What is the Treatment For Trigeminal Neuralgia?
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- Опубліковано 25 чер 2024
- Neurosurgeon Dr Arun L Naik discusses 'What is the Treatment For Trigeminal Neuralgia?' in this video. Trigeminal neuralgia is a painful condition of the half face caused by compression of trigeminal nerve. The pain is associated with tingling numbness of the half face. Pain comes in cycles and is often unbearable. Trigeminal neuralgia causes are vascular loop, brain tumors and multiple sclerosis. Multiple sclerosis causes trigeminal neuralgia. Trigeminal nerve pain is severe and not relieved easily. Trigeminal neuralgia pain relief is by medications, injections and surgery. MVD procedure for trigeminal neuralgia is highly successful. Injection for trigeminal neuralgia can be useful. Medications for trigeminal neuralgia are to be taken lifelong. Trigeminal neuralgia and MS association is strong. Gabapentin for trigeminal neuralgia can be tried. Carbamazepine is the first line of therapy.
What is trigeminal neuralgia
Trigeminal neuralgia (TN) is a chronic painful condition where there will be excruciating pricking type of pain in the face, mostly on one side of the face. This is also called facial pain or jaw pain. Actually this involves, trigeminal nerve fifth cranial nerve which supplies sensation to our half face, hence the name. This is a neuralgic pain, means nerve compression pain hence it will be very severe and intolerable.
The pain can be brought on by mild stimulation of the face, such as brushing your teeth, putting a make up or shaving. It’s often described as feeling like electric shocks or stabbing type of pain. Initially it will be short, mild type of pain, but over time they may experience longer, more frequent attacks of intense pain often unbearable.
What are the causes for TN: Commonest cause of TN is due to one of the arteries inside the brain loops over the trigeminal nerve. Sometimes I also see a tumor that putting pressure on the nerve causing trigeminal neuralgia. Rarely, multiple sclerosis, a well known disease which damages the myelin sheath, causes trigeminal neuralgia.
How is trigeminal neuralgia diagnosed? Diagnosis is by neurological examination.
What is the treatment for trigeminal neuralgia
First line of Treatment as always in my practice is medications. There are many medications used in TN. Commonest is some kind of anitconvulsant medications, same medications used for treatment of seizures.
There are some excellent surgical procedures are available for patients with TN.
1.Glycerol Injections:
2. Stereotactic Radiosurgery: This is a scalpel less, pain less and blood less procedure even if it is called a surgery. Radiosurgery. Here I use highly advanced radiation platform called TrueBEam system to deliver high energy radiation beam precisely to the root of the TN ganglion in the skull base.
3.Radiofrequency or RF Lesioning: I do this outpatient procedure under heavy sedation.
4. Microvascular Decompression: MVD procedure is my favourite surgical procedure. In those patients who have a blood vessel compressing their trigeminal nerve, this surgery can be done.
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References
1.Maarbjerg S, Di Stefano G, Bendtsen L. Trigeminal neuralgia - diagnosis and treatment. Cephalalgia. 2017 Jun;37(7):648-657.
2.Love S, Coakham HB. Trigeminal neuralgia: pathology and pathogenesis. Brain. 2001 Dec;124(Pt 12):2347-60. d
3.Di Stefano G, Maarbjerg S. Triggering trigeminal neuralgia. Cephalalgia. 2018 May;38(6):1049-1056.
4.Green TH, Girgis F. Trigeminal Neuralgia: Medical Management and Surgical Options. J Pain Palliat Care Pharmacother. 2019 Mar-Jun;33(1-2):32-33.
5.Devor M, Amir R, Rappaport ZH. Pathophysiology of trigeminal neuralgia: the ignition hypothesis. Clin J Pain. 2002 Jan-Feb;18(1):4-13. - Навчання та стиль
I suffer from this cruel illness. I pray for each & every one of you suffering with this. Stay strong & be brave things will get better soon I promise you ❤️❤️❤️
Thank you so much ❣️. I have had severe attacks lately found back to hospital tomorrow. Been waiting to see a neurosurgeon for consultation and treatment. Feels like a nightmare. Sending big hugs to you.
💞💞💞💞
How are you doing now?
@@Bridgetmusic How are you doing today?
I have bilateral trigeminal neuralgia. R/side surgery in 1965 where 2nd &3rd branch were cut at base of T/nerve. No pain since than but also permanent numbness. In 1974 got it L/side. Since than on tegretol with spontaneous remission lasting for 2 to 3 years. Presently on tegretol pain under contro.
Waiting for Dr. JESUS to heal me from the worst pain known to man.
Doc thank you for your advise
Thank you for sharing doc
Excellent explanation. Thanks
Thank you ❤️
Thank you sir for given good information about T. G. N
excellent
Thank u so much docter
Thank you so much for this doctor. You explained everything clear and simple. I shared this video to my partner. I am praying for him to be well soon.
I'd like to hear more about TN2 and what can be done to help. I've had 2 MVDs and radiosurgery.
Thanks dr
The herb was called Scutellaria - Skullcap. Mayabe also ensure you have a magnesium supplement
Thank you so much for then nfo about TJN. My husband is taking Tegretol for almost 8 monrhs.Pain reccurs but not much.
This is an encyclopaedic paper on trigeminal neuralgia.
I have been suffering fron TN since Oct 2022, I experience using tegretol for the first few months but I stop bec of the effect of this med.My neurologist orescribed me Carbox tablet It helped me a lot,But when I came to canada my doc here changed my medicine to Gabapentin.Now I used to suffer the pain I feel that gabapentin does not help me a lot .I prefer carbox but it lower my sodium according to my doc .
sir i saw your very informative video on u tube sir i went through MVD two years ago on the right side My head is still achy teeth heavy numbness in the right side of the head .pl guide stiffness around the lips and upper side of the right eye
Is TENS helpful in controlling pain of TN?
I have a question Doc ...am i safe if i have an operation with my goiter ? Thank you for your answer in advance.
I am suffering this tn..too much pain
Dr Doing Acupuncture treatment will it reduce the pain or reduce medication dosages. Also, our Dr suggesting to do Gelysoral injection, what is the approximate years (maximum) will it work and side effects. Pls reply...
Sir, what is trigeminal sensory neuropathy.?
Sir tell me the medication TN
I'm currently using gabapentin for my neuralgia pain. Can I use a laser therapy with it? Sometimes the pain can be really bad. Please help me.
Hello !
Is this nerve also responsible for a " freeze up"? When one drinks something too cold too fast we get a brain freeze and can have this painful feeling in face at severe cases ... it does subside of course in short time but is this trigeminal nerve apart of this " freeze up"?
Thank you ... great Sharing of information on this nerve issue 😎
I have ATN, but the doctors can’t find a reason. I have CRPS, I don’t know that has spread to the TN nerve.
My problem am ever in pain
Sir isme swelling bhi rehti hai Kya.??
SOme ppl suggest leech therapy to fix blood flow in nerve
Genreral cost of glycerol injectiin
Pls help me,pls am suffering the pain for several instances today
Same information as any other doctor unfamiliar with ATN .
Systemic infection is a huge cause.
Unfortunately, most doctors don’t do a good assessment of May systemic infections including Borrelia, Bartonella, Babesiosis, Q fever, etc. His 10 year old patient probably has an undiagnosed systemic infection.
Also, most doctors don’t use MAIO drugs because they are simply unfamiliar with these group of drugs.
My husband ( a dentist) did his research & found that Parnate would help.
None of my doctors would prescribe it , so I had to see a psychiatrist.
Since the very first dose, I have been 100% pain free. It has been over 7 years.
Thank the Lord in heaven for my husband.
One really must be their own patient advocate.
The most my doctors gave me was gabapentin, which is probably what this doctor prescribes.
He’s a fairly young doctor that also doesn’t know much about MAOI drugs.
I got my ATN from Lyme disease.
Even cured, my ATN never got better.
My ATN was both sides 24/7.
Not one doctor I saw ( out of 22 doctors) knew what to do.
Hello, how are you doing? Is the Parnate still helping you and how much do you take per day? What was the starting dose? I have TN on my L side and its horrible! Looking for answers, thank you.
I'm suffering from this right now 😖 2022
ua-cam.com/video/b6_5ca6jCDI/v-deo.html
Same! It’s horrible 😣
True
Take good treatment Nowitself
Will u ok give ur good name n add I m suffering from this by 15 yrs now I want to go through open surgery will u ok kindly give ur advise thnx
Don't go for Mvd its not easy thing , try gamma knife or other procedures and they can be repeated time to time
Doc good evening I'm here in Saudi Arabia please give me some more remedies medicine for my TN Trigeminal Neuralgia, thank you you so much, I'm afraid to go in some doctor here in Riyadh because some of them is not a professional to handle this situation Doc, I hope you can understand my situation Doc, and keep in touch Doc. Thank you very much.
I HAVE THIS PAIN EVERY DAY, AND ITS SOOOOOOOOOOOOOO PAINFUL, 😔😔😔😔😔😔😔😔😔😔😔😔😔😔😔😔😔😔😔😔😔😔😔😔😔😔😔😔I UNDERSTAND YOUR PAIN, I HOPE YOU FEEL BETTER , GOD BLESS YOU
@@michellekirby2278 me too sending you big hugs 🤗 I know exactly how you feel makes me cry every single day because I don’t have a life anymore I’m just laid in my bed all day stay strong beautiful you can get though this I promise ❤️❤️❤️
ua-cam.com/video/b6_5ca6jCDI/v-deo.html
Hopefully you will get the cash to see qualified doctors outside of Saudi Arabia as in India, Thailand, Turkey, UAE, etc.
What to do please help me
WhatsApp me your details +919538512121
Thank you sir
But sir your adresh plz
I'm suffering this illness please help me
WhatsApp me your details +919538512121
Doc I have a trigeminal neuralgia, my problem is the nerve that was damage is in my gums at the right side where I got my teeth extracted. First, the doctor here prescribed me carbamazepine coz , I am really in pain eating, drinking, swallowing, and also in talking. Now I am taking gabapentin and it will be my 3rd week on monday and it has lessen the pain only i could not talk properly coz of pain, sometimes the pain is bearable and also in eating , sometimes less pain. but today I' am always in pain that I could hardly eat, as if the medicine has no more effect. I always swallow my food because my only teeth left is infront 4 down and 6 up. Please could you give me an advice. Thank you!
Hello my friend sorry to hear that you’re still suffering 🥺🥺. How are you getting on with your medication? I’m on carbamazepine 1600mg it was working very well for me but last few days I’ve been in so much pain 😫😫I know how you feel please accept my love & prays be brave my friend ❤️💜🤍I hope you feel better soon 💜❤️💜