| Treatment | Method of action | Adverse Effects | Best for... | Cost |
|---|---|---|---|---|
| Avoiding Triggers | Avoiding things such as:
|
| People with mild or infrequent bouts of TN | Free |
| Medication |
| People with moderate to severe episodes of TN that occur more frequently | Without insurance covering this med, the cost can be greater than $60 per month. | |
| Complementary and Alternative Medicines |
| Time and energy spent on these. Adverse effects will vary. | Anyone suffering from TN who wants to try an alternative or adjuvant medicine | Widely varied range |
For those suffering from severe and frequent bouts of TN, surgery may seem like a good solution. There are several different surgeries that can be performed, as well. The most popular surgeries are:
| Surgery | Specific Procedure | Invasive? | Drawback |
|---|---|---|---|
| Microvascular Decompression (MVD) | Cushion is placed between the nerve and compressing vessel through a small incision behind the ear. | Yes | Invasive |
| Balloon Compression | Catheter with balloon tip is inserted through a puncture in the cheek and inflated to selectively squeeze and damage nerves which mediate light touch. | Yes | Damage to the nerve |
| Glycerol Injection | Glycerol is injected into the trigeminal ganglion (where the three trigeminal branches come together) and bathes the demyelinated fibers. | Mildly | Pain may return |
| Radiofrequency Lesioning | A needle is passed through the cheek and through an opening in the skull. The area of the TN pain is isolated by a small electrical current and that portion of the nerve is destroyed. | Mildly | Potential destruction of surrounding nerves |
| Radiosurgery (GammaKnife, CyberKnife) | A head frame is attached and beams of radiation are directed to the area of the brainstem where the trigeminal nerves exit. This causes a lesion and disrupts transmission of pain. | No | May take months for pain relief |
Watch a Microvascular Decompression surgery below!
References:
http://www.healthline.com/health/cost-epilepsy-medications#Overview1
http://fpa-support.org/treatment-options-trigeminal-neuralgia/
There are a lot of reasons of that problem as one of the most common is sudden injury that is possibly by hitting on the jaw and needs a lot of medication and rest as well but Physiotherapy North Ryde can increase the process of healing as well to provide better and early relief to the patient.
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