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Managing Trigeminal Neuralgia: What Are Your Options?
Published: Jun 23, 2024
Trigeminal Neuralgia can be painful, but there are ways to manage it. Discover effective treatments and therapies available.
Medications for Relief
Carbamazepine and oxcarbazepine are often the first line of treatment, providing significant pain relief for many patients. These medications are usually well-tolerated, though some may experience side effects like dizziness or sedation. If these don't work, alternatives like gabapentin and lamotrigine may be used.
Surgery: When Medicines Aren't Enough
For those who don't find relief with medication, surgical options are available. Microvascular decompression is a common procedure, especially when neurovascular compression is identified. Other procedures like rhizotomy or radiosurgery may also be considered based on individual cases.
Alternative Therapies
Some patients turn to botulinum toxin injections or electrical nerve stimulation for relief. While the evidence is still emerging, these therapies have shown promise for some individuals with TN.
Frequently Asked Questions
Carbamazepine is often the first choice.
Yes, surgeries like microvascular decompression can be effective.
Surgical options or alternative therapies may be considered.
Exploring Options
Could a combination of therapies be the key to easing TN pain?
References
- Wiffen PJ, Derry S, Moore RA, Kalso EA. Carbamazepine for chronic neuropathic pain and fibromyalgia in adults. Cochrane Database Syst Rev 2014; :CD005451.
- Cruccu G, Gronseth G, Alksne J, et al. AAN-EFNS guidelines on trigeminal neuralgia management. Eur J Neurol 2008; 15:1013.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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