This 3D picture show what is Trigeminal Neuralgia and how it can be treated by Trigeminal Nerve Block and how this procedure is done .
Trigeminal nerve is divided into three branches
life-threatening intractable Trigeminal boldness nuisance is called trigeminal neuralgia . Pain may unfold along the one branch or all three branches or combination of any two branches . Trigeminal nerve pain is regale with medicine and physical therapy . If Conservative handling is failed then patient is considered for diagnostic or therapeutic occlusion . symptomatic block is performed to diagnose the origin of pain . Therapeutic procedures of 3 to 4 injections are performed for long term pain ease lasting 3 to 4 month or longer .
Trigeminal Nerve block
Procedure
Procedure is performed at surgical shopping mall under stern aseptic safeguard . Procedure is performed by experient Interventional Pain Specialist . Patient lies in unresisting position . Skin around angle of mouth is preparation with iodophor or povidone - iodine preparation solution . Prep peel is covered with sterile medical dressing .
Skin and hypodermic tissue paper 1 to 1.5 curium lateral to slant of mouth is anesthetized with 1.5 to 2 milliliter of 1 % lidocaine . After local anaesthesia causing numbness needle is passed towards trigeminal nerve through skin and subcutaneous tissue . double intensifier used for procedure . Antero - later and lateral Xray prototype is observed during placement of acerate leaf . A 22 G or 23 G spinal phonograph needle of 10 inch in length is passed towards trigeminal face through cutis and hypodermic tissue paper under uninterrupted image intensifier . Needle is advanced posteriorly towards international audile meatus in parallel woodworking plane slip by through pupil . Therapeutic block is performed using prospicient move local anesthetic like bupivacaine or neurolytic agent like alcoholic drink ( 50 to 70 % ) , phenol ( 4 to 10 % ) or glycerine ( 100 % ) . Bupivacaine block may last for 2 to 6 weeks or retentive . If bupivacaine or local anaesthetic closure last less than 6 weeks then neurolytic block is perform , which may last 4 to 6 month or long . Surgery or gamma radioactivity treatment is advised if diagnostic or therapeutic mental block is betray to exempt pain .
