. However, some people have a recurrence of pain, and many experience facial numbness or tingling. http://www.MyTrigeminalNeuralgiaStory.com Balloon compression. In a procedure called percutaneous balloon compression of the trigeminal nerve (PBCTN), your doctor inserts a hollow needle through your face and into an opening in the base of your skull. Then, a thin, flexible tube (catheter) with a balloon on the end is threaded through the needle. The balloon is inflated with enough pressure to damage the nerve and block pain signals. PBCTN successfully controls pain in most people, at least for a while. Most people undergoing PBCTN experience facial numbness of varying degrees, and more than half experience nerve damage resulting in a temporary or permanent weakness of the muscles used to chew. http://www.MyTrigeminalNeuralgiaStory.com Electric current. A procedure called percutaneous stereotactic radiofrequency thermal rhizotomy (PSRTR) selectively destroys nerve fibers associated with pain. Your doctor threads a needle through your face and into an opening in your skull. Once in place, an electrode is threaded through the needle until it rests against the nerve root. An electric current is passed through the tip of the electrode until it's heated to the desired temperature. The heated tip damages the nerve fibers and creates an area of injury (lesion). If your pain isn't eliminated, your doctor may create additional lesions. PSRTR successfully controls pain in most people. Facial numbness is a common side effect of this type of treatment. The pain may return after a few years. Microvascular decompression (MVD). A procedure called microvascular decompression (MVD) doesn't damage or destroy part of the trigeminal nerve. Instead, MVD involves relocating or removing blood vessels that are in contact with the trigeminal root and separating the nerve root and blood vessels with a small pad. During MVD, your doctor makes an incision behind one ear. Then, through a small hole in your skull, part of your brain is lifted to expose the trigeminal nerve. If your doctor finds an artery in contact with the nerve root, he or she directs it away from the nerve and places a pad between the nerve and the artery. Doctors usually remove a vein that is found to be compressing the trigeminal nerve. MVD can successfully eliminate or reduce pain most of the time, but as with all other surgical procedures for trigeminal neuralgia, pain can recur in some people. http://www.MyTrigeminalNeuralgiaStory.com While MVD has a high success rate, it also carries risks. There are small chances of decreased hearing, facial weakness, facial numbness, double vision, and even a stroke or death. The risk of facial numbness is less with MVD than with procedures that involve damaging the trigeminal nerve. Severing the nerve. A procedure called partial sensory rhizotomy (PSR) involves cutting part of the trigeminal nerve at the base of your brain. Through an incision behind your ear, your doctor makes a quarter-sized hole in your skull to access the nerve. This procedure usually is helpful, but almost always causes facial numbness. And it's possible for pain to recur. If your doctor doesn't find an artery or vein in contact with the trigeminal nerve, he or she won't be able to perform an MVD, and a PSR may be done instead. Radiation. Gamma-knife radiosurgery (GKR) involves delivering a focused, high dose of radiation to the root of the trigeminal nerve. The radiation damages the trigeminal nerve and reduces or eliminates the pain. Relief isn't immediate and can take several weeks to begin. GKR is successful in eliminating pain more than half of the time. Sometimes the pain may recur. The procedure is painless and typically is done without anesthesia. Because this procedure is relatively new, the long-term risks of this type of radiation are not yet known. • Coping skills Living with trigeminal neuralgia can be difficult. The disorder may affect your interaction with friends and family, your productivity at work, and the overall quality of your life. You may find that talking to a counselor or therapist can help you cope with the effects of trigeminal neuralgia, or you may find encouragement and understanding in a support group. Although support groups aren't for everyone, they can be good sources of information. Group members often know about the latest treatments and tend to share their own experiences. If you're interested, your doctor may be able to recommend a group in your area. 27 Background: Trigeminal neuralgia (TN), also known as tic douloureux, is a pain syndrome recognizable by patient history alone. The condition is characterized by pain often accompanied by a brief facial spasm or tic. Pain distribution is unilateral and follows the sensory distribution of cranial nerve V, typically radiating to the maxillary (V2) or mandibular (V3) area. At times, both distributions are affected. Physical examination eliminates alternative diagnoses. Signs of cranial nerve dysfunction or other neurologic abnormality exclude the diagnosis of idiopathic TN and suggest that pain may be secondary to a structural lesion. Pathophysiology: The mechanism of pain production remains controversial. One theory suggests that peripheral injury or disease of the trigeminal nerve increases afferent firing in the nerve; failure of central inhibitory mechanisms may be involved as well. Pain is perceived when nociceptive neurons in a trigeminal nucleus involve thalamic relay neurons. Aneurysms, tumors, chronic meningeal inflammation, or other lesions may irritate trigeminal nerve roots along the pons. An abnormal vascular course of the superior cerebellar artery is often cited as the cause. In most cases, no lesion is identified, and the etiology is labeled idiopathic by default. Uncommonly, an area of demyelination from multiple sclerosis may be the precipitant. Lesions of the entry zone of the trigeminal roots within the pons may cause a similar pain syndrome. Thus, although TN typically is caused by a dysfunction in the peripheral nervous system (the roots or trigeminal nerve itself), a lesion within the central nervous system may rarely cause similar problems. Infrequently, adjacent dental fillings composed of dissimilar metals may trigger attacks. Frequency: Internationally: TN is uncommon, with an estimated prevalence of 155 cases per million persons. Mortality/Morbidity: No mortality is associated with idiopathic TN, although secondary depression is common if a chronic pain syndrome evolves. In rare cases, pain may be so frequent that oral nutrition is impaired. In symptomatic or secondary TN, morbidity or mortality relates to the underlying cause of the pain syndrome. Sex: Male-to-female ratio is 2:3. Age: Development of trigeminal neuralgia in a young person suggests the possibility of multiple sclerosis. Idiopathic TN typically occurs in patients in the sixth decade of life, but it may occur at any age. Symptomatic or secondary TN tends to occur in younger patients. 27 Background: Trigeminal neuralgia (TN), also known as tic douloureux, is a pain syndrome recognizable by patient history alone. The condition is characterized by pain often accompanied by a brief facial spasm or tic. Pain distribution is unilateral and follows the sensory distribution of cranial nerve V, typically radiating to the maxillary (V2) or mandibular (V3) area. At times, both distributions are affected. Physical examination eliminates alternative diagnoses. Signs of cranial nerve dysfunction or other neurologic abnormality exclude the diagnosis of idiopathic TN and suggest that pain may be secondary to a structural lesion. Pathophysiology: The mechanism of pain production remains controversial. One theory suggests that peripheral injury or disease of the trigeminal nerve increases afferent firing in the nerve; failure of central inhibitory mechanisms may be involved as well. Pain is perceived when nociceptive neurons in a trigeminal nucleus involve thalamic relay neurons. Aneurysms, tumors, chronic meningeal inflammation, or other lesions may irritate trigeminal nerve roots along the pons. An abnormal vascular course of the superior cerebellar artery is often cited as the cause. In most cases, no lesion is identified, and the etiology is labeled idiopathic by default. Uncommonly, an area of demyelination from multiple sclerosis may be the precipitant. Lesions of the entry zone of the trigeminal roots within the pons may cause a similar pain syndrome. Thus, although TN typically is caused by a dysfunction in the peripheral nervous system (the roots or trigeminal nerve itself), a lesion within the central nervous system may rarely cause similar problems. Infrequently, adjacent dental fillings composed of dissimilar metals may trigger attacks. http://www.MyTrigeminalNeuralgiaStory.com
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