Management of trigeminal neuralgia

Trigeminal neuralgia is a complicated problem. It is very painful but not fatal. Your doctor may carry several experiments to identify trigeminal neuralgia and discover underlying reasons for your situation, including a neurological exam. Touching and testing parts of your face can assist your doctor to decide precisely where the pain is happening and — if you seem to have trigeminal neuralgiawhich sections of the trigeminal nerve may be affected. Reflex examinations also can assist your doctor to decide if your signs are created by a compressed nerve or any different conditions.

Management of trigeminal neuralgia include:

• Antispasmodic agents. Muscle-relaxing intermediaries such as baclofen (Gablofen, Lioresal) may be used alone or in a mixture with carbamazepine. Consequences may involve agitation, vomiting, and fatigue.
• Botox injections. Short investigations have shown that onabotulinumtoxinA (Botox) doses may decrease pain from trigeminal neuralgia in individuals who are no longer relieved from medication. Nevertheless, more investigation requires to be done before this method is generally used for this situation.
• Balloon compression is yet another treatment management method that strongly regulates pain in the majority of people, at least for some time.
• Glycerol injection. Through this method, your doctor injects a needle through your face and into an opening in the bottom of your skull.
• Radiofrequency thermal lesioning. This method selectively impairs nerve fibres connected with pain.
• Brain stereotactic radiosurgery is victorious in overcoming pain for the majority of people. If pain occurs again, the method can be replicated. Facial insensitivity can be a side effect.