Dr Jaydev Panchawagh - Neurosurgeon

16/10/2026

What exactly happens during Microvascular Decompression (MVD) surgery?
MVD is a surgical procedure used for selected patients with Trigeminal Neuralgia, particularly when imaging and clinical evaluation indicate a blood vessel may be compressing the trigeminal nerve.
During MVD surgery:
🔹 The surgeon approaches the trigeminal nerve through a small opening behind the ear.
🔹 If a blood vessel is compressing the nerve, it is carefully moved away.
🔹 A small soft material may be placed between the vessel and nerve to help keep them separated.
🔹 The goal is to relieve the compression while preserving the nerve.
Whether MVD surgery is appropriate depends on the individual patient's symptoms, imaging findings, overall health, and previous treatment.
👨‍⚕️ Dr. Jaydev Panchawagh
Neurosurgeon | Trigeminal Neuralgia & Facial Pain Care
📍 Pune, India



MVD is not automatically suitable for every patient. A detailed evaluation is essential.

14/10/2026

🚨⚡Do watch this detailed podcast. About intricate brain Surgeries. Especially the pain Salman Khan fought with...

Boys Talk विथ डॉ. जयदेव पंचवाघ Episode : 77सलमान खानने मध्यंतरी ...

12/10/2026

When does Trigeminal Neuralgia move beyond medicines?
Medicines are commonly used as an initial treatment for Trigeminal Neuralgia. However, a procedure or surgery may be discussed when:

• Pain is no longer adequately controlled
• Medication causes troublesome side effects
• Medication is not suitable for the patient

Depending on the individual situation, treatment options may include Microvascular Decompression (MVD), radiofrequency procedures, balloon compression, glycerol injection, or stereotactic radiosurgery.
Each procedure works differently and has its own potential benefits and risks.

The appropriate option depends on factors such as age, overall health, pain pattern, imaging findings, previous treatment, and patient preferences.

👨‍⚕️ Dr. Jaydev Panchawagh
Neurosurgeon | Trigeminal Neuralgia & Facial Pain Care
📍 Pune, India

There is no single procedure that is automatically right for everyone.

09/10/2026

Is your Trigeminal Neuralgia pain controlled, but your medication is affecting your daily life?
Medicines used to manage Trigeminal Neuralgia can help control facial pain, but some patients may experience side effects such as:
• Sleepiness
• Dizziness
• Nausea
• Confusion
• Poor balance

If you're experiencing troublesome side effects, do not suddenly stop your medication on your own.
Talk to your doctor about your symptoms. Depending on your situation, your doctor may adjust the dose, recommend monitoring or blood tests, or discuss other treatment options.
Good Trigeminal Neuralgia treatment should consider both pain control and your safety and quality of life.

👨‍⚕️ Dr. Jaydev Panchawagh
Neurosurgeon | Trigeminal Neuralgia & Facial Pain Care
📍 Pune, India

07/10/2026

I was pleased to see The Times of India feature my work in the treatment of Trigeminal Neuralgia and the role of Microvascular Decompression (MVD) surgery.
I have been performing MVD surgery for the last 22 years.
During this period, I have performed more than 3,000 MVD procedures.
Of these, over 2,000 have been for Trigeminal Neuralgia and around 850 for Hemifacial Spasm.

Watch the full video here: https://youtu.be/jzesWfKOLWA?si=I50SUZy0upTXBXbN

Trigeminal Neuralgia can cause sudden, severe, electric-shock-like facial pain and is sometimes mistaken for a dental problem.
Medicines are often the first line of treatment, but they may become less effective or difficult to tolerate over time.
In appropriately selected patients with neurovascular compression, MVD addresses the underlying cause by separating the offending blood vessel from the nerve.
It is also a nerve-preserving procedure and can offer a very good chance of long-lasting relief.
For me, successful MVD surgery depends on careful diagnosis, correct patient selection, microsurgical precision and long-term experience with the procedure.
I hope greater awareness about Trigeminal Neuralgia, Hemifacial Spasm and MVD surgery helps more patients reach the right treatment at the right time.

06/10/2026

Did your Trigeminal Neuralgia medication stop working or has your facial pain started returning?

For some patients with Trigeminal Neuralgia, medication may become less effective over time.

Increasing the dose on your own isn't the answer, because higher doses can also increase side effects.
A proper reassessment may include reviewing your symptoms, medications, previous imaging and, when appropriate, discussing other treatment options.

Never increase, reduce, or stop your Trigeminal Neuralgia medication without medical guidance.

Dr. Jaydev Panchawagh specializes in the evaluation and treatment of Trigeminal Neuralgia and facial pain.
📍 Pune, India

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02/10/2026

Why are regular painkillers often ineffective for Trigeminal Neuralgia?

Trigeminal Neuralgia is a nerve-pain condition. Its characteristic attacks are different from pain caused by inflammation, muscle injury, or a typical toothache.

Because of this, common over-the-counter painkillers may not provide meaningful relief for many patients.

Treatment often involves medicines that target abnormal nerve signalling rather than simply treating inflammation or tissue injury.

Repeatedly taking painkillers without understanding the cause of your facial pain may delay appropriate evaluation and treatment.

If your facial pain is sudden, electric shock-like, severe, and triggered by activities such as eating, talking, brushing your teeth, or touching your face, seek medical advice rather than repeatedly self-medicating.

29/09/2026

Does every patient with Trigeminal Neuralgia need surgery?

Not necessarily.

For many patients, medication is the first-line treatment for Trigeminal Neuralgia. Medicines such as carbamazepine and oxcarbazepine are commonly used to reduce the abnormal pain signals associated with the condition.

The choice of medication depends on factors such as the patient's medical history, other medicines, potential side effects and individual response to treatment.

Medication doses may need to be adjusted under medical supervision.

Do not start, increase, reduce, or stop prescription medication without guidance from your treating doctor.

Treatment should always be personalized to the individual patient.

25/09/2026

Why do some people suffer from facial pain for years before getting the right diagnosis?

Trigeminal Neuralgia can sometimes resemble toothache, sinus pain, migraine, jaw problems, or other facial pain conditions. Because these symptoms can overlap, identifying the underlying cause may take time.

An accurate diagnosis helps doctors understand the pattern of pain, perform an appropriate neurological examination, and use imaging such as MRI when needed to investigate possible causes or other conditions.

Once the diagnosis is established, the doctor can discuss appropriate treatment options based on the individual patient's symptoms and clinical findings.

If you have persistent or unexplained facial pain, don't simply live with it. Consider a proper evaluation by a qualified specialist.

24/09/2026

Expertise in surgery goes beyond the procedure itself.

Experience, precision, clinical judgement, and the ability to adapt to the individual patient all play a role in surgical care.

Because when it comes to complex neurosurgery, the surgeon matters too. Watch the entire video on Youtube: https://www.youtube.com/watch?v=H3zyVvA9aWc