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Video Q&A With Dr. Aguila

We are happy to answer questions that help patients better understand treatment options and alternatives. 

Below are common questions, and answers, from our patients who we’ve helped on these journeys to full health.

Postherpetic Neuralgia in the Face
03:40

Postherpetic Neuralgia in the Face

After Shingles developed into a painful case of Postherpetic Neuralgia on the face, Todd was lonely, miserable, and in constant pain. Through online research he found Dr. Demetrio Aguila, a pain-focused, peripheral nerve surgeon. Dr. Aguila confirmed the peripheral nerves causing his pain with a nerve block that temporarily relieved the pain. Then he took Tod to the operating room where he removed the affected nerves. Now he is 75% better just five days after surgery. Tod thanks Dr. Aguila for giving him the will to live again. “My name is Tod Miller, and I am from Phoenix, Arizona Dr. Aguila: Todd Miller is another patient who came to us with terrible postherpetic neuralgia (PHN) on his face. He had pain in his face after Shingles. Todd: You don’t have relationships and you’re pretty much alone when you have PHN. It’s such a tremendous feeling of being lonely you almost feel hopeless. Sometimes I would sit for 24 hours a day and the recliner with ice bags on my head and my neck. I found Dr. Aguila through a lady in Florida. She told me about two or three other doctors that were performing this type of surgery. All roads on the internet led to Dr. Aguila. Dr. Aguila: We blocked the supratrochlear and supraorbital nerves and the infraorbital nerve, nerve that’s right here in the face and he said doc this feels amazing. Given the success of the diagnostic block, Tod moved forward with surgery. In the operating room, Dr. Aguila removed the affected nerves, trading pain for numbness. Just five days after surgery here is Todd. I’m feeling a lot better. I am more energetic and 75 to 80% of the pain has been reduced already. Dr. Aguila: There is one little spot still across the forehead. We’re going to give it time to heal to see if it goes away, but it was so much better than it was before that. I’m looking forward to walking my dog and seeing my grandson and my granddaughter on the way. Everyone told me he was such a great guy and I heard great things about him and it’s all true. He’s caring and compassionate. You know anyone who gives you his cell phone number is a good guy. Dr. Aguila: thank you Todd for trusting us with your care. Thank you for giving us the opportunity. Take care of you. Todd: Thank you to Dr. Aguilar for giving me the ability to want to live again." Dr. Demetrio Aguila Website https://www.totalpainsolutions.net/ Dr. Demetrio Aguila Facebook https://www.facebook.com/TotalPainSolutionsbyHealingHandsofNE
Surgical Relief for Postherpetic Neuralgia
04:00

Surgical Relief for Postherpetic Neuralgia

Dr. Aguila explains how he can effectively treat patients with Postherpetic Neuralgia (PHN), a painful condition that develops after Shingles. Conventional thinking was that patients with PHN had to live with the pain. But Dr. Aguila has successfully operated on patients from all over the U.S. Watch to learn more about overcoming Postherpetic Neuralgia. Demetrio Aguila MD explains: “Postherpetic Neuralgia is a whole bunch of words from Greek that most people think man that's a bunch of words from Greek, I'm not sure what that means. Neuralgia is pain of the nerves post herpetic post means after herpetic means after some kind of disease that causes vesicles so like chickenpox or more specifically in this case shingles. The classical teaching is that post herpetic neuralgia is the result of these viruses that live in the nerve root okay right by the spinal cord and that they pop out over the course this one nerve to cause a rash and then you end up with chronic pain.” Dr. Aguila developed a surgical treatment to eliminate pain from Postherpetic Neuralgia. It started with one patient years ago. “He came to me in pain and said doc you helped my friend so and so with his problem that that nobody else could figure out can't you do the same thing for me? I gave him a nerve block injection to the affected nerves. I didn’t think it would work. He comes back a couple weeks later and he says to me Doc I had a few hours of relief it was awesome. Well doc you said if you turned off the nerve successfully with the injection you could turn it off permanently with surgery. When are we going to do my surgery? I said sir I don't know if the surgery is going to help you or not as a matter of fact I'm pretty sure it won't risk if you think there's any chance that the surgery is going to help then please do it he said it's kind of like chemo right there are certain chemo treatments that patients undergo and you know that the chance that they're going to be cured is really small but the patients do the chemo anyway and the doctor gives them the chemo anyway. In the operating room, I resected neuromas on the damaged nerves. To this day 8 years later he's pain free. What that taught me and what all the others that I've seen taught me is that while it's true that that virus lives in the nerve root and it's true that the rash that comes along the course of that nerve causes shingles and while it's true that the shingles causes this chronic pain in some patients, I think the conventional understanding of post herpetic neuralgia is incomplete. What the surgery confirms is that when you disconnect that nerve you disconnect that nerve from the pain generator for people with post herpetic neuralgia there is hope.” Dr. Demetrio Aguila Website https://www.totalpainsolutions.net Dr. Demetrio Aguila Facebook https://www.facebook.com/TotalPainSolutionsbyHealingHandsofNE/
Superior Cluneal Nerve Entrapment - Abby's Story
02:44

Superior Cluneal Nerve Entrapment - Abby's Story

Abby was a busy mom slowed down by constant, aching low back pain. Doctors were mystified because her spine MRIs were normal. After trying and failing many treatments she found Dr. Demetrio Aguila, a pain focused peripheral nerve surgeon. Dr. Aguila diagnosed her with superior cluneal nerve entrapment and relieved her pain in one outpatient procedure. I am Abby Rasmussen from Exira, Iowa. I had been experiencing back pain that would radiate to my side. I've got six kids and a very active lifestyle. My day would depend on my pain. I would always have an ice pack and pain pill with me even though the pill never really took away the pain. My kids would ask me hey Mom you want to go shoot hoops or you want to go for a bike ride, or you want to go play catch or things like that and I would have to tell them no I'm like sorry mom's back hurts. I saw dozens of doctors and surgeons, but no one could quite put their finger on it. I felt very defeated. Then I searched online and found Dr. Demetrio Aguila, a pain-focused peripheral nerve surgeon. He found out where the pain was coming from, felt very confident in what the problem was and that he could fix it through surgery. I was like yep, sign me up. In the operating room, Dr. Aguila removed her superior cluneal nerves. Superior cluneal nerves are nerves that run alongside the spine. When they are entrapped, it can cause low back pain. It was quick and easy, and I've had a good recovery so far. It has been a blessing to not have to worry about oh did I need to go grab pain or I need to be able to lay down before I do an activity I can just live life and enjoy it with my kids and my family and not have to worry about that anymore. To Dr. Aguila, thank you for doing what you do, thank you for being on that cutting edge and keep pushing the envelope and spreading the news that people don't have to live with that pain.
Postherpetic Neuralgia Pain Gone
03:04

Postherpetic Neuralgia Pain Gone

Susan had Shingles that developed into Postherpetic Neuralgia, a painful condition characterized by burning and itching. She searched for help and tried many remedies. Nothing worked until she found Dr. Demetrio Aguila, a pain-focused peripheral nerve surgeon. Watch her story and learn more about surgical relief for Postherpetic Neuralgia. "I am Susan Begley from Corbin Kentucky. The pain started before the rash appeared. I had a particular pain in the left side of my forehead right at my eyebrow and it was intense.” She then developed Shingles. “The Shingles came and went but the pain from the neuralgia stayed and it never went away. I lived through it through holidays, birthdays whatever I had to do you know to get through the whatever was going on.” She tried many treatments and saw dozens of doctors. Nothing worked. Then she found Dr. Demetrio Aguila, a pain-focused peripheral nerve surgeon at Total Pain Solutions in Omaha, Nebraska. She started watching his YouTube channel. “I watched testimonials with people that had had the same thing in the same spot and were pain free.” Susan and her husband made the trip to Omaha and met Dr. Aguila. “I liked him immediately. He explained everything what he did and told us different stories about how it came about.” Susan went ahead with the surgical procedure. Dr. Aguila removed her supraorbital and supratrochlear nerves as well as two additional nerves he found. The procedure was done in the office under local anesthesia, without the risks, side effects, or costs of undergoing general anesthesia in the operating room. The surgery was a success. “I have not had any pain since he's done the surgery. The incision is there and it's just the tenderness from that but it's a different kind of pain I don't have that same pain I had before. During the surgery he was explaining what he was doing, and he asked me if I was okay several times as we were going and everything was good. It was a good experience. This was my last hope and I believe we found the solution.”
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