Complete Remission of Refractory Trigeminal Neuralgia via Yamamoto Cranial Neuromodulation
A clinical case documenting full pain cessation (VAS 10/10 reduced to 0/10) and successful pharmaceutical medication taper in a patient with 4-year refractory V2/V3 branch trigeminal neuralgia.
Key Treatment Outcomes & Metrics
1. The Clinical Challenge
Mrs. K.S., a 48-year-old patient, suffered from excruciating shock-like facial pain triggered by brushing teeth, chewing, and light breeze (Visual Analogue Scale 10/10). High-dose carbamazepine (1200mg/day) and pregabalin provided only minimal relief while causing severe cognitive lethargy and dizziness.
2. Diagnostic Reasoning & Evaluation
The objective was cranial nerve V desensitization and central pain gate inhibition utilizing YNSA Cranial Nerve 5 points, Sensory Area lines, and somatic master acupoints.
3. Therapeutic Protocol & Modalities
Micro-acupuncture applied to ipsilateral and contralateral YNSA Somatotopic Cranial Nerve points with electro-neuromodulation (2 Hz continuous) for 30 minutes, 3 times weekly for 4 weeks, transitioning to maintenance sittings.
4. Implementation & Cadence
18 clinical sessions across 8 weeks. Medication was systematically tapered under close medical supervision starting at Week 4.
5. Clinical Results & Functional Milestones
By Week 6, the patient achieved 0/10 VAS pain score without spontaneous electric shock episodes. By Week 8, pharmaceutical anticonvulsants were completely discontinued with zero recurrence at 12-month clinical follow-up.
Dr. Nisshii Bhatt
Pioneering Scalp Acupuncture specialist and Founder of Dhi Amrutam with over 18 years of clinical excellence in pediatric neurodevelopment, post-stroke motor retraining, and chronic neuropathic pain management.
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