Trigeminal Neuralgia- a short introduction...
Read MoreDr. Jaydev Panchawagh
Dr. Jayadev Panchwagh: A distinguished Brain and Spine Surgeon shaping neurological care in Pune, Maharashtra, India, for over two decades. His commitment to neurosurgery began during his internship and has since blossomed into a remarkable career marked by pioneering work and a deep dedication to patient well-being.
He has been working in the field of neurosurgery since the age of 21 years, while working as an intern in Pune. It was always his lifelong dream to operate on the brain and spine, and help make people better.
Dr Jaydev Panchwagh
Internationally acclaimed
Neurosurgeon / MVD specialist
Dr. Jaydev Panchawagh
Dr. Jayadev Panchwagh: A distinguished Brain and Spine Surgeon shaping neurological care in Pune, Maharashtra, India, for over two decades. His commitment to neurosurgery began during his internship and has since blossomed into a remarkable career marked by pioneering work and a deep dedication to patient well-being.
He has been working in the field of neurosurgery since the age of 21 years, while working as an intern in Pune. It was always his lifelong dream to operate on the brain and spine, and help make people better.
Our Expertise
Brain surgery is a highly specialized field of neurosurgery that involves diagnosing and treating conditions that affect the brain, skull, and nearby nerves.
Spine surgery is a focused branch of neurosurgery that involves diagnosing and treating conditions that impact the spine, spinal cord, vertebrae, and surrounding neural structures.
MVD surgery is a refined neurosurgical technique that involves diagnosing and treating cranial nerve disorders caused by vascular compression near the brainstem or base of the brain.
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Dr. Jayadev Panchwagh: A distinguished Brain and Spine Surgeon shaping neurological care in Pune, Maharashtra, India, for over two decades. His commitment to neurosurgery began during his internship and has since blossomed into a remarkable career marked by pioneering work and a deep dedication to patient well-being.
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Frequently Asked Question
Where does the name ‘ Trigeminal Neuralgia’ come from?
There are two nerves-one on each side of the face- which carry the sensation of face and gums to the brain, where we can appreciate them. They are the Trigeminal nerves. For example, sensations from the right side of the face are carried by the right trigeminal nerve.
‘Neuralgia’ means nerve pain.’
Combining the two words gives the term Trigeminal Neuralgia, meaning pain in the region of the Trigeminal nerve; in short, pain on one side of face and gums. (usually this disease is unilateral).
What are the other names of Trigeminal Neuralgia?
Trigeminal neuralgia is also called TN, Tic douloureux, facial pain, Fothergill’s disease, Prosopalgia (prosopos=face, algos=pain), prosopodynia (dynos=pain), prosoponeuralgia, trifacial neuralgia etc.
But there are other causes of facial pain and gum pain. So, how does one diagnose TN specifically?
TN is basically a clinical diagnosis. What it means is that we make the diagnosis by carefully listening to the patient’s history and the description of the pain. The typical TN pain has following characteristics:
-It comes suddenly and lasts from a second to many minutes.
-It is in the distribution of the Trigeminal nerve, on one side of the face.
-It can start from upper or lower gum, teeth, nose, chin, cheek, just in front of the ear, forehead, eye, temple and spread to other parts of the face.
The Trigeminal neuralgia pain is very severe and is often described as:
-Sudden electric current
-Sudden, piercing, sharp knife in the face
-Electric shock like
-Pricking of multiple sharp needles
-Sudden blast of hot bomb in the face
-Like somebody putting red chilli powder on the face.
-Like a lightning striking the face
The attack terminates in a few seconds or a few minutes and then the person is usually pain-free till the next attack.
In advanced stages, the pain remains for a longer duration of time. Also, there could be continuous low intensity pain between the Trigeminal Neuralgia attacks.
Which Trigeminal nerve division is most commonly affected?
The V2-V3 division is most commonly affected in about 40% patients( jaw and cheek pain). All three branches are affected in only about 10 % of patients.
What are trigger factors or trigger points for Trigeminal neuralgia?
There are a few commonly seen trigger points, which when stimulated start the attack. These trigger points could be:
- Upper lip, Ala of the nose
- Forehead just above the eye, just below the lower eyelid.
- Just in front of the ear, Upper or lower gum
Touching one or more of these points, blast of cold, even a gentle breeze against the face, brushing teeth (the toothbrush touching the gums), washing face, shaving, jaw movements while talking or chewing etc bring on the attack
Is the pain really that severe?
This pain surpasses any other pain experienced by humans in severity. Various patients have described this pain as:
- “The worst pain experienced by mankind”
- “The pain you should not wish even your enemies to have”
- “Death be better than this suffering”
- “Deadly curse”
- “Pain of thousand knives piercing the face”
- “A hot chilli bomb exploding on one side of the face”
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We're enhancing our services to better serve your healthcare needs, both here in India and abroad. Stay informed about the latest developments and how they benefit you.
Indian Patients
- Phone : (+91) 9011333841 , (+91) 7720948948
- brainspine66@gmail.com
- 102, Bhagyatara Society, 1st floor, Mehendale Garage road, Erandwane, Pune
International Patients
- Phone : (+91) 9011333841 , (+91) 7720948948
- brainspine66@gmail.com
- 102, Bhagyatara Society, 1st floor, Mehendale Garage road, Erandwane, Pune
Consultation for second opinion
Have you been advised to undergo Brain surgery or Spine surgery?… Do you want another experts opinion?
- Phone : (+91) 9011333841 , (+91) 7720948948
- brainspine66@gmail.com
Indian Patients
- Phone : (+91) 9011333841 , (+91) 7720948948
- brainspine66@gmail.com
- 102, Bhagyatara Society, 1st floor, Mehendale Garage road, Erandwane, Pune
International Patients
- Phone : (+91) 9011333841 , (+91) 7720948948
- brainspine66@gmail.com
- 102, Bhagyatara Society, 1st floor, Mehendale Garage road, Erandwane, Pune
Second Opinion
Have you been advised to undergo Brain surgery or Spine surgery?… Do you want another experts opinion?
Consultation for 2 nd opinion
- Phone : (+91) 9011333841 , (+91) 7720948948
- brainspine66@gmail.com
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Read MoreDr Jaydev Panchwagh is associated with foundations
We're enhancing our services to better serve your healthcare needs, both here in India and abroad. Stay informed about the latest developments and how they benefit you.
Indo-German Neurosurgery
Founding member
Synapse Brain & Spine Foundation
Founding member & Chairman