Name: Nerve Pain Treatment in Patna - Dr. Shrutika Bhagat
Creator: Dr. Shrutika Bhagat

CLINICAL OVERVIEW

Understanding Chronic Neuropathic Pain

Nerve Pain (Neuropathic Pain) arises from direct damage, irritation, or malfunction within the nervous system itself. Unlike ordinary muscle or joint aches (nociceptive pain), neuropathic pain is caused when injured or compressed nerves continuously fire spontaneous, hyperactive electrical pain signals to the brain.

Patients frequently describe nerve pain as severe burning, searing electrical shocks, crawling sensations (formication), lancinating stabs, or extreme sensitivity to light touch (allodynia) where even clothes or bedsheets cause intense agony. Standard painkillers (NSAIDs) rarely offer relief for genuine nerve damage.

Interventional Pain Medicine calms hyperactive nerve pathways right at the source. Using precision C-Arm fluoroscopy and high-frequency ultrasound, Dr. Shrutika Bhagat delivers targeted diagnostic nerve blocks, radiofrequency neurotomy, and neuromodulation therapies without invasive surgery or opioid dependence.

Peripheral and Central Nervous System Pain Pathways

Neural Network Architecture

Spinal Cord, Dorsal Root Ganglia & Peripheral Nerve Circuits

CONDITIONS TREATED

Types of Neuropathic Pain We Specialize In

Comprehensive clinical assessment and targeted nerve interventions for diverse neural disorders.

Trigeminal Neuralgia

Excruciating, sudden, electric shock-like facial pain triggered by chewing, speaking, washing the face, or light breeze touching the cheek along the 5th cranial nerve.

Treatment: Gasserian Ganglion RFA & Nerve Block

Diabetic Neuropathy

Progressive burning, tingling, pins and needles, and sharp stabbing sensations in the feet, toes, and legs resulting from chronic metabolic nerve microvascular damage.

Treatment: Sympathetic Blocks & Neuromodulation

Post-Herpetic Neuralgia

Persistent, unbearable burning and hypersensitivity in a thoracic or facial nerve band that remains months or years after a Herpes Zoster (Shingles) skin rash heals.

Treatment: Pulsed RFA of Intercostal Nerves / DRG

CRPS (Reflex Dystrophy)

Severe, disproportionate burning limb pain accompanied by swelling, skin temperature fluctuations, color changes, and sweating abnormalities after a fracture or sprain.

Treatment: Stellate / Lumbar Sympathetic Neurolysis

Occipital Neuralgia

Piercing, throbbing, or jabbing pain originating at the base of the skull and traveling across the scalp to the crown, temples, or behind one eye.

Treatment: Ultrasound Greater Occipital Block & RFA

Nerve Entrapments

Compression of individual peripheral nerves, including Carpal Tunnel Syndrome (median nerve), Cubital Tunnel (ulnar), Meralgia Paresthetica (thigh), and Peroneal nerve palsy.

Treatment: Ultrasound Nerve Hydrodissection

CLINICAL PRESENTATION

Recognizing Neuropathic Pain Symptoms

Neuropathic symptoms follow distinct sensory pathways that help our pain specialist identify the damaged nerve.

Sensory Symptom	Clinical Description	Common Culprit Conditions	Interventional Strategy
Lancinating (Electric)	Sudden lightning-like electrical shocks or stabbing bursts	Trigeminal Neuralgia, Cervical/Lumbar Radiculopathy	Radiofrequency Ablation / Selective Block
Causalgia (Burning)	Deep hot searing flame-like agony that worsens at night	Diabetic Neuropathy, Post-Herpetic Neuralgia, CRPS	Sympathetic Blocks / Neuromodulation
Allodynia (Hyperalgesia)	Intense pain from non-painful stimuli (light touch, cloth, breeze)	Post-Shingles Agony, Central Sensitization, CRPS	Pulsed DRG RFA / Ketamine Infusion
Paresthesia & Numbness	Pins, needles, tingling, dead numbness, "walking on cotton"	Carpal Tunnel, Tarsal Tunnel, Peripheral Neuropathy	Ultrasound Hydrodissection & Biotherapy

SPECIALIZED INTERVENTIONS

Advanced Interventional Nerve Procedures

Stitchless, daycare, image-guided procedures performed under local anesthesia by Dr. Shrutika Bhagat.

Long-Term Relief

Radiofrequency Ablation (RFA)

Pulsed or thermal high-frequency electrical currents applied to hyperactive nerve ganglions (e.g. Gasserian ganglion, DRG, sphenopalatine) to stop transmitting excruciating pain signals for 12 to 24 months.

Gold standard for Trigeminal Neuralgia
Safe, targeted, no hospital stay

Autonomic Reset

Sympathetic Nerve Blocks

Precision C-Arm guided blocks of sympathetic ganglion chains (Stellate Ganglion for arm/facial CRPS, Lumbar Sympathetic for lower limb diabetic burning pain) restoring microcirculation and calming autonomic overdrive.

Stops severe burning and sweating spikes
Restores healthy blood flow to cold limbs

Advanced Pacemaker

Spinal Cord Stimulation (SCS)

Implantation of miniature micro-leads into the dorsal epidural space. Mild electrical impulses override chronic neuropathic pain signals before they reach the brain, replacing unbearable agony with pleasant tingling.

For severe refractory diabetic neuropathy & CRPS
Includes a temporary trial prior to final implant

Nerve Decompression

Nerve Hydrodissection

Under dynamic high-resolution ultrasound guidance, fluid (saline/dextrose/PRP) is injected around entrapped peripheral nerves (carpal tunnel, lateral femoral, sural, peroneal) to gently peel away constricting scar tissue.

Non-surgical release of entrapped nerves
Restores nerve gliding and blood supply

Targeted Relief

DRG & Selective Nerve Root Blocks

Fluoroscopy-guided micro-needle placement precisely at the Dorsal Root Ganglion (DRG) or exit foraminal nerve root with high-potency anti-inflammatory wash to neutralize acute nerve inflammation.

Fast relief for post-herpetic & radicular pain
Pinpoint sub-millimeter precision

Intravenous Ketamine Infusion for Chronic Pain

Central Reset

Intravenous Neuromodulatory Infusion

Medically monitored intravenous infusions of NMDA-receptor antagonists (Ketamine) or membrane-stabilizing agents (Lidocaine) to reset wind-up phenomena and desensitize hyperactive central pain circuits.

For severe generalized allodynia & CRPS
Resets over-sensitized brain pain pathways

Fellowship-Trained Spine Specialist

Dr. Shrutika Bhagat

MBBS, MD, FIRA, FIAPM | Interventional Pain & Spine Endoscopy

Dr. Shrutika Bhagat brings super-specialized training in full-endoscopic spine surgery and image-guided interventional pain management, having successfully treated thousands of patients with severe back pain, disc prolapse, sciatica, nerve compression, and joint arthritis in Patna.

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FREQUENTLY ASKED QUESTIONS

Nerve Pain FAQs

Clear answers to common questions about neuropathic pain, trigeminal neuralgia, and interventional procedures.

Ordinary painkillers (such as paracetamol or NSAIDs) target prostaglandin inflammation in muscles and joints. Neuropathic pain, however, is generated by damaged nerve membranes firing chaotic electrical signals. Neuropathic pain requires specialized nerve-membrane stabilizing therapies, targeted nerve blocks, and radiofrequency ablation to halt abnormal signal generation.

Yes. Radiofrequency Ablation (RFA) of the Gasserian ganglion and peripheral trigeminal branch blocks provide outstanding pain relief without opening the skull (craniotomy). It is a daycare needle procedure performed under light sedation and local anesthesia, making it exceptionally safe—even for elderly patients or those unfit for major neurosurgery.

Sympathetic nerves control microvascular blood vessels and neuropathic sensitivity in our limbs. By performing a precision image-guided block (such as a Lumbar Sympathetic Block or Stellate Ganglion Block), we interrupt the vicious pain-spasm cycle, opening up blood vessels to supply oxygen and nutrients to starving nerves and soothing intractable burning sensations.

PHN is severe nerve pain persisting after a shingles outbreak. Early intervention within the first few weeks or months with Dorsal Root Ganglion (DRG) injections, pulsed RFA, and targeted nerve blocks prevents permanent central sensitization ("wind-up" in the brain and spinal cord) and stops chronic burning agony.

No. The skin and overlying tissues are thoroughly numbed with local anesthetic before any procedure. Real-time C-Arm fluoroscopic or ultrasound visualization ensures extreme precision, making the treatment very gentle, safe, and comfortable.

Nerve Pain Treatment in Patna