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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Elsevier
2025-07-01
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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 |
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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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publishDate | 2025-07-01 |
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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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