Video Q&A With Dr. Aguila

Dr. Aguila shares his perspective on free market medicine and direct specialty care in the wake of United Healthcare CEO Brian Thompson's death.

Mark had a case of Shingles that developed into severe Postherpetic Neuralgia under his armpit. He couldn't shower, wear shirts or function normally, leaving him in a dark place. After other treatments failed, he researched and found Dr. Demetrio Aguila, a pain-focused peripheral nerve surgeon. Dr. Aguila has helped hundreds of patients with Postherpetic Neuralgia get their lives back. Mark is his latest PHN success story and he is' "grateful beyond words." My name is Mark McCubbin. I'm from Oklahoma City. I developed a case of Shingles and after the Shingles rash healed the pain did not go away and I developed Postherpetic Neuralgia (PHN). The pain was probably seven or eight often a nine and the sensitivity to touch was a nine or 10. It was hard to sleep and hard to function. I was in a dark place. Mark saw several different doctors who could not help. But he did not give up, searched online and found Dr. Demetrio Aguila, a pain focused peripheral nerve surgeon. Dr. Aguila: According to the CDC there are about 1 million new cases of Shingles in the United States each year. Anywhere from 5 to 15% of those people end up with chronic pain after shingles which is called Postherpetic Neuralgia. That's anywhere from 50 to 150,000 new cases of Postherpetic Neuralgia in the United States alone. Dr. Aguila performed nerve blocks to the affected nerves in Mark’s chest wall. When they worked, he went to the operating room and disconnected the lateral cutaneous branches of the intercostal nerves that were responsible for pain in his chest and his armpit. Thankfully, he was one of many patients who've gotten great relief from this surgery. As a result of this surgery, I'm pain-free. I feel no pain in that area and it's just a wonderful feeling to have relief from the pain. The last year has been tough, and this was an answer to my prayers. I can take showers, and I can function normally. It's been a great relief. I would highly recommend Dr. A as he genuinely cares. Not only is he a skillful Physician, but you can tell he cares. He was always candid and transparent with me. The surgery was a success, and I'm so grateful beyond words. Dr. Aguila and Total Pain Solutions https://www.totalpainsolutions.net/ And on Facebook https://www.facebook.com/TotalPainSolutionsbyHealingHandsofNE

Kristal suffered from low back pain that left her in constant agony, unable to sit, stand or ride in a car. She tried many treatments, including spine surgery but nothing helped until she found Dr. Demetrio Aguila, a pain-focused peripheral nerve surgeon. Dr. Aguila believed she had two problems, compression of the sciatica nerve and Superior Cluneal Neuralgia. He was able to fix both in one surgery and now she feels like herself again.

Dr. Donna Kreher from Rezenity Health discusses the pain coaching program, a partnership with Dr. Aguila at Total Pain Solutions. This unique program helps patients overcome the mental aspects of dealing with chronic pain. Here is another video with Dr. Aguila discussing the topic https://youtu.be/CwsKJM5SJ38

Pat struggled with Postherpetic Neuralgia (PHN) of the Face after Shingles for four years. The headaches and pain were constant and she could no longer travel or go out with friends. Through a Facebook support group she found Dr. Demetrio Aguila, a pain-focused peripheral nerve surgeon. Her anatomy was unusual and her case complex but Dr. Aguila was able to completely eliminate her pain. Watch her story and learn more about relief for PHN. PAT It was so worth it. I hope that anyone who has Postherpetic Neuralgia of the face will find Dr. Aguila because your life is going to change dramatically. I am Pat from Windsor, Colorado. Dr. Aguila: Pat originally came to us due to Postherpetic Neuralgia of the Face. She had chronic pain in her face from Shingles. She was miserable. What made her case unusual is that it didn't just involve the forehead or just one area, but it seemed to involve right around the eye and all the way up to the top of the scalp. She searched for help and saw five different doctors and tried many treatments. Nothing worked so she searched online. That's when she found her answer. PAT I went to Facebook to look for a support group and up popped a testimonial from one of Dr. Aguila’s patients. I was nervous and excited at the same time when I saw how many cases of PHN he had successfully treated. Dr. Aguila: When I saw her originally, I said OK let's go after the low-hanging fruit. Let's see if it's the most common nerve that is involved, the supraorbital nerve. I did a block, and she got about 80% relief. But she still had pain. It’s a possibility and in some patients that you get overlap in this area from branches of the supraorbital nerve and supratrochlear nerves coming up and overlapping with nerves coming out of the ear called aural temporal nerves so I said OK let's block that and see if that does the trick. Dr. Aguila had an intuition that her case was complex. I wonder if there's a variation in anatomy and so I said, let me go to the next common place for that nerve to pop out, which is a hole in the bone above the eyebrow and she said OK and we did that. And she had complete relief of all her symptoms. I am thankful to my mentors who taught me the variations in the location of the supraorbital nerve. Pat was able to do the procedure under local anesthesia in the office. Here she is on day one after the procedure. PAT I feel great. I was anticipating pain, but I did not have any. I am excited now that I have a whole new life. I just pray that anyone who's going through this situation can find Dr. Aguila and get relief. Dr. Aguila and Total Pain Solutions https://www.totalpainsolutions.net/ And on Facebook https://www.facebook.com/TotalPainSolutionsbyHealingHandsofNE

Dr. Aguila shares information about a new program designed to help patients overcome the mental stress of chronic pain. Total Pain Solutions is partnering with Rezenity Health and Dr. Donna Kreher in this innovative approach to treat the whole patient - mind and body. You can also listen to Dr. Kreher's perspective here https://youtu.be/mSvc1n9OYmE?si=nuTuFNQxFNXk48TU

Scott had two successful surgeries to relieve foot and ankle pain caused by neuromas after a trauma. Dr. Aguila resected the sural, deep peroneal, superificial peroneal and saphenous nerves. Now Scott is pain free. To show his gratitude and help others, he donated to the M25 Program. Watch and learn more.

Dr. Aguila explains why he shares post operative photos of patients after surgery for Postherpetic Neuralgia (PHN) of the face, He is hoping to educate future patients and make them aware of what they may look like after surgery. The surgery has eliminated pain for many patients with PHN of the face.

Jeff had excruciating pain and burning from Postherpetic Neuralgia of the face which he developed after Shingles. After years of suffering and trying different treatments that didn't work, he finally found help thanks to Dr. Aguila, a pain-focused peripheral nerve surgeon. Now he feels, "fantastic!" Watch his story and lean more about overcoming Postherpetic Neuralgia. “My name is Jeff Carlson, and I am from Colorado Springs Colorado. I developed Postherpetic Neuralgia after shingles. My eye was always itching and burning, and it felt like I had a weight in my eye all the time. Sometimes it felt like lemon juice, sometimes it was my eye burning or itching. I had sensitivity to the wind or the air conditioning in a car. I couldn’t wear a hat put on a T-shirt or anything that would irritate it. I had very little hope and every day was a struggle. I spent a lot of money on a lot of different treatments. You name it I’ve probably tried it.” After years of failed treatments, Jeff finally found Dr. Demetrio Aguila, a pain-focused peripheral nerve surgeon. He found Dr. Aguila through a YouTube video from another PHN patient Kathleen, who also lived in Colorado. Jeff made the trip to see Dr. Aguila in Omaha Nebraska. Dr. Aguila: “We did some diagnostic injections. We numbed up the supratrochlear nerve, which is right here, we numbed up the supraorbital nerve, and in his case, they’re also seem to be involvement of what’s called the infratrochlear nerve. We numbed up those nerves and he started to cry. For the first time his pain was gone.” Given the success of the diagnostic injections, Dr. Aguila moved forward with surgery. It was an in-office procedure done with general anesthesia. “Jeff had some unusual variance of his anatomy. Most people have one supraorbital nerve. Jeff had three. I wouldn’t have known that had not been doing the procedure and told me doc I can kind of feel something you’re doing over there. He should have been numb at that point but that clued me in that I should look over there and make sure that there’s not something hiding. And sure enough there was another supraorbital nerve in that area that was causing him pain.” Here is Jeff the first day after surgery. “Hey Dr. Aguila, I was walking from my hotel room to the car, and I noticed the breeze didn’t hurt. This used to hurt like hell this little breeze it’s blowing right now. This is the best I have felt in six years. I feel fantastic. My advice to anyone suffering from PHN of the face is don’t wait. The sooner the better so you don’t have to deal with this day and day out. Dr. Aguila and Total Pain Solutions https://www.totalpainsolutions.net/ And on Facebook.