Minimally invasive treatment of headache and fascial pain

Some symptoms of facial and head pains may be similar, which prompts some people to include such pains under a general diagnosis, which is a headache. The common treatment and solution thereof are to administer analgesic drugs, which may solve the problem relatively for a specific time, but it does not solve the main cause of the problem because analgesics are not the solution therefore and the diagnosis was not accurate from the beginning. Facial and head pains are due to different causes, all of which cannot be included under the diagnosis of headache. The types of headaches also are different, and each one thereof is due to specific causes and symptoms, even such types are similar in some treatment methods, we address simply in this article what can be treated with minimal intervention.

Trigeminal Neuralgia:

Definition:

Hyperactivity of the gaserian ganglion in the brain leading to electric shock sensation in one side of the face and rarely affects the face on both sides.

Causes:

Most of the time the cause is unknown but in rare cases it is a result of brain tumors of Multiple Sclerosis. For this reason, any patient diagnosed with Trigeminal neuralgia is asked to do brain MRI in order to exclude any underlying causes.

Treatment:

The first line of treatment is medications. Choice number one in treating trigeminal neuralgia is Carbamazepine and fortunately it is successful in relieving the pain in 80% of the patients. But still the rest of the patient needs a treatment plan and for this the scientist worked hard until they reached the solution which is applying Pulsed Radiofrequency to the Gaserian Ganglion. this is a nonsurgical intraoperative procedure. It is done using a fine needle inserted through the cheek towards the gaserian ganglion with the guidance of fluoroscope and under the influence of sedation and local anesthesia. The procedure is 100% safe and has a success rate of 80% in relieving the pain.

Radiofrequency with Dr. Mohamed Koura

Although it is a very simple and safe procedure, but still, it needs high level of hand skills and technicalities that helps the operating physician to be as precise and fast as possible, which will only be found at Dr. Koura’s.

Cluster Headache:

Definition:

Hyperactivity of the sphenopalatine ganglion in the brain leading to pulsating pain in the back of the eye with severe lacrimation in one side of the face and rarely affects the face on both sides.

Causes:

Most of the time the cause is unknown but in rare cases it is a result of brain tumors. For this reason, any patient diagnosed with cluster headache is asked to do brain MRI in order to exclude any underlying causes.

Treatment:

The first line of treatment is medications. Choice number one in treating trigeminal neuralgia is Sumatriptan  and inhaling Oxygen in sessions and  fortunately it is successful in relieving the pain in 80% of the patients. But still the rest of the patient needs a treatment plan and for this the scientist worked hard until they reached the solution which is applying Pulsed Radiofrequency to the Sphenopalatine Ganglion . this is a nonsurgical intraoperative procedure. It is done using a fine needle inserted through the cheek towards sphenopalatine ganglion with the guidance of fluoroscope and under the influence of sedation and local anesthesia. The procedure is 100% safe and has a success rate of 80% in relieving the pain.

Radiofrequency with Dr. Mohamed Koura

Although it is a very simple and safe procedure, but still, it needs high level of hand skills and technicalities that helps the operating physician to be as precise and fast as possible, which will only be found at Dr. Koura’s.