Author: Dr. Jaydev Panchwagh

Treatment for Trigeminal Neuralgia by MVD surgery

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Treatment for Trigeminal Neuralgia by MVD Surgery is a well-established option. MVD stands for Micro Vascular Decompression. This means that a microscope (with or without an endoscope) is used to decompress the Trigeminal Nerve from one or more blood vessels compressing it. The Micro Vascular Decompression is most often done using one or pieces of Teflon sponge.

Trigeminal Neuralgia Treatment by MVD surgery- a patient’s story in Hindi

This is a video testimonial of a patient who came to our MVD Centre from the United Kingdom for treatment of his Trigeminal neuralgia. He talks about the trigger factors that started his facial pain. He also talks about how he is pain free after MVD surgery. Please click here for other video testimonials.

If you want to watch MVD surgery and how it is done, please click here. You can go to our Home page to get all information about Trigeminal neuralgia.

Initially he faced facial numbness, but that gradually went away with time.

Dr Jaydev Panchwagh is an internationally acclaimed neurosurgeon who operates at the MVD Centre in Pune. He and his team have an experience of more than twenty years in dealing with patients of Trigeminal Neuralgia. There is a good support system in place for international patients as well. The centre also has a support group for Trigeminal neuralgia patients.

Microvascular decompression for TN

Posted on | by Dr. Jaydev Panchwagh | 1 Comment on Microvascular decompression for TN

Microvascular decompression for TN is a potentially curative surgery and can be a permanent solution.

In this video on treatment of Trigeminal neuralgia with Microvascular decompression surgery, a patient shares his experience 2 years later. Many questions like What is the main cause of Trigeminal neuralgia? and what is the best treatment of trigeminal neuralgia are answered. Do watch the entire video for all the answers.

He says “The pain of Trigeminal neuralgia was severe enough to contemplate suicide. It started suddenly, without warning, electric shock-like. And when I got the TN attacks, people around me would wonder what happened to me so suddenly? Medical treatment made me have memory loss and loss of balance. And it also made me very drowsy and numb. The medicines stopped having effect on my pain later on. Only the side-effects persisted because I was increasing my doses to get pain relief from my facial pain attacks.”

MVD surgery for Trigeminal neuralgia

Microvascular Decompression for TN is one of the many procedures that can be done to cure the pain of Trigeminal Neuralgia. However, this is the only possibly permanent treatment. The highest rate of success is in experienced hands. In this surgery a teflon piece is inserted between the blood vessel(s) and nerve to prevent compression.

You can listen to other patient experiences here:

 

Dr Jaydev Panchwagh is the founder-Director of the MVD Centre in Pune. He is a well-established neurosurgeon of national and international repute. He is also founder-member of Synapse brain and Spine Foundation.

Pain relief after MVD operation

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Pain relief after MVD operation: How long does it last?

It is generally permanent or at least very long-lasting.

Here is the experience through a video testimonial of two patients who underwent Microvascular Decompression surgery or MVD operation in 2017. This video was recorded 3 years after their surgery.

What are the aims of MVD operation?

Pain relief is the primary aim after MVD operation. Reducing or complete cessation of medication is a secondary benefit.

What kind of pain relief may be expected after MVD operation?

The pain of Trigeminal neuralgia is generally electric-shock like and is episodic, brought on by trigger factors. The relief after a successful MVD operation is immediate, and complete.

This means that the patient will  now not experience any trigger factors.  He/she is able to eat, talk, brush teeth, wipe face, shave, apply make-up etc. without experiencing facial pain. Sometimes after MVD surgery, there may be a temporary facial numbness as the trigeminal nerve is healing itself from the pre-operative short-circuiting.

What are some of the FAQs regarding Trigeminal neuralgia or MVD operation?

There are plenty of questions and you will find the answers here.

Who performs the MVD operation at the MVD Centre, Pune?

Dr Jaydev Panchwagh is the neurosurgeon (brain surgeon) who performs all MVD operations in the MVD Centre in Pune.

A single-surgeon experience of more than 1380 surgeries is phenomenal, considering that this disease is not very common.

Where can I read more about other patient experiences at the MVD Centre in Pune?

There is a support group, which you can get in touch with if you contact us. We can link you up with other patients or share their testimonials.

Where is Pune?

Pune is a big, thriving city about 100 kilometers from Mumbai. It is well-connected by airports and trains. It has multi cuisine restaurants, and is very cosmopolitan.

There are plenty of international students in Pune, which is also considered an educational hub in India. International medical tourism is also popular in this city.

 

 

 

Trigeminal Neuralgia Pain Relief

Posted on | by Dr. Jaydev Panchwagh | 6 Comments on Trigeminal Neuralgia Pain Relief

‘Trigeminal Neuralgia Pain Relief has been the single-most wonderful thing in the last month of my life!! The pain was so bad before the operation, I could not eat, sleep or drink, even talk. And then I underwent Microvascular Decompression surgery or MVD surgery.

Now that my pain is relieved, I feel like laughing, dancing, singing…..I am so ecstatic. I feel that no patient should needlessly suffer the pain.

For me, the Trigeminal Neuralgia Pain relief was so immediate, that I would highly recommend it to all other sufferers. I had visited many doctors, many neurologists, many experts, not only in Mumbai but also other cities and states. But I did not get the confidence that I could be treated well.

Dr Jaydev Panchwagh is an expert in treatment of Trigeminal neuralgia. He is a neurosurgeon based out of Pune. He has an entire team working with him for the last twenty years, that each one on the team has a big role to play in the recovery of the patient.

I have been supported so well during this incredible journey of Trigeminal neuralgia pain relief that I would highly recommend anyone to please visit him at least once.

I too was afraid of surgery before, but after listening to other peoples experiences and reading their testimonials, and talking to them, watching his Youtube videos, I became confident”.

 

Successful MVD for Trigeminal Neuralgia

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Mrs R R underwent a successful MVD Surgery with Dr Jaydev Panchwagh for her facial pain/ Trigeminal Neuralgia. She is a resident of Mumbai , and after extensive research, decided to get operated at the MVD centre in Pune under Dr Jaydev Panchwagh.

This is what her daughter posted as a google review:

” My mother underwent successful MVD for Trigeminal Neuralgia. Indeed the most treasured of the doctors we have been privileged to meet is Dr Jaydev Panchwagh. The surgery was undoubtedly successful. Thank u for good care and concern.

Dr Jaydev Panchwagh put us at ease and helped in gaining the confidence. Because of you my mom is doing very well.

“You are truly a remarkable doctor and professional we respect and trust” and also a great thank you to Savita mam and Dr Santosh for clearing every small doubts whenever in need”.

Microvascular decompression is a good choice for finding permanent and long-lasting relief from Trigeminal neuralgia.   If you want to read more testimonials of patients who have undergone MVD surgery at our MVD centre, please click here. Dr Jaydev Panchwagh is the chief neurosurgeon at the MVD centre in Pune. He is also the founder-Director of Synapse Brain and Spine Foundation.

Dr Jaydev Panchwagh Neurosurgeon

Trigeminal neuralgia cured

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Trigeminal neuralgia cured by Microvascular Decompression surgery is not unique. However, very few patients actually acknowledge this in public and help spread awareness.

In this interview, Mrs. Deshmukh and her husband share their experiences before and after her Trigeminal neuralgia was treated by Microvascular decompression surgery, or MVD surgery.

Mr Deshmukh also describes how he and his family suffered because they saw her in pain but could not share her neuralgic pain. They would take her to the hospital at all hours of the day when the attacks got particularly bad to give her intravenous pain killers. They endured all this simply because they were unaware of MVD surgery for Trigeminal neuralgia pain relief. Trigeminal neuralgia cured by MVD surgery is a boon for not only the patient but also the family involved.

While googling for trigeminal neuralgia treatment, her son chanced upon a YouTube video that Dr. Jaydev Panchwagh, a neurosurgeon in Pune had uploaded for public education. She then procured his phone number and contacted him. The very first meeting with him and his team gave her enough confidence to opt for surgery. She also spoke to a few other people who were operated upon by Dr. Jaydev Panchwagh,  who reassured her that he was the best neurosurgeon for MVD surgery done for treatment of Trigeminal neuralgia.

The cause for Trigeminal neuralgia is often a blood vessel compressing on the Trigeminal nerve. You can read more by clicking here.

Severe Trigeminal Neuralgia caused by Epidermoid tumour

Posted on | by Dr. Jaydev Panchwagh | 27 Comments on Severe Trigeminal Neuralgia caused by Epidermoid tumour
CP angle Epidermoid Tumor
MRI of C-P Angle Epidermoid Tumor

Severe Trigeminal Neuralgia can occasionally be caused by tumors in the cerebello-pontine region, notably, Epidermoid tumors, Schwannomas and rarely others like meningioma etc.

Severe TN caused by C-P angle Epidermoid tumor

This is the story of a patient named Mr. Gopal Shinde, a young man from rural Maharashtra who suffered from very severe pain in the cheek and forehead. His TN pain was so severe that he could neither eat nor talk, nor open his mouth.

An MRI advised by us revealed a cerebello-pontine (C-P) angle tumor which was likely to be an epidermoid. Unfortunately, a nation-wide lockdown was imposed a few days after his diagnosis, and he had to return to his village.

Eventually, in spite of the Covid-19 situation, he came back to us for excision of the epidermoid, because the pain was unbearable. This was successfully removed in October 2020. His severe Trigeminal neuralgia pain disappeared immediately after surgery and he could begin eating, talking and smiling normally.

 

Dr. Jaydev Panchwagh operated on him and he was cured of his TN pain, with the excision of the Epidermoid tumor and with the freeing of the Trigeminal nerve.

Trigeminal neuralgia medication-how to take them?

Posted on | by Dr. Jaydev Panchwagh | 50 Comments on Trigeminal neuralgia medication-how to take them?

Trigeminal neuralgia medication, at least the majority of them, are anti-convulsants.

“How to take them-Trigeminal neuralgia medication?”

Can I take TN medication when I feel the pain coming on?

Can I add more drugs during a Trigeminal neuralgia attack?

Do I have to continue taking the Trigeminal neuralgia medicines even if I have no or minimal pain?

These are all questions that frequently come to the patients’ minds.

What is essential to understand is that TN medicines are not straight-forward pain-killers. They are primarily anti-convulsants or brain numbing medications. Once the first pill is consumed, it takes a few hours to reach the blood. The liver simultaneously metabolizes the drug, while some of it also reaches the brain to act upon. So in effect, the blood level reduces. Over a period of the next few hours, the blood level will become zero. Before this happens, we need to consume another pill to increase and maintain the blood level. If this does not happen, there is no effect on the pain as well.

In short, regular medication is essential to maintain a particular blood level of the drug, so that it calms the brain/ nerve. This calming effect means that they do not respond to pain signals, and therefore have a neuralgic-pain-reducing effect.

Another key point to be noted is that the dosages need to be very gradually increased (and decreased also).

What happens if I take too many TN pills?

Well, you will certainly start manifesting all the side-effects of these anti-convulsants, like drowsiness, dizziness, imbalance, mental clouding, memory loss, depression etc. This is why, their dosages have to be adjusted by your doctor, who will determine what is right for you. One typically starts with the lowest dosage twice or thrice a day. This may be increased to maximum doses four times a day.

What happens if I miss a couple of doses of TN medication?

The blood level reduces, and you may experience break-through pain.

Allergic reactions to Trigeminal neuralgia medication

When starting off drugs to control TN pain for the first time, one has to be aware of and be on the lookout for allergic reactions. Though rare, it is not unheard of. I have come across a few patients in my practice. Typically they are in the form of skin rashes. These may be the harbinger of a very serious and potentially fatal Stevens-Johnson syndrome. If one notices skin rashes on consuming TN medication, please inform your doctor immediately and stop taking it.

What are the commonly used medication for trigeminal neuralgia?

What other drugs than anticonvulsants are useful for TN pain?

Is TN permanent?

What are some of the FAQs about TN?

Is there a cure for Trigeminal neuralgia?

Who is Dr Jaydev Panchwagh?

Youtube videos explaining in detail about Trigeminal neuralgia

Can I hear some patient testimonials? MicroVascular Decompression surgery to cure Trigeminal neuralgia.

How do I contact Dr Jaydev Panchwagh?

Trigeminal Neuralgia Patient Testimonial | Laxminarayan Gogineni

Posted on | by Dr. Jaydev Panchwagh | 59 Comments on Trigeminal Neuralgia Patient Testimonial | Laxminarayan Gogineni

I suffered from Trigeminal Neuralgia and this is my patient testimonial:

I suffered from Trigeminal Neuralgia for five years before my Microvascular decompression surgery. Symptoms of TN for me was a severe shock like pain along the lower jaw.

Continue reading →

Is Trigeminal neuralgia hereditary?

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For those of you who are wondering whether Trigeminal neuralgia is hereditary, the short answer is ‘ not really’. Having said that, there are cases reported where TN runs in families.

Can Trigeminal neuralgia be Familial?

Familial TN is unusual by all means. It is likely to be less than 2 or 3% of all TN patients. It is possible that patients inherit their familial ‘make-up’ of blood vessel contours or laxity, or lengths…we don’t know. Generally the familial type of Trigeminal neuralgia is on the same side in all affected family members.

Can Trigeminal neuralgia be inherited? Can TN be genetically transmitted?

The chances are so slim, that it’s not worth losing good sleep over it.

Have I seen a case of familial Trigeminal neuralgia?

‘No. I have only read case reports. It is likely that this condition is so rare, that one need not be too worried about it.’ Dr Jaydev Panchwagh answers.

Can children be affected with Trigeminal neuralgia?

Though it is unusual, it is not impossible. Diagnosing TN in children may be a problem, because they may not be able to express their problem clearly.

Parents ought to be more observant and help in establishing patterns.

There are reports of Microvascular Decompression surgery being done even in young children to treat them of the Trigeminal neuralgia pain.

My father and I both have Trigeminal Neuralgia. Is this hereditary? Will my children also have it?

It is possible that there are certain anatomical variations in either the brain and skull, or in the blood vessels that have predisposed both of you to have it. We just have to wait and see if it gets passed on to the next generation.

The youngest patient Dr Jaydev Panchwagh, a renowned Indian neurosurgeon  has operated on is a girl of 22 years, who had been having it for five years. The operation was performed at his centre for MVD in Pune, India.  With an experience of more than a thousand trigeminal neuralgia surgeries, he is one of the best neurosurgeons for such delicate and specialized operations.

You may watch his Youtube channel for more on MVD surgery for Trigeminal neuralgia treatment.