Panchakarma treatment for painful Post-Traumatic Trigeminal Neuropathy – A case report

Trigeminal Neuralgia (TN) is characterized by sudden, electric shock-like pain triggered by innocuous stimuli. Post-Traumatic Trigeminal Neuropathy (PTTN), a traumatic subset of TN, shares these features but also involves sensory abnormalities and psychological distress. Conventional treatments, inc...

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Main Authors: Manoj Shamkuwar, Kiran Nimbalkar, Diwakar Mani Tripathi, Bhavna Bhatia, Manisha, Rohit Pal
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Journal of Ayurveda and Integrative Medicine
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Online Access:http://www.sciencedirect.com/science/article/pii/S0975947625000440
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author Manoj Shamkuwar
Kiran Nimbalkar
Diwakar Mani Tripathi
Bhavna Bhatia
Manisha
Rohit Pal
author_facet Manoj Shamkuwar
Kiran Nimbalkar
Diwakar Mani Tripathi
Bhavna Bhatia
Manisha
Rohit Pal
author_sort Manoj Shamkuwar
collection DOAJ
description Trigeminal Neuralgia (TN) is characterized by sudden, electric shock-like pain triggered by innocuous stimuli. Post-Traumatic Trigeminal Neuropathy (PTTN), a traumatic subset of TN, shares these features but also involves sensory abnormalities and psychological distress. Conventional treatments, including medications and surgical interventions, often provide limited relief and have their limitations. Ayurveda offers a more holistic, non-invasive alternative for long-term management. This case study details a 45-year-old male patient with right-sided facial pain persisting for eight months, unresponsive to conventional medications. Baseline pain intensity was six out of ten on the Numerical Rating Scale (NRS). The interventions comprised Virechana (therapeutic purgation), Ksheera-bashpa Swedana (therapeutic steam of medicated milk), Nasya (medication through nasal route), Shirodhara (therapeutic streaming over head), and Matra Basti (a form of unctuous enema), followed by a seven-month course of medications. During the course of treatment, pain intensity gradually reduced from six to one on the NRS, accompanied by significant improvements in emotional well-being, sleep, and overall quality of life. Follow-up assessments confirmed sustained benefits, including a decreased dependence on conventional medication. This case highlights the potential of Ayurveda in PTTN management. More case reports and series of this kind are desirable for a better insight into this management approach.
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spelling doaj-art-cd1f87752dc346f0b25fb46846f00b512025-07-05T04:46:41ZengElsevierJournal of Ayurveda and Integrative Medicine0975-94762025-07-01164101168Panchakarma treatment for painful Post-Traumatic Trigeminal Neuropathy – A case reportManoj Shamkuwar0Kiran Nimbalkar1Diwakar Mani Tripathi2Bhavna Bhatia3 Manisha4Rohit Pal5Department of Panchakarma, Ayurvedic and Unani Tibbia College and Hospital, Govt of NCT of Delhi, India; Corresponding author.Department of Agada Tantra, Ayurvedic and Unani Tibbia College and Hospital, Govt of NCT of Delhi, IndiaDepartment of Panchakarma, Ayurvedic and Unani Tibbia College and Hospital, Govt of NCT of Delhi, IndiaDepartment of Panchakarma, Ayurvedic and Unani Tibbia College and Hospital, Govt of NCT of Delhi, IndiaDepartment of Panchakarma, Ayurvedic and Unani Tibbia College and Hospital, Govt of NCT of Delhi, IndiaDepartment of Panchakarma, Ayurvedic and Unani Tibbia College and Hospital, Govt of NCT of Delhi, IndiaTrigeminal Neuralgia (TN) is characterized by sudden, electric shock-like pain triggered by innocuous stimuli. Post-Traumatic Trigeminal Neuropathy (PTTN), a traumatic subset of TN, shares these features but also involves sensory abnormalities and psychological distress. Conventional treatments, including medications and surgical interventions, often provide limited relief and have their limitations. Ayurveda offers a more holistic, non-invasive alternative for long-term management. This case study details a 45-year-old male patient with right-sided facial pain persisting for eight months, unresponsive to conventional medications. Baseline pain intensity was six out of ten on the Numerical Rating Scale (NRS). The interventions comprised Virechana (therapeutic purgation), Ksheera-bashpa Swedana (therapeutic steam of medicated milk), Nasya (medication through nasal route), Shirodhara (therapeutic streaming over head), and Matra Basti (a form of unctuous enema), followed by a seven-month course of medications. During the course of treatment, pain intensity gradually reduced from six to one on the NRS, accompanied by significant improvements in emotional well-being, sleep, and overall quality of life. Follow-up assessments confirmed sustained benefits, including a decreased dependence on conventional medication. This case highlights the potential of Ayurveda in PTTN management. More case reports and series of this kind are desirable for a better insight into this management approach.http://www.sciencedirect.com/science/article/pii/S0975947625000440AnantavataCase reportPanchakarmaPTTNTrigeminal neuralgia
spellingShingle Manoj Shamkuwar
Kiran Nimbalkar
Diwakar Mani Tripathi
Bhavna Bhatia
Manisha
Rohit Pal
Panchakarma treatment for painful Post-Traumatic Trigeminal Neuropathy – A case report
Journal of Ayurveda and Integrative Medicine
Anantavata
Case report
Panchakarma
PTTN
Trigeminal neuralgia
title Panchakarma treatment for painful Post-Traumatic Trigeminal Neuropathy – A case report
title_full Panchakarma treatment for painful Post-Traumatic Trigeminal Neuropathy – A case report
title_fullStr Panchakarma treatment for painful Post-Traumatic Trigeminal Neuropathy – A case report
title_full_unstemmed Panchakarma treatment for painful Post-Traumatic Trigeminal Neuropathy – A case report
title_short Panchakarma treatment for painful Post-Traumatic Trigeminal Neuropathy – A case report
title_sort panchakarma treatment for painful post traumatic trigeminal neuropathy a case report
topic Anantavata
Case report
Panchakarma
PTTN
Trigeminal neuralgia
url http://www.sciencedirect.com/science/article/pii/S0975947625000440
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