Several. Microvascular decompression is most effective. It is the only procedure that preserves the trigeminal nerve. Other destructive procedures (effective though less so) include balloon compression, glycerol injections, radio frequency rhizotomy, and gamma knife surgery. Facial numbness may occur. Less common is infection. When effective, these procedures eliminate the need for medication.
MVD, Gamma Knife. Trigeminal neuralgia must be diagnosed by an expert medical consultation as it could reflect a more serious condition. Typical trigeminal neuralgia is treated with either microvascular decompression surgery (mvd) or nerve damaging procedures such as percutaneous radiofrequency gangliorhyzolysis or balloon compression. Gamma knife therapy is also an option. The side effect vary between surgeries.