Trigeminal Neuralgia Trigeminal Neuralgia

Treatment Option

Trigeminal Nerve is the 5th cranial nerve taking sensation from face to brain. Trigeminal Neuralgia is the neuralgic pain along distribution of Trigeminal Nerve. Trigeminal Neuralgia has been described as one of the most severe pain syndromes. It is characterized by excruciating, electric shock like, shooting/stabbing pain in the distribution of Trigeminal nerve in the face.

A. Medical Management :
Majority of time anti convulsants like carbamazepine, oxcarbamazepine , pregabalin works nicely for the initial period. Later on this medicines does not cause significant pain relief .

B. RFTC ( Radio Frequency Thermo Coagulation ) :
At Pain Care Clinic with this advanced procedure patient get more than 90 % pain relief for longer duration .It is done mainly with Live X-ray machine with high accuracy after anaesthetizing skin only . Sometimes it can be done with help of CT Scan machine . In this procedure High Frequency current is passed along painful division ( V1, V2, V3 )of trigeminal nerve, so damage to other division of nerve can be avoided. At Pain Care Clinic , we have treated more than 200 cases of Trigeminal Neuralgia with RFTC.

C. Sphenopalatine Ganglion RFTC :
In Refractory or Recurrent Trigeminal Neuralgia advanced treatment like Pulsed Radio Frequency procedure of Sphenopalatine Ganglion is done with higher success rate & long lasting pain relief .It is again done under Local anesthesia & live X-ray Guidance . This procedure is also useful for management of headache ,Head - neck Cancer Pain , Atypical Fascial Pain or any Neuropathic Pain of Face.

D. Ballon Compression :
Here a balloon is inflated along trigeminal nerve to ablate the pain signals.

E. Other Treatment options :
Cyber Knife , Galvanic Knife are other treatment options, but not common in India.

F. Micro Vascular Decompression :
This is a surgery performed by neurosurgeon in patient having no pain relief with other treatment options.


  • Compression on nerves by vascular loops or tumours
  • Post Traumatic or post surgery
  • Repeated tooth extraction
  • Post Radio Therapy in Cancer Patients
  • Infection
  • Idiopathic


  • Current like pain along chick or one side of face
  • Episodic ( few seconds to few minutes )
  • Aggravated with eating, speaking , heat /cold air , chewing
  • more at night
  • Initially good response with medicine
  • Touch aggravates the pain

Our Treatment

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Contact Information

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