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Discussion on Percutaneous electrical nerve stimulation (PENS) therapy
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Moderator:
DrO
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Posted on Friday, Jun 5, 2015 - 6:40 pm:
Percutaneous electrical nerve stimulation (PENS) therapy has been experimented with for treating trigeminal nerve related head shaking, the results are published in the article above.
DrO
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Member:
moxshi
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Posted on Saturday, Jun 6, 2015 - 9:14 am:
Good morning, Dr. O.
My father, who has MS, has suffered incredibly with Trigeminal Neuralgia and found relief with Gamma Knife surgery which he had done 2x when the pain returned after the first surgery. I investigated whether or not Gamma Knife has ever been tried in horses, but couldn't find confirmation, but it is interesting that an article on Headshaking in horses (https://onlinelibrary.wiley.com/doi/10.1002/9781118738818.ch52/summary;jsessionid=80F5D45428CA9706583261D6A44CDD5A.f01t01 ) is used as a reference in this article on Microvascular Decompression for TN in humans and found in the New England Journal of Medicine ( https://www.nejm.org/doi/full/10.1056/NEJM199604253341701 ). I wonder if Gamma Knife for TN-caused headshaking in horses has ever been considered? I expect that finding access to Gamma Knife surgery in a vet clinic would be rare and might be too expensive unless one had health insurance for his horse. My father had to travel out-of-state by ambulance for his surgery.
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Moderator:
DrO
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Posted on Sunday, Jun 7, 2015 - 9:14 am:
I do not know of any use of a gamma knife in the horse yet. For those not familiar with this a gamma knife is a form of radiation therapy that focuses a number of small beams onto a very small spot. Individually the beams are not tissue toxic but where they focus is. This allows for precise targeting of a cancer and in the case of Holly's dad, a nerve.
DrO
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