How To Treat Trigeminal Neuralgia

By Subodh / September 30, 2014

Are you looking to treat trigeminal neuralgia? Most of the people do not know about this disorder. Then you are at the right place. Trigeminal neuralgia (TN), also named tic douloureux, is a disorder that is considered by intermittent, killing pain in the face. Also recognized as prosopalgia, suicide illness, and fothergill’s disease, the pain shoots from the trigeminal nerve that directs evidence from the face to the brain. Thus, today in this article we are discussing about the treatment of trigeminal neuralgia.

Trigeminal neuralgia disturbs the trigeminal nerve, one of the biggest nerves in the head. The trigeminal nerve guides impulses of touch, pain, pressure, and temperature to the brain from the face, gums, jaw, forehead, and round the eyes. Most patients suffer trigeminal neuralgia when older than 60 years. Attacks can start small and mild, but TN can develop to longer and more recurrent episodes of pain.

Trigeminal Neuralgia

Symptoms of Trigeminal Neuralgia:

  • Sudden, severe, electric shock-like, or stabbing pain.
  • Pain on face and around the lips, eyes, nose, scalp, and forehead.
  • Symptoms can be brought on when a person is brushing the teeth, putting on makeup, touching the face, swallowing, or even feeling a slight breeze.

Best methods to treat trigeminal neuralgia:

1. Adjunct Treatments:

Adjunct treatments such as mechanical, thermal stimuli and electrical, sometimes adjust pain with fewer opposing effects than medication. Self-adhesive dressings may also be used.

2. Self-help:

You may find your pain is activated by the cold. Attempt to stay out of flows and dress a scarf to shelter your face when you go out in the cold. Hot or cold drinks may activate your pain so try intake with a straw.

3. Carbamazepine Therapy:

Carbamazepine and oxcarbazepine are measured first-line treatment in trigeminal neuralgia (TN). Carbamazepine acts by inhibiting the neuronal sodium channel activity, thereby dropping the excitability of neurons. A 100-mg tablet may produce significant and complete relief within 2 hours, and for this reason. Carbamazepine may benefit to decrease the number of occurrences you have and the harshness of your pain.

4. Gabapentin Therapy:

Gabapentin has for patients with multiple sclerosis (MS). Patients who receive gabapentin doses near about 900-2400 mg/d show some relief. This therapy includes faster titration, no known drug exchanges, and no identified idiosyncratic skin reaction.

5. Lamotrigine Therapy:

Lamotrigine (Lamictal) has been confirmed more operative than placebo in trigeminal neuralgia. If this medicine is given to the patients for a period of 3 to 8 months then inspiring and sustained relief is observed. Drug dosage vital for satisfactory relief varied extensively from 100 to 400 mg/d.

6. Baclofen therapy:

Baclofen may be effective in patients with trigeminal neuralgia. The patients found relief with 60-80 mg/d of baclofen. The initial quantity is 10 mg/d, which can be enlarged, if needed; to 60-80 mg/d directed 3-4 times per day.

7. Phenytoin Therapy:

Phenytoin has the similar mechanism of act as carbamazepine and stances a similar risk panel. With the addition Carbamazepine 8-20% of patients experience adequate response at a dose of 300-600 mg/d.

8. Non- surgical therapy:

Gamma knife therapy is a newer treatment choice for trigeminal neuralgia and usages an extremely focused beam of radiation to pleasure your trigeminal nerve.

9. Stereotactic radiosurgery:

In this treatment there is use of concentrated beams of radiation to deliberately damage the trigeminal nerve where it enters the brainstem. A metal frame is attached to your head with four pins inserted around your scalp and your head, complete with the frame attached, is held in a large machine for an hour or two while the radiation is given. The frame and pins are then removed, and you are able to go home after a short rest.

10. Microvascular decompression:

Microvascular decompression (MVD) is operations that can benefit relieve trigeminal neuralgia pain without destructive the trigeminal nerve. Instead, the procedure contains relieving the pressure hired on the nerve by blood vessels that are moving the nerve or enfolded around it and is passed out under general anesthetic by a neurosurgeon. It offers the longest permanent release and pain only returns in about 30% of cases in 10-20 years of surgery.

11. Percutaneous procedures:

In the “percutaneous” (through the skin) procedures, using X-rays to direct the needle or tube into the accurate place while you are deeply sedated with medication or under a general anesthetic.

  • Glycerol injections: glycerol in vaccinated round the Gasserian ganglion.
  • Radiofrequency lesioning: a needle is used to put on heat straight to the Gasserian ganglion.
  • Balloon compression: tiny balloon is delivered beside a thin tube introduced through the cheek and is exaggerated around the Gasserian ganglion to crush it; the balloon is then detached.