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, 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.