What To Do If Trigeminal Neuralgia Pain Is Severe

If you suffer from severe trigeminal neuralgia and oral medications fail to provide relief, it may be time to consider surgical options. For those who have not yet started medication, carbamazepine or oxcarbazepine are commonly recommended as first-line treatments. These medications can often control the sharp, sporadic pain associated with trigeminal neuralgia, allowing patients to manage symptoms effectively without invasive procedures.

When Medication Isn't Enough

However, if episodes of pain persist despite regular use of prescribed medications, surgery may be the most effective solution. Trigeminal neuralgia often arises due to compression of the nerve by a nearby blood vessel. In such cases, only surgical intervention can address the root cause by relieving this pressure and preventing further painful episodes.

Microvascular Decompression: A Lasting Solution

One of the most successful surgical treatments is microvascular decompression. During this procedure, a small pad of Teflon or fat is placed between the trigeminal nerve and the compressing blood vessel. This creates a buffer that prevents the vessel from irritating the nerve, thereby eliminating the source of pain. Additionally, the nerve may be treated to reduce abnormal signal transmission.

Following the surgery, most patients experience immediate and significant relief from pain, with long-term success rates being quite high. It's important to consult with a neurosurgeon to determine if this procedure is suitable for your condition and to understand the potential risks and benefits.