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Trigeminal neuralgia: An expert's guide

In his latest online article, renowned London-based Dr Roshan Thawale explains trigeminal neuralgia. This is a neuropathic condition, involves the trigeminal nerve—a major nerve originating from the brain—sending faulty signals, thus perceiving ordinary signals as excruciating pain. Regarded as one of the most agonising conditions known to man, it can lead to severe mental distress and even self-harm in some cases.

Lower back pain: your questions answered

The management for Lumbar Spinal Pain (LSP) is initially to make an accurate diagnosis and to rule out any red flags symptoms which warrant emergency treatment. A comprehensive treatment plan will then be developed with discussion between the patient and physician based on patient expectations. Available treatments are: • Education and explanation of disease process and prognosis. • Non-invasive methods: simple analgesics, specific nerve pain medications, physiotherapy and exercise (to strengthen the core muscles), and TENS trial. • Procedures: Injections around the nerve supplying the spinal joints (nerve root injection), epidurals, radiofrequency procedures and spinal column stimulators.

A specialist guide to pain management

Pain management is a speciality. Pain managment generally refers to chronic pain, pain that people have been experiencing for weeks or month, that there is not an immediate treatment for. There is difference between acute pain and chronic pain. Acute pain is the pain you feel when you have appendicitis, gallstones or a kidney stone or you break a bone. If you think about the pain, you know why it is there and if you treat the cause, the pain will go away.

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