How to alleviate pain caused by trigeminal neuralgia

Holistic approach to alleviate Trigeminal neuralgia: To help calm down Trigeminal nerve, a holistic approach including resonance homeopathic supplements, herbs and nutrients is worth trying in cases that are resistant to available conventional treatments like pain killers, opiates, surgical interventions etc. The holistic remedies work on the following principles :

• To Calm the Trigeminal Nerve .
• To help it to stop firing at the slightest impulse.
• To rebuild the protective sheath around the nerve.
• To relieve numbness and tingling along the path of the trigeminal nerve.

How to alleviate pain caused by trigeminal neuralgia

Trigeminal Neuralgia

Studies suggest that Resonance homeopathic remedies like Aconite; Hypericum, Hekla Lava; Spigelia and Bio-energetic Impressions of Peripheral Nerve Endings, Trigeminal Nerve etc may relieve Trigeminal Neuralgia pain without any side-effects. Studies suggest that Magnesium and Folic acid may have calming effect on the nerves and may facilitate better transmission of impulses via the nerves.

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If you’re reading this, you’re likely suffering from the debilitating symptoms that come with trigeminal neuralgia. While it may feel as though there is no end in sight to the pain and discomfort, there are treatments and procedures that can provide pain relief for your trigeminal neuralgia symptoms.

The Basics of Trigeminal Neuralgia

Trigeminal neuralgia (TGN) is a trigeminal nerve disorder. It is typically caused by a vein or artery compressing the trigeminal nerve near the base of the skull, but it can also be caused by damage to the myelin (the outer, protective coating) of a nerve.

Trigeminal neuralgia causes pain that is limited to one side of your face. It’s often excruciating and described as a stabbing, shooting or electric shock-like sensation that occurs intermittently. In some cases, it can be debilitating and disrupt your daily activities. Exposure to cold, brushing against your cheek or chewing can sometimes exacerbate the severity.

Will There Be Any Pain After Microvascular Decompression Surgery?

Finding Pain Relief for Trigeminal Neuralgia

Trigeminal neuralgia doesn’t have to take over your life. There are numerous treatments — including medications and surgery — that can help you find the relief you’ve likely been seeking since the onset of your condition.

Medication for Trigeminal Neuralgia

Most doctors will initially take a conservative route and recommend medication as a first line of defense against TGN symptoms. There are two medications that are routinely used for the treatment of trigeminal neuralgia: Tegretol and Trileptal. Both of these medications are anticonvulsants and have proven to be effective for some people suffering from TGN. Narcotic painkillers are not recommended for TGN symptoms, as not only are they not particularly effective, but they’re also highly addictive.

Some people may not find the level of relief they need through the use of medications. Others experience unwanted side effects that outweigh the benefits. If this the case for you, other treatments will be recommended to treat your TGN symptoms.

Luckily, if you’ve explored the medication route for obtaining pain relief for trigeminal neuralgia and decided it’s not for you, there are other treatments available.

Surgical Intervention for Trigeminal Neuralgia

A specific type of surgery is available to treat TGN that is designed to directly address the cause of your pain (compression of your trigeminal nerve from a blood vessel, also known as an impingement). This particular procedure is called microvascular decompression (MVD) surgery.

To determine if you’re a good candidate for MVD, you must be in good health and undergo a special imaging study known as a FIESTA MRI. This MRI will allow doctors and radiologists to determine whether your TGN is due to an impingement.

MVD is performed in a hospital under general anesthesia. Your surgeon will make a small incision in your scalp at the base of your skull. A quarter-sized piece of bone will be removed to allow access to the nerves and structures located in that area. Using tiny instruments, the nerve and blood vessel will be distinguished from the surrounding tissues. Your surgeon will then place a tiny Teflon cushion between the nerve and artery, creating a buffer between the two. MVD is usually effective right away and doesn’t compromise the function of the nerve in any way.

Gamma Knife Radiosurgery for Trigeminal Neuralgia

If it’s been determined you’re not a good candidate for MVD, Gamma Knife Radiosurgery (GKRS) is an excellent option. Despite being called “radiosurgery,” there are no incisions made — Gamma Knife Radiosurgery is relatively non-invasive.

Gamma Knife Radiosurgery uses around 200 tiny beams of moderately concentrated radiation that enter your body separately but then converge on a finely tuned target. The individual beams themselves are not strong enough to cause damage to the tissues they pass through. Once they are combined with the other beams, however, the dose is large enough to bring about a therapeutic change. Most people only require one treatment and are conscious for the entire procedure. It is typically performed on an outpatient basis.

You may experience headaches for a short period of time after GKRS, but they will eventually abate. The effects of Gamma Knife Radiosurgery are seen gradually — usually within a few months, at which time the trigeminal symptoms you will have hopefully decreased or abated.

Trigeminal Neuralgia and Percutaneous Rhizotomy

If you’re not a candidate for the aforementioned treatments, percutaneous rhizotomy is another available treatment for TGN. This procedure involves using a local anesthetic with conscious sedation. The surgeon then passes a needle-like probe to one or more of the trigeminal nerve branches. Heat, glycerol or balloon compression is used to cause damage to the nerve and render it incapable of producing the painful impulses.

Pain Stimulator Placement for Trigeminal Neuralgia

Another viable option for relief from TGN is pain stimulator placement. This involves threading tiny electrodes under the skin to the offending branch(es) of the trigeminal nerve. These electrodes are connected to a stimulator that, when activated, produces small electrical currents that interrupt the painful nerve impulses. A trial will first be conducted to make sure that this is the right option for you — once it’s determined that it is effective, a permanent stimulator will be placed under your skin.

How to alleviate pain caused by trigeminal neuralgia

Are you experiencing excruciating pain in your facial area often? Has electric-shock-like pain has hampered your quality of life? If yes, you might be suffering from trigeminal neuralgia. And, if you are wondering what trigeminal neuralgia is and how you can manage the condition to get relief from its discomforting pain, think no further. Keep reading to learn all about it.

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What is Trigeminal Neuralgia?
Trigeminal neuralgia is the disorder of the Trigeminal nerve characterized by excruciating, periodical short-lasting pain in the areas of the face where the branches of the nerve are distributed, such as the eyes, forehead, scalp, nose, upper jaw, lips, and lower jaw. It is often called ‘Suicide disease’, as no other disorder that humans experience is more distressing than the highly painful Trigeminal Neuralgia.
There are no particular guidelines to prevent the occurrence of Trigeminal neuralgia pain. Also, it is important to note that all the patients may not respond equally to all the treatment modalities. However, following some tips may help to avert the frequency of episodes:
10 Helpful Tips To Prevent Trigeminal Neuralgia Pain:
1.Avoid Exposure To A Draft Of Cold Air & Air Conditioner: The wind, draft of air, the breeze of AC, or sleeping under the fan for a long time can trigger trigeminal neuralgia pain. So, avoid sitting near an open window. Avoid using AC throughout the night, as it may aggravate pain in the night or on waking up.

2.Identify Your Trigger: Identifying the triggers and avoiding them can be the key to minimize or prevent episodes of trigeminal neuralgia. It will be useful to maintain a symptom diary to make a note of the triggering factors that set the pain off. Once you identify the trigger factors, it will help you to avoid the pain by avoiding the triggers wherever possible. For instance, washing the face, brushing, chewing, kissing, putting on makeup, smiling, eating hot, cold, or spicy food, vibration from walking, vibration on a car journey, head movements, and loud sound are some of the triggers of trigeminal neuralgia pain that you can avoid to prevent the pain.

3.Maintain Oral Hygiene: Maintain oral cavity hygiene to avoid dental caries, as any dental procedure may aggravate the pain.

4.Apply Pressure To The Painful Area: Though the slightest touch, as gentle as a breath of wind, can aggravate Trigeminal neuralgia, it is found that, in some patients, applying pressure to the painful area can help to relieve the pain.

5.Eat Carefully To Avoid The Pain: Eating hard foods is a challenge for trigeminal neuralgia patients. So, you can stick to the soft food diet. Chew the food slowly to avoid the discomforting sharp pain.

6.Apply Hot Compress: A hot compress can help to alleviate the pain of trigeminal neuralgia temporarily.

7.Avoid Sudden Jerky Facial Movements: Sudden, jerky movements of the face may trigger pain. So, avoid sudden facial movements, such as looking suddenly sideways or turning back while driving the car.

8.Do Not Brush Or Gargle As Soon As You Wake Up: As soon as you wake up, avoid brushing or gargling. Wait for 15 minutes to allow your nerves to get settled and then brush your teeth.

9.Save Your Mind: Avoid stress. People with trigeminal neuralgia have been found to have an increased incidence of sleep disturbances, anxiety, and depression. Share your thoughts and feelings with your loved ones. Make sure that you take time out for relaxation. Breathing exercises, yoga, and meditation can help reduce your stress and anxiety levels.

10.Have Vitamin B12 Supplements: Vitamin B12 is quite useful for patients with neuropathic pain. So, consult your doctor and have vitamin B12 supplements.
If any time you happen to suffer from Trigeminal neuralgia, these are some tips, which will help to ease your pain. Also, you can count on homeopathy to treat trigeminal neuralgia effectively and safely with no side-effects. Homeopathy offers long-lasting relief and causes no dependency on drugs. So, get in touch with us at Life Force Homeopathy if any time you happen to suffer from trigeminal neuralgia.

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How to alleviate pain caused by trigeminal neuralgia

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How to Alleviate Pain Caused by Trigeminal Neuralgia

Clicks: Updated:2017-04-20 16:04:58

Trigeminal neuralgia is a chronic pain condition that affects the trigeminal nerve (the largest of the craniofacial nerves). Trigeminal neuralgia is characterized by intense burning, stabbing, and aching pains in different regions of the face at different intervals. There are two subtypes of trigeminal neuralgia known as type 1 (TN1) and type 2 (TN2). If you suffer from trigeminal neuralgia, there are steps you can take to alleviate pain.

Alleviating Pain Medically
1. Ask your doctor about anticonvulsant medicines. Anticonvulsant medications are one of the most common treatments for trigeminal neuralgia. Your doctor may prescribe one or more anticonvulsants until he finds the one that works the best to manage your pain symptoms.

2. Get a prescription for tricyclic antidepressants. Tricyclic antidepressants are commonly used to manage symptoms of depression but they can also be prescribed to manage chronic pain.

3. Avoid analgesics and opioids. Analgesics and opioids are not useful in managing the paroxysms of pain in classical TN. However, some people with TN2 respond to analgesics and opioids.

4. Try antispasmodic agents. Antispasmodic agents are used to ease pain sensations caused by trigeminal neuralgia attacks. They are sometimes used in conjunction with anticonvulsants.

How to alleviate pain caused by trigeminal neuralgia

5. Ask about Botox injections. Your doctor may consider Botox injections to treat your trigeminal neuralgia if you become insensitive and unresponsive to anticonvulsants, tricyclic antidepressants, and antispasmodic medications.

6. Consider alternative medicine. Alternative medicine options have not been studied enough to be determined as effective for treating trigeminal neuralgia. Even so, many people report some pain relief from modalities such as acupuncture and nutritional therapy.

Alleviating Pain Surgically
1. Ask about surgery. Trigeminal neuralgia is a progressive condition. Although medications can help you manage symptoms over time, more aggressive cases of this condition can lead to permanent damage to the trigeminal nerve, which can result in debilitating pain or partial permanent facial numbness. If you do not respond to medication surgery may be considered.

2. Try balloon compression. The goal of balloon compression is to slightly damage the trigeminal nerve branches so that pain impulses cannot be transmitted.

3. Ask about glycerol injection. Glycerol injection is used to treat trigeminal neuralgia that particularly affects the third and lowest branch of the trigeminal nerve.

4. Try radiofrequency thermal lesioning. Radiofrequency thermal lesioning, also known as RF ablation, is an outpatient procedure consisting of coagulating nerve fibers with an electrode to desensitize areas where pain is experienced.

5. Research stereotactic radiosurgery (or gamma knife). This procedure uses computer imaging to send focused radiation to the trigeminal nerve.

6. Try microvascular decompression (MVD). MVD is the most invasive surgical procedure for trigeminal neuralgia. During surgery your doctor makes a hole behind the ear. Then, using an endoscope to visualize the trigeminal nerve, your doctor will place a cushion between the nerve and the blood vessel that compresses the nerve.

7. Understand neurectomy. Neurectomy involves removing a part of the trigeminal nerve. This invasive,ablative procedure is reserved for patients who are refractory to other treatments or who cannot undergo the alternative surgical procedures.

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Condition or disease Intervention/treatment Phase
Trigeminal Neuralgia Dietary Supplement: Olive oil and Dietary Guideline recommendations Other: Dietary Guideline recommendations Not Applicable

Trigeminal neuralgia (TGN) pain is debilitating and unpredictable. Alleviation of intensity or frequency to any degree will improve the quality of life of the individuals affected. Current medical treatments for TGN are often not effective. In some cases, the pain is a result of myelin degeneration. If diet can provide the basic building blocks for myelin regrowth, then the investigators may be able to reduce facial pain by supporting the myelin nerve sheath.

Animal studies have shown that a dietary intervention with olive oil favorably impacts myelin but no human study has been conducted to date. The investigators propose undertaking a feasibility study to determine if a comparable intervention may work in a similar way in humans. If olive oil impacts myelin repair, then pain will be decreased by this dietary intervention and quality of life will be improved. However, it is not known if individuals with TNG will be able to consume a diet relatively high in olive oil. Feasibility will include testing the logistics of distributing the olive oil intervention to the study subjects, incorporation of olive oil into the participants’ daily diets, and online/distance monitoring of compliance and reporting of pain intensity, pain frequency, and quality of life. This feasibility study will lay the groundwork for potential future studies examining the efficacy of olive oil on alleviating facial pain caused by TNG and may provide data for a power analysis for a future interventional trial.

Go to

Layout table for study information

Study Type : Interventional (Clinical Trial)
Estimated Enrollment : 70 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Other
Official Title: Reducing Facial Pain With an Olive Oil Enriched Diet: A Feasibility Study
Actual Study Start Date : October 5, 2021
Estimated Primary Completion Date : August 31, 2022
Estimated Study Completion Date : December 31, 2022

Resource links provided by the National Library of Medicine How to alleviate pain caused by trigeminal neuralgia

Working with your doctor to reach a diagnosis of trigeminal neuralgia can be a complicated process. You and your doctor have worked through where your pain may be originating from, how long the pain lasts, how severe it is, and what complicating medical issues may be playing a role.

For atypical trigeminal neuralgia, the process is even more complicated. The symptoms caused by atypical trigeminal neuralgia, also known as trigeminal neuralgia type 2, can masquerade or be misdiagnosed as being related to dental issues, migraines or even multiple sclerosis. In addition, atypical trigeminal neuralgia may occur at the same time as one of those other disorders. Now that you have reached your atypical trigeminal neuralgia diagnosis, you may be wondering what comes next. Here’s an idea of what you can expect.

Medical Management of Atypical Trigeminal Neuralgia

After your atypical trigeminal neuralgia diagnosis, the first step is medication. The pharmaceuticals most commonly used are anti-seizure medicines, including Trileptal (generic: oxcarbazepine) and Tegretol (generic: carbamazepine). Additional drugs your neurologist may consider include Lamictal (generic: lamotrigine), Dilantin (generic: phenytoin), Klonopin (generic: clonazepam) or Neurontin (generic: gabapentin).

Some doctors and patients also find success through the use of tricyclic antidepressant medications like Elavil (generic: amitriptyline). While some neurologists prescribe opioid drugs instead, this is not the recommended course of treatment. Opioids can be highly addictive and will not address the root cause of your trigeminal neuralgia. As an atypical trigeminal neuralgia patient, you may need to take several different types of anti-seizure medications before the right formulation and dosage are determined.

When Medical Management Doesn’t Work

While managing atypical trigeminal neuralgia through medications is the preferred treatment, it is not effective in all patients. You may find that medicinally managing your trigeminal neuralgia can fail in two different ways: being overrun with undesirable side effects or not effectively addressing your symptoms.

The types of side effects that you may experience include:

  • Extreme fatigue or all-day drowsiness
  • Mind fog or confusion
  • Feeling drunk or disoriented

Those are all serious side effects and should be discussed with your neurologist when they occur. Your body may take a few doses to acclimate to new medications, but when worrisome side effects happen after the first few days, they can be a sign that your body will not tolerate that particular pharmaceutical and perhaps another should be tried. The purpose of medical management is to give you your life back as you escape from the debilitating pain of trigeminal neuralgia, and that cannot happen if medications cause more issues than they fix.

The other way you can fail medical management of your atypical trigeminal neuralgia diagnosis is because medications do not work for you at all or only bring minimal pain relief. Again, it can be a long process to try different medications and still not achieve relief, but surgical interventions should only ever be considered if medical management has completely failed.

Surgical Options for Trigeminal Neuralgia

If you and your neurologist have exhausted all avenues of medical management, you’ll be referred to a neurosurgeon who specializes in facial pain management and can perform the appropriate procedure that your unique health history matches up to. Here’s a look at the procedures your neurosurgeon will work with you to choose between.

Microvascular Decompression

If your imaging scans shows an impingement on your trigeminal nerve, your neurosurgeon may recommend microvascular decompression. During this procedure, the surgeon will create a small opening in your skull behind your ear. Within that hole, he’ll access your trigeminal nerve and place a small sponge between it and whatever blood vessel was causing the impingement. This is considered major surgery, however, so your doctor will thoroughly consider your health history before you are determined to be a candidate.

Gamma Knife Radiosurgery

If you are not a candidate for microvascular decompression, the next procedure you and your neurosurgeon can consider is Gamma Knife Radiosurgery. Technically, this is a radiation-based intervention, not an invasive surgery. To perform Gamma Knife Radiosurgery to address your atypical trigeminal neuralgia diagnosis, you will be placed in a head frame. Once secured, multiple beams of radiation will target your trigeminal nerve. This radiation will confuse that nerve and disrupt its ability to signal pain.

Percutaneous Rhizotomy

The next procedure you and your doctor may consider is percutaneous rhizotomy. This procedure involves threading a small needle into your cheek on the side where your atypical trigeminal neuralgia is aligned. A bit of heat will flow through that needle and destroy a small portion of the trigeminal nerve, removing the nerve’s ability to signal pain. With this procedure, you may experience a little facial numbness in exchange for the ending of pain.

Pain Stimulator Implant

The final procedure you and your doctor may consider is the implantation of a pain stimulator. Pain stimulators confuse the messages sent by nerves and by doing so, can eliminate pain. The stimulator and its battery pack is placed beneath your skin, and you, as the patient, have the ability to control its use. You can increase or decrease stimulation as your symptoms indicate.

Next Steps for an Atypical Trigeminal Neuralgia Diagnosis

Your most important step after receiving your atypical trigeminal neuralgia diagnosis is finding and working with a doctor who specializes in facial pain and with whom you can best decide your course of treatment.

Trigeminal neuralgia (TN) is a painful condition which is often confused with a toothache, leading to unnecessary dental treatments. The condition causes sharp and intense facial pain which may affect the teeth or jaw, resembling to the tooth pain caused by dental conditions such as a cracked tooth or abscess. Misdiagnosis is very often in cases of trigeminal neuralgia.

What is trigeminal neuralgia?

Trigeminal neuralgia, also known as tic douloureux, is actually a neuropathic disorder involving the trigeminal nerve system not related to teeth problems, although in some cases dental treatments may be the causative factor of the condition. It is a chronic pain condition that causes extreme, sporadic, sudden burning or shock-like face pain which seldom lasts more than a few seconds per episode.

The trigeminal nerve is one of the main cranial nerves which arises in the brain stem, enters the face and divides into three major branches – ophthalmic, maxillary and mandibular. Its function is to provide the senses of touch, pain and temperature in the facial area, and control the muscles used for chewing.

Trigeminal neuralgia is more likely to occur in people who are older than 50, and it is more often between women. It is listed as a rare disease affecting 4 to 5 patients per 100,000 people.

Trigeminal neuralgia or tooth pain?

Several conditions can cause a toothache which seems to be associated with a tooth. These include tmj disorders, sinusitis and even heart problems, but trigeminal neuralgia is definitely the one that is most difficult to be diagnosed.

The most common type of the condition, the typical trigeminal neuralgia, is characterized by episodes of intense pain that may be felt in eyes, ears, lips, nose, scalp, forehead, cheeks, teeth, or jaw or anywhere in the face. Sometimes the pain is so localized to specific teeth that even an experienced dentist will believe that a tooth is the origin of the pain.

The typical symptom of the condition, a sharp shock-like tooth pain that lasts for a few seconds, is almost identical to the one caused by a cracked tooth. In more advanced stages of trigeminal neuralgia the pain attacks become more frequent and severe such as in case of a tooth abscess.

The similarity of the symptoms of TN with the symptoms of very common dental problems is the reason why trigeminal neuralgia is so often misdiagnosed. This can lead to a series of unnecessary dental treatments that will not only fail to solve the problem but they can may actually make it worse.

TN specialists report that many of their patients had at least one not needed dental treatment before trigeminal neuralgia pain was diagnosed. The most common treatment that is usually performed first is a root canal. Even if a tooth may look healthy the dentist may proceed to the therapy to help the patient which is in severe tooth pain. As the pain will not stop after the treatment, the dentist may consider it as a failed root canal case and recommend a re-treatment. When this fails to relieve the pain it is not unusual to be followed by a tooth extraction.

The difficulty in successfully diagnosing trigeminal neuralgia is in part due to the lack of clinical, laboratory or radiological tests to confirm the disorder. Another cause is that the condition is very rare, so that a dentist who has a patient complaining about an unbearable pain in a tooth may not consider the possibility of TN as potential cause of the toothache.

Causes of trigeminal neuralgia pain

The most widely accepted hypothesis regarding the causes of typical trigeminal neuralgia pain is that it is caused by the compression of the trigeminal nerve which leads to demyelination (loss of the nerve’s myelin ‘cover’) triggering abnormal pain messages to the brain.

The compression of the trigeminal nerve may be the result of several conditions such as tumors, pressure from nearby blood vessels or aneurysms.

Physical damage of the nerve may also cause trigeminal neuralgia symptoms. Conditions that can damage the nerve include injuries, infections, craniofacial trauma, multiple sclerosis, and deterioration due to ageing.

The loss of the protective myelin layer around the nerve may cause erratic and hyperactive functioning of the trigeminal nerve, which starts to send strong pain signals to the nervous system at the slightest stimulation of any area served by the nerve. The damage may also affect the nerve’s ability to stop sending these pain signals even after the stimulation has ended.

Trigeminal neuralgia pain caused by dental treatments

Damaging the trigeminal nerve may also occur accidentally during several dental treatments. This can cause a type of the condition known as Post-Traumatic Trigeminal Neuralgia or trigeminal neuropathy. The pain is usually constant, aching or burning, but may be worsened by exposure to triggers such as wind and cold.

In the best case scenario, the problem is only temporary (but lasting several months or years) as the nerve may be able to heal itself. Sometimes the nerve damage is irreparable leading to chronic trigeminal neuralgia pain. In these unfortunate cases, a treatment performed to relieve the patient of a toothache can leave the patient with a severe chronic facial or dental pain for the rest of his life.

Treatments that can have complications related to trigeminal nerve injury include surgical tooth extractions, oral surgery, sinus bone grafting, dental implant preparation or placement, and root canal treatments.

A dentist should always consider the possibility of trigeminal neuralgia before proceeding to invasive dental treatments for patients suffering from severe facial or dental pain without any other indication of a teeth related problem.

Dental Insurance
What to check before you choose a Dental Insurance Plan. How to get coverage for dental implants and.

Toothache Remedies
Home remedies for tooth pain relief can be helpful if you get a toothache in the middle of the night or.

Toothache Medicines
An over-the-counter pain reliever may be enough for a mild tooth pain. For severe toothaches, prescription .

Dieser Artikel wurde von Erik Kramer, DO, MPH medizinisch überprüft . Dr. Erik Kramer ist Hausarzt an der University of Colorado, spezialisiert auf Innere Medizin, Diabetes und Gewichtsmanagement. Er promovierte 2012 in osteopathischer Medizin (DO) am Nevada College of Osteopathic Medicine der Touro University. Dr. Kramer ist Diplomat des American Board of Obesity Medicine und Board-zertifiziert. In diesem Artikel

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Experten empfehlen in der Regel krampflösende und krampflösende Medikamente, um die mit der Trigeminusneuralgie verbundenen Schmerzen zu lindern. Da diese Behandlungen jedoch nicht bei jedem wirken und manchmal mit der Zeit weniger wirksam werden, müssen Sie möglicherweise auch mit Ihrem Arzt über Injektionen oder Operationstechniken sprechen – Studien haben gezeigt, dass diese bei manchen Menschen auch gut funktionieren. Unter chronischen Schmerzen zu leiden kann unglaublich frustrierend sein und einen großen Einfluss auf Ihr Leben haben, aber geben Sie nicht auf! Es gibt viele Behandlungen da draußen, und es kann ein wenig Versuch und Irrtum erfordern, um herauszufinden, was für Sie am besten funktioniert. [1] X Vertrauenswürdige Quelle Mayo-Klinik Bildungswebsite von einem der weltweit führenden Krankenhäuser Zur Quelle gehen

Background: BoNT-A is often used in the clinical treatment for movement disorders. In recent years, various clinical studies suggest that BoNT-A can effectively alleviate pain caused by trigeminal neuralgia (TN); however, its mechanism remains unclear.

Methods: In this study, we used a lab rat model for TN produced by chronic constriction injury of the infraorbital nerve (ION-CCI). Restrained rats were injected subcutaneously with BoNT-A into the whisker pad tissue (ipsilaterally to the nerve injury) 14 days after the ION-CCI. Allodynia was tested by Von Frey filaments and TRPs and cSNAP-25 were tested by western blot.

Results: Peripheral application of BoNT-A (3, 10 U/kg) significantly increased the pain threshold of ION-CCI rats. Rota-rod test showed that BoNT-A administration at doses tested did not significantly affect rat motor coordination. By probing for a specific marker for BoNT-A, cleaved synaptosomal-associated protein 25 (cSNAP-25), we found that peripheral application of BoNT-A (10 U/kg) affected brainstem Vc, which could be blocked by the axonal transport blocker colchicine. In addition, western blot analysis showed that in the Vc region of ION-CCI rats, the expression levels of TRPA1, TRPV1, TRPV2 and TRPM8 increased, whereas peripheral application of BoNT-A significantly lowered the high expression of TRPA1, TRPV1 and TRPV2, but not TRPM8 at 7 days after BoNT-A injection.

Conclusions: The finding of this study suggest that peripherally applied BoNT-A can produce antinociceptive effects in ION-CCI model. The underlying mechanisms may be BoNT-A acts on the Vc via axonal transport, inhibits the high expression of TRPA1, TRPV1 and TRPV2, and reduces central sensitization.

Keywords: Botulinum toxin type A; Central antinociceptive activity; Rat; Trigeminal neuralgia.

How to alleviate pain caused by trigeminal neuralgia

Trigeminal neuralgia is a painful neurological condition that affects the trigeminal nerve (the 5 th cranial nerve), which is one of the largest nerves present in the head. This neurological disorder is observed more in women than in men. It becomes more common with age and is rare in people under 40 years of age.

Symptoms Of Trigeminal Neuralgia

Common symptoms of trigeminal neuralgia may present with one or more of these patterns:

  • Painful episodes which are sudden, severe, causing shooting or jabbing /stabbing pain, and that may make you feel like an electric shock-like pain.
  • Spontaneous painful attacks or attacks triggered by certain activities, such as chewing, speaking, brushing teeth or even touching the face.
  • Bouts of pain which may last from a few seconds to several minutes.
  • Pain may last for days, weeks, months, or longer. You may experience a constant ache, burning sensation that may be experienced before it turns into the spasm-like pain.
  • Pain is experienced in areas which are supplied by the trigeminal nerve that include jaw, lips, cheek, gums, teeth, or less often your eye and forehead.
  • The pain may affect one side of your face at a time, though it may rarely affect both the sides of your face.
  • The pain due to trigeminal neuralgia may affect one spot or may spread in a wider pattern.
  • Trigeminal neuralgia attacks tend to turn more frequent and intense over time.

9 Home Remedies For Trigeminal Neuralgia

Heat Or Cold Application:

Apply heat to the affected area by pressing a hot water bottle or any other appropriate hot compress to the painful spot. Taking a hot shower or bath may relieve you of the symptoms. Cold applications like cold water or ice water application may also help you obtain relief.

Application Of Pressure:

Applying pressure with the entire hand to the affected area can help relieve you of the discomforting symptoms of trigeminal neuralgia.

Holy Basil:

Holi basil is commonly known as ‘Tulsi’ or “Elixir of Life”. It acts as a stress–regulator and inhibits the nerve pain in the cases of trigeminal neuralgia. It is an effective herb that has been used for over 3000 years due to its incredible healing powers. The plant is loaded with minerals and vitamins, such as sodium, manganese, vitamin A, and vitamin K.


Peppermint essential oil acts as a pain reliever and helps in relaxing the muscles and controls the muscle spasms. You may also use peppermint candies.


Ginger oil comprises a compound known as zingibain, which is known to have potent anti-inflammatory properties and it counteracts the inflammation. The use of ginger oil may help alleviate the pain which occurs due to the inflammatory conditions.

Chamomile & Lavender Essential Oils:

Borneol, a compound present in lavender and chamomile essential oils, may help minimize the inflammation and pain resulting due to trigeminal neuralgia. So, you may use these two beneficial essential oils.

Dietary Modifications:

Certain vitamins, such as vitamin B12, minerals, etc. can help alleviate the discomforting trigeminal neuralgia symptoms. They lower the inflammatory responses and may help to form a stronger immune system.


Meditation doesn’t reduce the pain instantly, but it helps bring the mind to a state beyond pain. The art of mindfulness may help you take your mind away from focusing on the pain and thereby obtain relief.


According to yoga, pain is the manifestation of excessive speed of the vital energy, which is also called prana. When we are lost into thoughts in the times of stress, all the prana is pulled in the brain. Excess prana in the brain leads to construction and blockage of prana nadis (channels). Pain is experienced when too many sensory nerves get triggered. Here are certain relaxing techniques which can help you obtain relief.

  1. Slowing down this speed of the mind helps alleviate the pain. This can be achieved through deep slow breathing.
  2. Alter speed of fast and slow breathing followed by a deep rest.
  3. Defocus the point of pain by increasing awareness to a wider area.
  4. Perform Surya Namaskar 10 a day. Also, practice Kapalabhati (forceful exhalation)
  5. Nadisuddhi – (Alternative nostril breathing)
  6. Exercises: Perform exercises such as:
    • Jogging
    • Shoulder rotation with hands on the shoulders
    • Neck movements – forward backward bending & side movement

    Now that you know these easy yet effective home remedies for trigeminal neuralgia, you may follow them if you happen to suffer from the discomfort of this neurological condition. But, before that do consult a good doctor if you experience any of the above symptoms.

    Some seizure medications have been shown to successfully treat the symptoms of trigeminal neuralgia, including carbamazepine, gabapentin and similar agents.


    If medication is an ineffective approach, there are several procedures available that have been shown to help control trigeminal neuralgia pain.

    Rhizotomy. A rhizotomy is an outpatient procedure performed under general anesthesia that eliminates the pain-causing fibers within the trigeminal nerve. There are several forms of rhizotomy, but each procedure is minimally invasive and only takes a few minutes to complete.

    Glycerol rhizotomy. This procedure requires you to be put under general anesthesia while sitting upright. During the procedure, a long needle is placed into the cheek and guided back to the trigeminal nerve ganglion, the point where the trigeminal nerve splits into three branches. Once there, a small amount of clear, colorless chemical called glycerin is injected. Within an hour, the chemical slowly deadens the nerve fibers responsible for causing trigeminal neuralgia pain.

    As with any procedure involving anesthesia, there’s a recovery time to be expected. For a glycerol rhizotomy, that typically takes several hours.

    Although this procedure often relieves pain, there’s a fairly high recurrence within a year to two years as the nerve regrows. The procedure can be repeated as many times as necessary to obtain relief.

    How to alleviate pain caused by trigeminal neuralgia

    Stereotactic radiosurgery . Also known as CyberKnife or Gamma Knife treatment, stereotactic radiosurgery treats trigeminal neuralgia by aiming a precise beam of radiation at the trigeminal nerve to relieve the pain. The procedure takes about 45 minutes, is painless, and doesn’t require anesthesia. Stereotactic radiosurgery brings significant pain relief to around 70% of patients within several weeks. The relief isn’t permanent but may last for several years. In some cases, the nerve may regenerate, and the pain may resume.

    Side effects associated with stereotactic radiosurgery are minimal and may include fatigue and facial numbness. This procedure should be performed no more than two times since it involves relatively high doses of radiation delivered near the brain.

    Microvascular Decompression (MVD). This procedure is the longest-lasting treatment for trigeminal neuralgia, bringing pain relief to about 80% of people. To be eligible, you need to be in good health, able to tolerate surgery and general anesthesia, and be able to accommodate a 4- to 6-week recovery period.

    The surgery, which takes 2 to 3 hours, involves placing a piece of Teflon between the blood vessel and the trigeminal nerve that prevents additional rubbing or compression.

    Recovery time typically requires a couple of days in the hospital. Patients can expect fairly immediate pain relief from the MVD procedure.

    In some cases, the blood vessels may grow back, causing a return of trigeminal neuralgia pain. If this occurs, you will likely have to seek alternate treatment options as the MVD procedure is infrequently repeated.

    Trigeminal neuralgia is a nerve disorder of the face that affects the trigeminal nerve, which carries sensation from your face to your brain. Also referred to as facial pain, is caused by inflammation of one of the three parts of the fifth cranial nerve and also caused by tumors. It is sometimes described as the most excruciating pain known to humanity.

    You may initially experience short mild attacks however over a period of time progresses more frequently resulting in agonizing pain. The reason for the intense pain is due to the nerve irritation and damage. This condition is noticed more in cases of women than men and it affects individuals who are more than 50.

    Due to the widespread developments and invention with regard to the treatment of trigeminal neuralgia, patients no longer need to live with the life of pain. Instead, your healthcare professional can effectively manage the conditions and suggest you with the right course of medication and treatment. 1

    How To Diagnose Trigeminal Neuralgia?

    How trigeminal neuralgia is diagnosed? Trigeminal Neuralgia diagnosis is based chiefly on the patient’s history and description of symptoms, besides with results from physical and clinical trials. Your description could be the guideline for the treatment.

    • It can be based on the location because basically trigeminal neuralgia is noticed on the fifth cranial nerve.
    • When you encounter pain even with the mild simulation such as eating and talking. 2

    Your healthcare provider can diagnose the disease using simple tests. Here are some the few

    Neurological Examination- Your medical history will tell everything about your symptoms even before you require to undergo a neurological examination of your head and neck. The ears, mouth, teeth, and temporomandibular joint (TMJ) are usually tested for problems that are leading factors of causing facial pain. Your tests can tell which nerve is affected by this condition. In addition to this, the reflex tests also tell whether you are inflamed due to compressed nerve or some other condition.

    Magnetic Resonance Imaging- MRI is the imaging modality of choice and they are often recommended for the initial screening practice in the evaluation of patients with trigeminal neuralgia. Brain magnetic resonance imaging (MRI) with and without contrast helps to identify ancillary factors of trigeminal neuralgia (TN) from the idiopathic form. During some cases, your doctor may inject a dye into the blood vessels and arteries to determine whether there are any clots in the blood. 3

    What Is The Best Medicine For It?

    • Anticonvulsants- Carbamazepine medicine remains the benchmark standard, but a number of other medicines have been used for a long time and with fair achievement in trigeminal neuralgia. Anticonvulsant medicines condense the nervousness of Gasserian ganglion neurons, counteracting abnormal releases and volleys of pain.
    • Antispasmodic Agents- Muscle relaxing medicines along with carbamazepine are used to lessen or block the pain.
    • Surgery- Trigeminal neuralgia surgery is exclusively for patients who still suffer from unbearable pain although they underwent the finest clinical treatment. The surgical options for trigeminal neuralgia include peripheral nerve blocks, needle procedures followed by microvascular decompression. Neurosurgery is commonly more beneficial in those patients with paroxysmal instead of patients with constant pain whose pain follows the anatomic distribution
    • Microvascular Decompression- This procedure involves relocating or removing blood vessels to stop the nerve from malfunctioning.
    • Brain Stereotactic Radiosurgery- It directs a focused dose of radiation to the root of your trigeminal nerve. This is successful in eliminating pain for the majority of people. 4


    There are also other procedures that are used to treat trigeminal neuralgia to reduce pain and facial numbness. When you have symptoms with regard to this, make an appointment with your primary health care provider and get treated immediately.

    The AdventHealth Neuroscience Institute is a state-of-the art facility for adults and children affected by trigeminal neuralgia. We specialize in minimally invasive treatments that pinpoint constricted blood vessels so that surgeons can alleviate the pressure on the nerve and eliminate the pain caused by trigeminal neuralgia. Recovery times also are shorter, because no incision is made.

    Exceptional Trigeminal Neuralgia Care

    What if it hurt to smile? What if you were scared to brush your teeth because you knew it would cause you too much pain? When you live with trigeminal neuralgia, these fears are likely part of your daily life.

    At the AdventHealth Neuroscience Institute, we know that a neurovascular disorder like trigeminal neuralgia isn’t just a physical problem. This nerve pain affects your body, mind and spirit. That’s why we pioneer the most innovative treatments available so that you can get back to a joyful life, free of pain.

    We offer minimally invasive treatments for trigeminal nerve pain. A procedure like microvascular decompression can help relieve your discomfort without the risks and downtime associated with traditional surgery. Exceptional outcomes and exceptional care are all part of our compassionate approach to whole-person health, for every person, every time.

    About Trigeminal Neuralgia

    What Is Trigeminal Neuralgia?

    The trigeminal nerve is the largest of all the cranial nerves. It delivers sensation to your face and helps with daily activities like biting and chewing. However, pressure on this nerve can trigger pain signals all over the face and head. Eating, drinking, smiling, shaving and putting on makeup are just a few of the daily activities that can become extremely uncomfortable if you struggle with trigeminal neuralgia.

    Trigeminal Neuralgia Symptoms

    Trigeminal nerve pain can take many forms. One of the most common sensations is a shooting or radiating pain that feels a bit like an electric shock. Many people experience pain signals in their cheeks, jaws and teeth. It may last for a few seconds or a few minutes and usually affects one side of the face at a time. Some people may not experience any pain for weeks or months between episodes.

    Other forms of trigeminal nerve pain in the face include:

    • Aching
    • A pins-and-needles sensation
    • Burning
    • Tingling
    • Twitching or spasms

    These activities or facial muscle movements can trigger episodes of nerve pain:

    • Applying makeup
    • Blowing your nose
    • Brushing your teeth or flossing
    • Drinking hot or cold beverages
    • Shaving your face
    • Smiling and laughing
    • Washing your face

    Trigeminal Neuralgia Causes

    It’s easy to assume that nerve pain inside the face is caused by some kind of dental issue or a sinus disorder. If you experience any forms of nerve pain near your head, neck or face, it’s important to start a conversation with your doctor.

    It’s also a good idea to take notes about the type of pain you’re experiencing, what the specific triggers are and how frequently the pain occurs. All of this information can help your doctor determine if trigeminal neuralgia may be the cause.

    If your doctor suspects you have trigeminal neuralgia, he or she will likely order a magnetic resonance imaging (MRI) scan to make sure that a tumor is not compressing the nerve. An angiogram, which is a type of X-ray that uses dye to create a map of the body’s blood vessels, is another diagnostic technique that can help your doctor determine if a vascular abnormality is causing your neuralgia.

    Diagnosing Trigeminal Neuralgia

    It’s easy to assume that nerve pain in the face is caused by some kind of dental issue or a sinus disorder. If you experience any forms of nerve pain near your head, neck or face, it’s important to start a conversation with your doctor.

    It’s also a good idea to take notes about the type of pain you’re experiencing, what the specific triggers are and how frequently the pain occurs. All of this information can help your doctor determine if trigeminal neuralgia may be the cause.

    If your doctor suspects you have trigeminal neuralgia, he or she will likely order a magnetic resonance imaging (MRI) scan to make sure that a tumor is not compressing the nerve. An angiogram, which is a type of X-ray that uses dye to create a map of the body’s blood vessels, is another diagnostic technique that can help your doctor determine if a vascular abnormality is causing your neuralgia.

    Trigeminal Neuralgia Treatment

    Medication is usually the first course of action for treating trigeminal neuralgia. While medication won’t fix blood vessel abnormalities that are the underlying cause of trigeminal nerve compression, it can help reduce the frequency and severity of nerve pain episodes. Anticonvulsive drugs and muscle relaxers are the most common medications used for this purpose.

    Trigeminal Neuralgia Surgery

    Some vascular disorders causing trigeminal nerve compression may not need treatment. Treating the symptoms and monitoring the abnormality may be sufficient. However, more serious neurovascular issues like an arteriovenous malformation or an arteriovenous fistula can put you at risk for stroke or heart failure. In these cases, your doctor may recommend surgery to treat the nerve compression and reduce the risk of a medical emergency.

    Microvascular Decompression for Trigeminal Neuralgia

    Microvascular decompression is a procedure that separates the abnormal blood vessel from the trigeminal nerve. This minimally invasive procedure is extremely effective at relieving nerve pain, facial spasms and other symptoms associated with trigeminal neuralgia. At the AdventHealth Neuroscience Institute, we offer both endoscopic and microscopic microvascular decompression for you and the people you love.

    Brain Stereotactic Radiosurgery

    If your neuralgia is caused by a brain tumor, your doctor may discuss the option of radiosurgery with you. Radiosurgery uses highly focused beams of radiation to treat tumors in the brain. Also called Gamma Knife® technology, this completely noninvasive technique doesn’t involve a knife, scalpel or any type of incision. The treatment targets tumors with unsurpassed precision. We’re the only medical facility in Central Florida using this leading-edge treatment.

    Trigeminal neuralgia is a neuropathic disorder involving the trigeminal nerve. It can cause excruciating pain in the face, eyes, forehead. It is also known as a suicidal disease because many people have tried to end their life in this pain.

    It is also called Fartgil’s disease. It causes a strong electric shock that can be felt for a few seconds to a whole minute.

    How does Trigeminal Neuralgia affect the body?

    It can have many effects on the body. Trigeminal neuralgia can be caused by sudden and continuous pressure on the trigeminal nerve. This can lead to inhibition of impulses. This can cause a lot of pain in the face.

    How to alleviate pain caused by trigeminal neuralgia

    What are the causes of Trigeminal Neuralgia?

    The causes of trigeminal neuralgia are listed below:

    • In most cases, trigeminal neuralgia is caused by a tumor that irritates the trigeminal nerve.
    • It may also be related to multiple sclerosis.
    • It can also be due to aging.
    • In some cases, trigeminal neuralgia can be due to genetics.

    How to alleviate pain caused by trigeminal neuralgia

    What are the risk factors of Trigeminal Neuralgia?

    Trigeminal neuralgia can be caused by genetic factors in patients. It is most commonly found in patients over the age of 50. It can also occur in a young patient with multiple sclerosis.

    What are the Symptoms of Trigeminal Neuralgia?

    The symptoms of trigeminal neuralgia can be listed below:

    • There may be mild to severe pain on the face.
    • A sharp, electric shock-like effect can be felt on the face for about a minute to a few minutes.
    • The patient behaves strangely in this pain and is unable to do so some patients have already taken their own lives. So if you are facing this type of attack, make sure you have a strong support group near your home.
    • The pain starts with mastication or the process of chewing while talking or brushing teeth.
    • There may be severe pain in the mouth and face. Sensitivity and tingling or burning may be felt. Another symptom is an attack of facial pain.
    • Acute, severe, unilateral muscle spasms are found.

    How is Trigeminal Neuralgia Diagnosed?

    The doctor needs to understand the types, locations, and triggers of trigeminal neuralgia. The doctor performs a test which will include the following tests:

    • Neurological examination and reflex testing, where the patient’s reflexes will be tested only with different tests.
    • MRI or magnetic resonance screening can determine the cause of the compression of the trigeminal nerve.

    Lifestyle Tips of Trigeminal Neuralgia

    The lifestyle tips for people going through trigeminal neuralgia are as follows:

    • Do light exercise every day. The results have shown that just doing moderate exercise will help you eliminate the pain easily.
    • Take a balanced diet. Nutrition can help you.
    • Every time you have an exciting experience, write about it so that it will help eliminate your pain.
    • Seek medical advice or advice from a doctor.
    • Consider surgery and tumor removal.
    • Find the right medicine.

    What are the prevention and control measures to be undertaken?

    • There are some prevention and control measures that are used to treat trigeminal neuralgia. Pay attention to its symptoms every time.
    • Notice the triggers. Triggers are movements; No matter how small they are, they can create a provocation for an attack.
    • Make a list of medical information and give it to the doctor. Stay away from sharp objects during the attack.

    How to alleviate pain caused by trigeminal neuralgia

    What are the treatments available for Trigeminal Neuralgia?

    The following are the options for its treatment, which are available for the treatment of trigeminal neuralgia.

    The allopathic medicine available for the treatment of trigeminal neuralgia is mentioned below:

    • Anticonvulsants: may be used in the treatment of trigeminal neuralgia. Example: Tegretol or Carbatrol.
    • Antispasmodic medicines such as baclofen.
    • Botox Injections: Botox injections have been found useful in the treatment of facial pain. But it gives a temporary solution.

    Other approaches to treatment may include:

    Surgery: If you have suffered from trigeminal neuralgia for a long time, you may consider surgery.

    • In surgery, microvascular decompression can be done.
    • Brain stereotactic radiosurgery.
    • Glycerol Injection.
    • Balloon compression method.
    • Radiofrequency thermal wound

    For any information related to the Trigeminal Neuralgia treatment and surgeries, visit our Specialty Care Clinics -if you have any type of nerve injury or problem.

    Our team of experienced doctors will advise you on the best option for your safety.

    13988 Diplomat Drive, Suite 100 Farmers Branch, TX 75234 Phone: 469-545-9983 Fax: (469) 709-1948

    Trigeminal Neuralgia

    Trigeminal neuralgia is a chronic pain condition that involves the 5th cranial or trigeminal nerve (the fifth cranial nerve, also called the fifth nerve, or simply CNV or CN5). The trigeminal nerve is responsible for sensation in the face. Sensory information from the face and body is processed by parallel pathways in the central nervous system. The fifth nerve is primarily a sensory nerve, but it also has certain motor functions (biting, chewing, and swallowing).

    Image #29: Distribution of the Trigeminal Nerve
    Trigeminal neuralgia is frequently described as one of the most painful experiences known to man. In the earlier days of my practice there were few effective ways of treating this disorder and trigeminal neuralgia earned the nickname "the suicide disease," due to the unfortunate and drastic steps some patients would take when they despaired of ever finding any relief. Trigeminal neuralgia is a pain that the patient describes as being sharp, stabbing, burning, boring or electrical pain that involves one side of the face. Patients are considered to have Type 1 trigeminal neuralgia if more than 50 percent of the pain they experience is sudden, intermittent, sharp and stabbing, or shock-like. These patients may also have some burning sensation. Type 2 trigeminal neuralgia involves pain that is constant, aching, or burning more than 50 percent of the time. Trigeminal neuralgia is typified by attacks that stop for a period of time and then come back. The attacks often worsen over time, with fewer and shorter pain-free periods before they recur. Trigeminal neuralgia can be debilitating due to the intensity of the pain, and some patients may avoid daily activities because they fear an impending attack.

    How to alleviate pain caused by trigeminal neuralgia

    Image #30: The generation of trigeminal nerve pain is thought to result from peripheral pathology (i.e. neurovascular compression) and central pathophysiology (i.e. hyperactivity of the trigeminal nerve nucleus).

    Trigeminal neuralgia typically presents in the dental malpractice forum when there is some type of trauma to a branch of the trigeminal nerve. Trigeminal neuopathy or post-traumatic trigeminal neuralgia may develop. This can result from extraction, implant placed into the inferior alveolar nerve, injury to the inferior alveolar nerve during a root canal procedure, excessive trauma to the jaw joint by an overly lengthy procedure, sinus injury from Caldwell-Luc procedures and following nerve destruction procedures (rhizotomies). Following an injury to the trigeminal nerve, initial numbness and paresthesia may become associated with bothersome sensations or pain, sometimes called phantom pain or deafferentation pain. These pain conditions are caused by irreparable damage to the trigeminal nerve and secondary hyperactivity of the trigeminal nerve nucleus.

    In short, injury to the any of the branches of the trigeminal nerve can set in motion a trigeminal neuralgia that must be timely treated. The strongest evidence that a trigeminal neuralgia was caused by dental negligence is the chronological relationship to the subject dental trauma and the extent of the trauma. The defense will always argue that the two events are a mere coincidence. Depending on the nature of the original negligent act, the jury will be less likely to buy the defense argument.

    Trigeminal neuralgia is usually brought on or exacerbated by "trigger points" such as touching the face, eating or chewing. Trigeminal neuralgia is frequently misdiagnosed as a dental condition in its early stages that results in unneeded extractions and root canals that do not resolve the condition. Radiographic studies (MRI, CBCT and CT scans) all appear normal and the condition is usually diagnosed by the patient’s medical history and description of their pain complaints.

    Treatment options for trigeminal neuralgia include medicine, surgery, and botox injections. Some patients will augment the above with acupuncture, biofeedback, vitamin therapy, nutritional therapy, and electrical stimulation of the nerves, with less certain results. Medications are the first line of treatment for trigeminal neuralgia and include carbamazepine (Tegretol®), phenytoin (Dilantin®), gabapentin (Neurontin®) and baclophen (Lioresal®). These anticonvulsant medicines are generally effective in treating trigeminal neuralgia and are prescribed to block nerve firing. Tricyclic antidepressants such as amitriptyline (Elavil®, Endep®, Vanatrip®) or nortriptyline (Aventyl HCl®, Pamelor®) are used to treat pain that is described as constant, burning, or aching. Typical analgesics and opioids are not usually helpful in treating the sharp, recurring pain caused by trigeminal neuralgia. Your best course of action is to seek treatment by an orofacial pain specialist who will seek to bring your pain symptoms under control by trying a varied regimen of these medications. It has been my experience in the last 10 years that most patients are effectively treated with a combination of these medications which are customized to each patient. If medication fails, some patients receive excellent results with botox injections into their trigger points where the trigeminal nerve becomes over stimulated. This treatment should be undertaken by a specialist and unfortunately is very expensive and lasts only 3 months for each series of injections. Often this therapeutic approach can result in a gradual diminishing of the trigeminal neuralgia symptoms over time. When medication and botox injections fail to relieve pain or produces intolerable side effects such as excess fatigue, surgical treatment may be recommended.

    There are several neurosurgical procedures available to treat trigeminal neuralgia. The procedure that is recommended will depend on a variety of factors including your health and the trigeminal distribution that is involved. Some of these surgeries are done as outpatient procedures and some are done under general anesthesia in an inpatient setting. A rhizotomy is a procedure in which select nerve fibers are destroyed to block pain. A rhizotomy for trigeminal neuralgia causes some degree of permanent sensory loss and facial numbness, so most patients look to these procedures only after medication and/or botox injections have failed . Several forms of rhizotomy are available to treat trigeminal neuralgia, including balloon compression surgery, glycerol injection,radiofrequency thermal lesioning, stereotactic radiosurgery (gamma-knife surgery).

    Microvascular decompression is performed under general anesthesia and is the most invasive of these surgical procedures, but it does not result in permanent nerve damage. The aim of microvascular decompression surgery is to alleviate neurovascular compression upon the trigeminal nerve root and therefore is a surgery which is used to treat trigeminal neuralgia which was not caused by dental trauma. Neurectomies (surgical severing of the trigeminal nerve) always results in numbness to the area this nerve serves and may not be a permanent remedy.

    Trigeminal neuralgia affects the body both physically and psychologically. The physical symptoms can be managed by adopting an optimum treatment strategy while psychological management requires counseling apart from medications. Fear of trigeminal neuralgia attack in patients may lead to sleep disorder, depressive disorder, and panic disorder. Patient experiences high stress which in turn leads to further worsening of the condition. Vitamin B12 is a major vitamin that helps to improve the nerve function and in maintaining nerve health.

    Can Trigeminal Neuralgia Be Psychological?

    Trigeminal neuralgia has a devastating impact on the psychological health of the patient. It is not a psychological condition as not all the people with abnormal psychological behaviors suffers from trigeminal neuralgia. Further, in the diagnosis of trigeminal neuralgia, brain images of many patients reveal the exact cause of trigeminal neuralgia.

    Further, patients with this condition also have underlying conditions such as cyst, tumor or multiple sclerosis further, various abnormal psychological behaviors such as stress, depression, and anxiety develop because of trigeminal neuralgia. It is actually a vicious cycle where patient experiences stress and anxiety and these psychological behaviors further worsen the symptoms of trigeminal neuralgia. Excruciating pain and constant fear of trigeminal neuralgia attack make the life stressfull 2 . This is primarily the reason that neurologists are also adopting strategies to manage the psychological abnormality in the patients apart from physical pain and discomfort. At least one study concludes that trigeminal neuralgia increases the risk of developing the depressive disorder, sleep disorder, and anxiety disorder 3 .

    Can B12 Deficiency Cause Trigeminal Neuralgia?

    Although vitamin B12 is a water-soluble vitamin, unlike other water-soluble vitamins, Vitamin B12 does not gets readily excretes from the body rather it gets stored in kidney, liver and other tissues 4 . Both cobalamin vitamins, i.e. cyanocobalamin and methylcobalamin are important for proper nerve health and assists in normal nerve conduction. Long ago, in 1953-54, large doses of vitamin B12 were administered to the patients to alleviate the symptoms of trigeminal neuralgia. It has also been identified at almost 23% of the patient suffering from trigeminal neuralgia are also suffering from low Vitamin B12 syndrome. It has also been seen that deficiency of vitamin B12 causes facial neuralgia, which is independent of peripheral neuropathy and trigeminal neuralgia. This indicates the importance of vitamin B12 in maintaining nerve health 5 .

    Trigeminal neuralgia is the condition characterized by sudden and unpredictable pain in the facial area. The condition in most cases is caused due to the compression of the trigeminal nerve by the blood vessels present near to nerve. Other causes include cysts, tumor, and multiple sclerosis. In rare cases, trigeminal neuralgia may also be caused due to arteriovenous malformation. However, the attack of trigeminal neuralgia occurs after a remission period. Various triggers transform trigeminal neuralgia remission to trigeminal neuralgia attack. These triggers include:

    Talking 1 : People with trigeminal neuralgia have may initiate or worsen the symptoms because of speaking for a long time. This may be due to the creation of facial pressure.

    Smiling: Smiling and laughing also acts as a trigger for trigeminal neuralgia. This may be due to alteration in the state of facial muscles that leads to trigeminal neuralgia attack.

    Facial Activities: Facial activities like shaving, make-up and washing face may cause trigeminal neuralgia attack.

    Touching And Brushing: The patient becomes so sensitive in trigeminal neuralgia that tough of the face may also cause pain. Further, brushing the teeth and eating are also triggers for trigeminal neuralgia. Drinking cold or hot drinks may also lead to pain.

    Stress: Stress is not the trigger factor for trigeminal neuralgia. Trigeminal neuralgia itself leads to stress and worsening of symptoms.


    Trigeminal neuralgia has two phases; the attack phase and the remission phase. The problem is that the patient in remission stage does not know about the attack phase. This uncertainty and unpredictability cause abnormal psychological conditions. Many patients with trigeminal neuralgia have found to have a low level of Vitamin B12.

    Patients with trigeminal neuralgia might get a variety of treatments to alleviate their symptoms. We must first define trigeminal neuralgia before moving on to treatment options.

    Patients with trigeminal neuralgia might get a variety of treatments to alleviate their symptoms. We must first define trigeminal neuralgia before moving on to treatment options.

    Trigeminal neuralgia is a type of facial pain that is severe and comes on suddenly. It’s commonly described as a sharp, shooting pain or as if you have been electrified in the mouth. To achieve the best results from trigeminal neuralgia treatment, you must first identify a trigger before getting treatment from a skilled neurosurgeon like Dr Gurneet Singh Sawhney.

    Dr. Gurneet Singh Sawhney, one of the top neurosurgeons in India, has a great deal of experience with trigeminal neuralgia treatment. Due to his ability to execute complex spinal surgery, he is also regarded as one of the leading spine surgeon in Mumbai.

    Now, let’s know,

    How is trigeminal neuralgia diagnosed?

    There are a variety of causes for facial pain. Frequently, migraine, post-herpetic neuralgia, cluster headache, and temporomandibular joint disease are misdiagnosed as trigeminal neuralgia.

    A neurosurgeon classifies the pain based on facial discomfort’s nature, location, and triggers to confirm trigeminal neuralgia. To identify whether trigeminal neuralgia is caused by neurovascular conflict, multiple sclerosis, or a tumor, reflex tests and a neurological examination with an MRI are required.

    What are the available treatments for trigeminal neuralgia?

    It’s crucial to remember that, based on the severity of the ailment and the patient’s lifestyle, the doctor will only recommend a treatment they are comfortable with.

    The following are some of the several treatment options for trigeminal neuralgia.

    Avoiding your triggers:

    Once you have identified your trigger, avoiding it is one of the most excellent methods to prevent an attack. For example, some people may have an allergic reaction to spicy meals and should avoid them. Others may be irritated by the cold wind on their faces. In this case, they should wear a cap and scarf when it is cold outside.


    Medications are used to treat patients with trigeminal neuralgia as the first line of treatment. Anticonvulsants are used to prevent painful sensations from entering the brain, and muscle relaxants minimize the impact of neurovascular conflict. In addition, the doctor may prescribe antidepressants and anti-anxiety medications.

    Surgery or medical procedures:

    Trigeminal neuralgia is a progressive condition that might grow resistant to medicines. Sometimes, the drugs themselves induce adverse effects, causing people to stop taking them. Surgeons may propose surgical or minimally invasive procedures such as radiofrequency ablation, microvascular decompression, or stereotactic radiosurgery in such instances.

    Also, if medication fails to relieve your symptoms, you may need to undergo treatment or surgery. Trigeminal neuralgia can be treated using various approaches, which your surgeon will discuss with you in greater detail. These are some of them:

    Radiofrequency ablation:

    It is a minimally invasive, safe, and successful method for treating drug-resistant trigeminal neuralgia. The results are similar to those obtained with microvascular decompression. Rf ablation has been the procedure of choice in recent years, particularly for elderly patients and those with a high risk of anaesthesia complications.

    Using radiofrequency electrical stimulation, this treatment selectively kills nerve fibres associated with pain. A neurosurgeon uses anaesthesia to insert and guide a hollow needle into the trigeminal nerve.

    The surgeon applies a modest signal after passing an electrode through the needle to confirm the pain site. Then, the surgeon will anaesthetize the patient again for radiofrequency thermal lesioning after the target nerve fibre is confirmed.

    The neurosurgeon heats the nerve fibre selectively with the electrode until it is destroyed and a lesion develops. After the surgery, the patient may have face numbness for a few hours.

    Microvascular decompression:

    It entails isolating the blood vessels that are squeezing the trigeminal nerve. The damaged trigeminal nerve is either relocated or removed from contact with the blood vessel.

    On the side of pain, the neurosurgeon makes an incision behind the ear. Then, the surgeon punctures the skull with a small hole. Further, the surgeon moves the arteries along the trigeminal nerve and cushions the area between the nerve and the arteries.

    The majority of the time, microvascular decompression is successful. In rare situations, though, the pain may return. In contrast to radiofrequency ablation, patients do not feel facial numbness. However, there is a risk of hearing loss, facial paralysis, stroke, or other consequences.

    Stereotactic radiosurgery:

    It is a type of non-invasive radiation that has a high success rate. The neurosurgeon utilizes a highly focused radiation beam to destroy the target trigeminal nerve fibre in this surgery. After a few weeks following radiosurgery, pain relief becomes apparent. The surgery may be repeated if the pain returns.

    Please call us @9902579412 or book an appointment online if you have recently been diagnosed with trigeminal neuralgia and would like to speak with Dr. Gurneet Singh Sawhney, one of the best neurosurgeon in Mumbai, about your treatment options.

    Moderate exercise may improve pain symptoms in trigeminal neuralgia (TN), a neurologic condition that causes chronic facial pain. The presumed cause of TN is a blood vessel pressing on the trigeminal nerve in the head. TN is more common after the age of 40. When it occurs in young people (usually women), it is most often associated with multiple sclerosis.

    TN pain is most often felt in the lower half of the face, typically on one side only. It is most often brief, intense, and described by patients as “electrical,” “sharp,” and “stabbing.” While these attacks of pain have characteristic triggers—chewing, talking, smiling, light touch—exercise is not one of them. Most patients improve with medication, such as the anticonvulsant carbamazepine. The symptoms of TN may go away on their own for months at a time, especially early on. However, as time goes on, TN has a tendency to become more persistent. Many patients need surgery to control their pain.

    Pain impacts many aspects of life. It can cause stress, depression, and limit your overall functioning. Exercise is a great way to relieve stress, improve mood and sleep, and provide a healthy distraction during tough times. However, certain activities, such as swimming or running outside, may prove problematic—the contact of water or wind on the face may trigger an attack of pain for people with TN. Indoors activities, such as running on a treadmill, may be more tolerable.

    No clinical trials have been conducted to determine the effect of exercise on TN. In other pain conditions—such as fibromyalgia, chronic low back pain, and headache—aerobic exercise has been found to be helpful in improving pain. Aerobic exercise causes your body to release chemicals called endorphins, which naturally inhibit pain. However, moderation is important: overdoing it may be counter-productive and aggravate pain, an observation noted in studies of exercise in other pain conditions. Don’t forget to talk to your doctor before beginning any new exercise regimen.

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    Objective: The purpose of this study is to assess medical cannabis’ (MC) efficacy, reported adverse effects (AE), and dosages used in the treatment of patients with trigeminal neuralgia (TN).

    Background: Few treatments currently exist for the treatment of TN, and almost half of patients become refractory to those medications with limited and often invasive recommendations for symptom control. A growing amount of evidence suggests that MC may be effective in alleviating neuropathic pain, making MC a potentially valuable treatment option for TN.

    Design/Methods: A retrospective chart review of patients with TN that were treated with MC through the New York State Medical Marijuana Program was conducted in Buffalo, New York.

    Results: Of 42 patients (32=female 10=male) included in the study, 81% reported improvement in their TN symptoms. AE were reported in 40%, and two discontinued because of AE. The most common side effects were fatigue, somnolence, nausea, and dizziness. Of patients who reported ≥50% improvement in TN symptoms, 69% used one product and 50% used a 1:1 ratio of tetrahydrocannabinol to cannabidiol. Of patients reporting opioid use at the beginning of MC treatment, 50% were able to reduce their opioid consumption on MC.

    Conclusions: This study found that MC is well tolerated in the treatment of TN, with the 81% of patients reporting improvement and 50% of patients reducing opioid consumption with MC. The most common efficacious dosage for these patients is a 1:1 ratio of THC to CBD. These results suggest that MC is a useful part of a comprehensive pain management plan for patients with TN, but future randomized placebo controlled trials are needed.

    Disclosure: Dr. Mechtler has received personal compensation for consulting, serving on a scientific advisory board, speaking, or other activities with Teva, Promius, Allergan, Avanir, andAmgen. Dr. Mechtler has received research support from DENT Family Foundation. Dr. Hart has received research support from Dent Family Foundation . Dr. Bargnes has nothing to disclose. Dr. Saikali has received personal compensation for consulting, serving on a scientific advisory board, speaking, or other activities with Allergan, Amgen, Promius, Supernus, Teva, Assertio, Avanir, Cefaly, Egalet, Gammacore, and Pernix.

    Trigeminal neuralgia is a chronic pain condition that affects the trigeminal nerve, the nerve responsible for providing sensation to the face. The symptoms of trigeminal neuralgia include an intense, stabbing, electric-shock-like pain and typically occur in the lower face and jaw. However, it can also affect the surrounding areas, such as the nose and above the eyes. This intense pain in the face is usually caused by irritation of the trigeminal nerve. While trigeminal neuralgia cannot always be cured, there are treatments available to help alleviate the pain.


    Trigeminal neuralgia symptoms may include:

    • Episodes of severe, shooting or jabbing pain that may feel like an electric shock
    • Uncontrollable facial twitching
    • Constant aching, burning feeling
    • Pain affecting one side of the face at a time
    • Spontaneous attacks of pain or attacks triggered by touching the face, chewing, smiling, or brushing teeth


    Trigeminal neuralgia occurs when the trigeminal nerve becomes irritated. Typically, the problem is contact between a normal blood vessel and the trigeminal nerve at the base of the brain. This contact puts pressure on the trigeminal nerve, causing it to malfunction. Other causes of trigeminal neuralgia include the pressure of a tumor on the nerve, which damages the myelin sheath protecting the nerve.

    A variety of triggers can set off the pain of trigeminal neuralgia, including:

    • Shaving
    • Touching the face
    • Talking
    • Putting on makeup or other products on the face
    • Eating or drinking
    • Smiling


    There are several effective ways to alleviate the pain, including a variety of medications, such as carbamazepine, baclofen, phenytoin, and oxcarbazepine. Other treatment options for trigeminal neuralgia include:

    We understand that each patient’s pain is unique. Therefore, the treatment recommended to each patient will be personalized to fit their condition and lifestyle. Our multi-disciplinary team of physicians offers advanced interventional and minimally-invasive techniques to help treat chronic, complex pain. Schedule an appointment today to discuss your concerns and what treatment options might be right for you!

    How to alleviate pain caused by trigeminal neuralgia

    You may recognize all of the causes of facial pain on the list- except one: trigeminal neuralgia. You are probably looking for an explanation of this term.

    Trigeminal neuralgia, TN-also referred to as tic douloureux, is a condition characterized by sporadic, shooting pain in the face. This disorder affects the trigeminal nerve, which is one of the largest nerves in your head.

    This nerve sends impulses of pressure, temperature, pain, and touch to your brain from your jaw, forehead, gums, face, and the area around your eyes.

    Causes of Trigeminal Neuralgia

    Most frequently, trigeminal neuralgia is caused when a blood vessel presses on the nerve near your brain stem.

    The changes in the blood vessels in the brain can, over time, cause the blood vessels to rub against the trigeminal nerve root.

    This constant rubbing eventually wears away the protective covering, or myelin, of the nerve, which results in irritation of the nerve.

    Symptoms of Trigeminal Neuralgia

    Trigeminal neuralgia results in sudden, severe, and electric shock-like, or stabbing pains that last for several seconds. You can feel this pain on your face around your eyes, lips, nose, forehead, and scalp.

    The symptoms can occur when you’re brushing your teeth, touching your face for some reason, putting on your makeup, swallowing while eating, or even a light breeze blowing across your face.

    This is typically considered to be one of the most painful conditions seen in the medical community.

    Generally, you will feel pain on one side of your cheek or jaw, but some individuals will experience pain on both sides, but at different times.

    The attacks could be repeated one after another and could come and go during the day. Additionally, they can last for a few days, a few weeks, or even months at a time. In some cases, the attacks could disappear for months and even years.

    This disorder is much more common in women and typically does not affect individuals younger than 50 years old.

    Diagnosing Trigeminal Neuralgia

    Your doctor will most likely use MRI, or Magnetic Resonance Imaging in order to determine what is causing your trigeminal nerve to become irritated.

    There aren’t currently any other tests that will be able to determine whether or not you have trigeminal neuralgia.

    Other tests can, however, help to rule out other potential causes of facial pain. typically, trigeminal neuralgia is diagnosed due to the description of the individual’s symptoms.

    Treating Trigeminal Neuralgia

    First of all, you should speak with your doctor if you believe that you’re suffering from trigeminal neuralgia.

    Describe your pain and other symptoms in detail with your doctor and he/she will be able to determine whether or not it is the trigeminal nerve that is causing the pain or something else entirely.

    After he/she performs some testing, your doctor will tell you the diagnosis and discuss various options for treatment with you.

    Speak with your doctor about using anticonvulsant medications, which will block the pain signals from being sent from the nerve to your brain.

    Other medications, such as muscle relaxers can help to reduce your pain. Be sure to review side effects with your doctor before agreeing to take medications. Side effects of the above medications include: dizziness, drowsiness, and nausea.

    Discuss microvascular decompression surgery with your neurologist. This treatment can be very effective because it removes the blood vessels to the nerve, therefore helping to reduce pain.

    For this procedure, the doctor drills a hole, separates arteries from the nerve and places a pad between the two to keep them separated. For the most part, this procedure is successful. However in some cases, pain can recur.

    Research and consider using PSRTR, or percutaneous stereotactic radiofrequency thermal rhizotomy procedure. For this surgery, an electric shock will be used to numb the pain.

    A surgeon will stick a needle into your skull with an electrode in the middle. He/she will guide it until it is next to the nerve.

    The electric current will then damage nerve fibers that are causing the pain until you can’t feel it anymore. Following this procedure, you will most likely experience numbness in your face.

    Another option is the PSR procedure, or partial sensory rhizotomy. This is typically the last resort to stop the pain of trigeminal neuralgia.

    In this procedure, the surgeon will totally cut the trigeminal nerve, which will result in permanent numbness in your face. This option is irreversible, therefore, you should consider other options before going this route.

    At Home Treatments for Trigeminal Neuralgia Pain

    You should know that, as with anything else, there are some things you can do at home on your own to treat your trigeminal neuralgia pain. Following are some excellent DIY tips.

    This is a 16-week non-blinded, parallel, controlled trial to determine the feasibility and potential efficacy of an olive oil dietary intervention to alleviate facial pain caused by trigeminal neuralgia type 1 (TGN).


    Trigeminal neuralgia (TGN) pain is debilitating and unpredictable. Alleviation of intensity or frequency to any degree will improve the quality of life of the individuals affected. Current medical treatments for TGN are often not effective. In some cases, the pain is a result of myelin degeneration. If diet can provide the basic building blocks for myelin regrowth, then the investigators may be able to reduce facial pain by supporting the myelin nerve sheath.

    Animal studies have shown that a dietary intervention with olive oil favorably impacts myelin but no human study has been conducted to date. The investigators propose undertaking a feasibility study to determine if a comparable intervention may work in a similar way in humans. If olive oil impacts myelin repair, then pain will be decreased by this dietary intervention and quality of life will be improved. However, it is not known if individuals with TNG will be able to consume a diet relatively high in olive oil. Feasibility will include testing the logistics of distributing the olive oil intervention to the study subjects, incorporation of olive oil into the participants’ daily diets, and online/distance monitoring of compliance and reporting of pain intensity, pain frequency, and quality of life. This feasibility study will lay the groundwork for potential future studies examining the efficacy of olive oil on alleviating facial pain caused by TNG and may provide data for a power analysis for a future interventional trial.

    Paper Information

    Journal Information

    Basic Sciences of Medicine

    p-ISSN: 2167-7344 e-ISSN: 2167-7352

    Received: Oct. 11, 2020; Accepted: Nov. 9, 2020; Published: Nov. 28, 2020

    Trigeminal Neuralgia- Review of Literature

    • Abstract
    • Reference
    • Full-Text PDF
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    Rajani Singh

    Department of Anatomy, UPUMS Saifai Etawah, India

    Correspondence to: Rajani Singh, Department of Anatomy, UPUMS Saifai Etawah, India.


    This work is licensed under the Creative Commons Attribution International License (CC BY).

    Trigeminal Neuralgia is a syndrome consisting of excruciating and lancinating facial pain. It is dreaded diseases and cripples a person so much that it is given a name “suicide disease.” This condition may lead to anxiety and depression in patients due to apprehension. Literature search has been carried out between September-December 2019 using various data bases and terms related to trigeminal neuralgia in the Department of Anatomy UPUMS Saifai Etawah India. It is said that focal demyelination at the trigeminal root entry zone is the underlying cause of this condition. According to many authors vascular compression of the nerve root causes this demyelination in most patients. To alleviate severe pain associated with this disorder, non-steroidal anti-inflammatory agents, narcotics or oral steroids may be administered. In refractory cases surgical manipulations like microvascular decompression of the trigeminal nerve or Gamma knife therapy may ameliorate symptoms. Considering severity of the condition and its immense clinical implications, review has been carried out to consolidate and update the existing knowledge and to elucidate common pitfalls in management of this disorder.

    Keywords: Trigeminal neuralgia, Demyelination, Vascular compression

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    Trigeminal Neuralgia

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    Trigeminal Neuralgia

    Trigeminal Neuralgia is a chronic and painful condition that affects the trigeminal nerve. It is considered to be one of the most painful nerve disorders. The pain involves the lower face and jaw but sometimes can affect the area around the nose and eyes. The pain has been equated to an intense stabbing, electric shock-like pain.


    The pain is caused by irritation of the trigeminal nerve which sends nerve signals to the forehead, cheek, and lower jaw.


    The symptoms of trigeminal neuralgia may range from mild to extreme and may fluctuate in intensity. Even the slightest touch to the face can initiate symptoms. These symptoms can be one or the combination of the following:

    • Occasional bouts of mild pain
    • Episodes of severe pain that are triggered from simple things like putting on make-up, touching the face, or brushing the teeth.
    • Episodes of severe stabbing, shooting, or electric shock type pain.
    • Pain affecting one side of the face at a time.
    • Pain focused in one area or spreading to other surrounding areas.
    • Pain that becomes more frequent and intense over a period of time.


    The diagnosis of trigeminal neuralgia is based mainly on a patient’s symptoms and description of pain. The areas of the face that are affected by the pain will help your doctor determine if the trigeminal nerve is involved. The symptoms and triggers of the pain will also be discussed to track what causes the symptoms the most frequently. It is important for your doctor to perform a full neurological exam to determine if something else may be causing the pain. Tests such as an MRI may also be ordered to rule out other conditions.


    Treatment of trigeminal neuralgia usually begins with conservative treatment with anticonvulsant medications which usually helps most people with pain control. Along with muscle relaxers, trigeminal neuralgia may be effectively treated and a person may not require surgery. There are some drawbacks to medication other than the side effects. Sometimes a high dose of medication is necessary to relieve the symptoms. Anticonvulsant drugs may lose their effectiveness or a patient need a second medication to alleviate the pain which can cause adverse drug interactions. These medications can also be toxic to individuals with a history of bone marrow conditions or kidney or liver toxicity.

    If treatment with medication proves to be ineffective your physician may suggest surgery to relieve the pressure on the trigeminal nerve. Surgeries such as microvascular decompression which involves microsurgical exposure of the trigeminal nerve root, identification of blood vessels that may be compressing the nerve, and gently moving the vessel to where it is not compressing the nerve. If a vein is compressing the nerve your surgeon may remove it if necessary. Microvascular decompression can work in most cases to relieve the pain and symptoms of trigeminal neuralgia however pain can reoccur in some people. If there is no compression from blood vessels, your surgeon may cut part of the nerve.

    Gamma Knife may also be used to successfully treat trigeminal neuralgia. Gamma Knife radiosurgery is a non-surgical treatment in which your surgeon will direct a focused dose of radiation to the root of the trigeminal nerve. This will damage the area of the trigeminal nerve responsible for causing the pain. The results of Gamma Knife occur gradually and may take a few weeks to fully alleviate the pain. Gamma Knife is an effective non-surgical way to treat pain and more and more surgeons are using it to treat trigeminal neuralgia. SCCNS is proud to be one of the few centers that offers Gamma Knife at the Regional Gamma Knife Center in Upland, CA.

    Other options for the treatment of trigeminal neuralgia are also available. Your expert at SCCNS can discuss all options with you and can guide you in the best treatment option.