A 34-year-old member asked:
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What's the best surgery for trigeminal neuralgia?

1 doctor answer
Dr. Roger Frankel
28 years experience in Neurosurgery
MVD: Microvascular decompression is an open surgery that involves placing a spongelike material between the trigeminal nerve and a blood vessel pressing on this. This has the best long term outcome. Almost as effective is stereotactic radiosurgery (one well known type is called gamma knife).
Answered on Mar 28, 2015
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Dr. Stephen Rodrigues
37 years experience in Family Medicine
I totally disagree in the first few years of management!!!! TN is a type of facial pain. TN overlap with myofascial patterns. DON'T WAIT to start care the pain can make you wish you were dead! Think flesh/tissue and not nerves for face pain! Begin a self-care Wellness Program of Vits, Magnesium glycinate, sleep hygiene, self/pro Massage, chiropractor, heat, Epsom soaking, stretching. I use acupuncture!
Sep 9, 2012
Dr. Stephen Rodrigues
37 years experience in Family Medicine
Once the pain has cause your life to be put on hold ... you will developed mental trauma and that leads to PTSD. Much more complex to treat and be cured if this problem overlaps the pain issue.
Sep 9, 2012
Dr. Roger Frankel
28 years experience in Neurosurgery
Provided original answer
Trigeminal neuralgia is a nerve problem that causes facial pain. It is not myofascial in nature and is not treated that way. Nonsurgical treatments include various medications that fall into the category of anti-epileptic medications. If these meds are not effective, surgery or radiosurgery can be considered. Wellness programs may be useful for general health but will not help true trigeminal neuralgia. Consult a neurologist and/or neurosurgeon for definitive diagnosis and treatment.
Sep 10, 2012

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A 40-year-old member asked:
Dr. Chaim Colen
18 years experience in Neurosurgery
MVD: Microvascular decompression to separate the nerve from the vascular structure (usually an artery or vein) pressing on it.
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A 37-year-old member asked:
Dr. George Arcos
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Dr. Philip Rosenblum
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A 38-year-old female asked:
Dr. Alan Jackson
29 years experience in Addiction Medicine
No: Ther are medici es that can lessen the neuralgia but none that illiminate the pain.
1
1 thank

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