Video Q&A With Dr. Aguila

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.

Amy suffered for years with pain and tingling in both thighs. She was diagnosed with Meralgia Paresthetica, compression of the Lateral Femoral Cutaneous Nerve. Dr. Aguila is a pain-focused peripheral nerve surgeon who helps patients overcome chronic pain problems. In one surgery he gave Amy her life and her smile back. “My name is Amy, and I sought treatment with Dr. Aguila for a condition called Meralgia Paresthetica. I’m sharing my journey for a couple purposes. Number one to provide hope and number two validation for anyone who is struggling with chronic nerve pain. I had pain in both of my thighs. I also had numbness and tingling. I tried to deal with the pain, but eventually it became so overwhelming that I had to seek treatment because I was unable to drive, to sit for an extended period, unable to walk even short distances. My life revolved around pain and physical limitations. I eventually became homebound by choice because I was emotionally exhausted from the guilt and shame of failing. Finally, I had a doctor refer me to Dr. Aguila. Dr. Aguila is a pain-focused, peripheral nerve surgeon. This is a very narrow subset of physicians that have the degree of specialized training needed for precision in nerve surgery. I spoke to Dr. Aguila on the phone, and he seemed to understand my condition. He believed he could help me. I booked a trip from my home in Mississippi to see Dr. Aguila in Omaha, Nebraska. I spent my evenings and weekends leading up to surgery replaying over and over Dr. Aguila’s patient testimonials on YouTube. It gave me a high degree validation that I wasn’t creating this pain.” In the operating room, Dr. Aguila decompressed Amy’s lateral femoral cutaneous nerve on both sides. This surgery has a 95% success rate. “Immediately after surgery, I noticed significant changes and improvements as the pain I had anticipated with every movement was gone. I noticed that my husband began walking ahead of me instead of beside me, confident that I no longer needed his help. My confidence and my daily activities continue to build leading to more smiles and more engagement. I have so much gratitude for Dr. Aguila and his team.” Dr. Aguila and Total Pain Solutions https://www.totalpainsolutions.net/ And on Facebook https://www.facebook.com/TotalPainSolutionsbyHealingHandsofNE

Angie is back after a successful surgery with Dr. Aguila that eliminated most of her pain from Postherpetic Neuralgia. Her message for those still suffering - there is hope to get your life back. Watch to learn more. “I know how it feels to just want to die, and I have a life today, a very good life today because of Dr. Aguila and I am just so happy. My name is Angie, and I have Postherpetic Neuralgia. I had Shingles in March 2020 and once the rash went away, the pain never did. It was a level 8-9 pain every single day for the past 2 1/2 years.” That was Angie before surgery with Dr. Aguila. Dr. Aguila removed the affected nerves in her face causing Postherpetic Neuralgia. Now her life is completely different. “I can walk around the mall, I can travel, I can get up out of bed, I can shower, and I can get in and out of the car.” She has one remaining problem area of Postherpetic Neuralgia. She came back to see Dr. Aguila so he could give her a shot of Iovera. Iovera is a procedure that freezes the nerves thereby eliminating her pain and confirms the nerves involved for her next surgery. “I had it done in my abdomen myopic neurologist still exist a little bit. It was easy with no pain. It buys me time and it gives me hope, it shows me that this can be fixed.” Angie will have surgery soon. This will permanently eliminate the last of her Postherpetic Neuralgia pain. “I want people who have this disease to get help because I know how painful it is. I think back when I was in pain and now I am just so amazed and happy and very grateful.” Dr. Aguila and Total Pain Solutions https://www.totalpainsolutions.net/ And on Facebook https://www.facebook.com/TotalPainSolutionsbyHealingHandsofNE