23 doctors weighed in:

What are non-surgical treatments for trigeminal neuralgia?

23 doctors weighed in
Dr. James Goodrich
Neurosurgery
4 doctors agree

In brief: Trigeminal neuralgia

There are a number of medications available that treat TN in addition the Gamma Knife, a radiation source has also been added to the treatment protocols.

In brief: Trigeminal neuralgia

There are a number of medications available that treat TN in addition the Gamma Knife, a radiation source has also been added to the treatment protocols.
Dr. James Goodrich
Dr. James Goodrich
Thank
1 comment
Dr. Stephen Rodrigues
Why do we blame just the TG nerve? Why not the facial nerve? Why are the treatments all over the place? Why are there treatment failure? The answer I have come up with is that TN in not what we think it is. TN is name give to an array of bizarre presentations of the great pain masquerader, myofascial pain and dysfunction (MFP&D). The hallmarks are no set pain patterns or txmt protocols.
Dr. Jeffrey Cohen
Neurology
3 doctors agree

In brief: Several

Medications (oxcarbazepine, carbamazepine, gabapentin, pregabalin, eslicarbazepine).
Others have tried biofeedback, acupuncture, botox, and chiropractic, with mixed success. There is more- you should search for an md who specializes in facial pain.

In brief: Several

Medications (oxcarbazepine, carbamazepine, gabapentin, pregabalin, eslicarbazepine).
Others have tried biofeedback, acupuncture, botox, and chiropractic, with mixed success. There is more- you should search for an md who specializes in facial pain.
Dr. Jeffrey Cohen
Dr. Jeffrey Cohen
Thank
1 comment
Dr. Eric Weisman
Trileptal also works (for those who convert Tegretol to the 10-11 epoxide) I've found that Vimpat and Lamictal can also be used.
Dr. Adam Hebb
Neurosurgery
3 doctors agree

In brief: Needle procedures

Minimal surgery option exist, such as percutaneous trigeminal rhyzolysis and balloon microcompression.
These are highly successful.

In brief: Needle procedures

Minimal surgery option exist, such as percutaneous trigeminal rhyzolysis and balloon microcompression.
These are highly successful.
Dr. Adam Hebb
Dr. Adam Hebb
Thank
1 comment
Dr. Stephen Rodrigues
Hello Dr, I have researched this disease for a while in some of my older textbooks and they actually raises concerns about the actually validity of the name “TN” as an accurate diagnosis. The face, head and neck is a bewildering complex array of sensory and motor nerves of mastication and expression. Why blame just the TG nerve? Why not the facial nerve? So I'm not convinced that TN is truth.
Dr. Stephen Rodrigues
Family Medicine
2 doctors agree

In brief: Consider Acupuncture

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! see my new view note in health files.

In brief: Consider Acupuncture

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! see my new view note in health files.
Dr. Stephen Rodrigues
Dr. Stephen Rodrigues
Thank
Dr. Mark Eisenberg
Neurosurgery
2 doctors agree

In brief: Medication

Medical therapy with Neurontin (gabapentin) or Trileptal or Dilantin or tegretol can be quite successful in controlling the pain of trig neuralgia.

In brief: Medication

Medical therapy with Neurontin (gabapentin) or Trileptal or Dilantin or tegretol can be quite successful in controlling the pain of trig neuralgia.
Dr. Mark Eisenberg
Dr. Mark Eisenberg
Thank
1 comment
Dr. Alexander Mauskop
Destruction of the trigeminal ganglion with a radiofrequency probe can be very effective. Technically, it is not surgery because it involves only insertion of a needle, but it is an invasive procedure.
Dr. Kevin Vaught
Neurosurgery
1 doctor agrees

In brief: Meds

There are a number of medications can are used as the first treatment.

In brief: Meds

There are a number of medications can are used as the first treatment.
Dr. Kevin Vaught
Dr. Kevin Vaught
Thank
Dr. Paul Grin
Pain Management
1 doctor agrees

In brief: Medical Management

Non -surgical treatment modalities: 1.
Pharmacological treatment (AED medications). 2. Cognitive Behavior Therapy (biofeedback and hypnosis). 3. Alternative medicine (acupuncture). Patients with TN do not respond to conventional analgesic drugs and TN remains a rather unique neuropathic pain problem.

In brief: Medical Management

Non -surgical treatment modalities: 1.
Pharmacological treatment (AED medications). 2. Cognitive Behavior Therapy (biofeedback and hypnosis). 3. Alternative medicine (acupuncture). Patients with TN do not respond to conventional analgesic drugs and TN remains a rather unique neuropathic pain problem.
Dr. Paul Grin
Dr. Paul Grin
Thank
Get help from a real doctor now
Dr. Jonathan Jassey
Board Certified, Pediatrics
14 years in practice
1M people helped
Continue
111,000 doctors available
Read more answers from doctors