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Trigeminal neuralgia also is known by another name of tic douloureux is a distinct syndrome offacial pain . It occurs due to the pain ace in the fifth cranial nerve or its components known as the trigeminal heart . The trigeminal nerve has three components : ophthalmic nerve , maxillary nerve , and mandibular nervus . Trigeminal neuralgia is a sharp and stab pain in the neck in the area supplied by the trigeminal nerve and it appears in bouts rather than a continuous pain sometimes described asshooting pain in the neck . It is attach to byfacial spasmand tics in the side . It sometimes radiates to other parts of a scalp and also is accompanied byheadaches , blear vision , eye ache , etc .
What Is The Best Treatment For Trigeminal Neuralgia?
Most of the type present to the clinic after the age of 50 years and can be treated on an outpatient basis with requiring only medical intervention . The first - line management includes medical handling only and most of the cases are either relieved by short term medicament or sometimes may let in a recollective condition medical treatment . Various drugs and medications are used with a smorgasbord rove from the antiepileptic drugs toantidepressantsand skeletal muscle relaxants.(1 )
Drugs used in relieving the neuropathic pain are usually belonging to antiepileptics like Gabapentin , pregabalin , carbamazepine , oxcarbazepine , valproate , lamotrigine , phenytoin , topiramate , etc . These drug have a very in high spirits succeeder rate with carbamazepine and Na valproate being peculiarly effective and beneficial in the trigeminal neuralgia discourse . Another radical of drug including tricyclic antidepressant drug likes amitriptyline hydrochloride ; nortriptyline can be used in the handling .
Sometimes bony muscle relaxants like baclofen , botulinum toxin are also used for relieve the symptom caused due to persistent spasm of the facial muscles . Botulinum toxin behave on the neuromuscular conjunction of the muscles and inhibits the release of neurotransmitter from it ensue in non - contraction of the muscularity . It is normally used when symptoms of trigeminal neuralgia become very severe and intractable .
discourse of trigeminal neuralgia ordinarily lasts for 6 - 12 months and then the patient can choose to either go on treatment for preventing the disease in the future or stop the treatment until any further need is felt for it . After only such short discourse the disease can go into remission mechanically by itself . Sometimes more than one drug can be required because it may become stern enough to be not relieved by single medication . It may require starting the treatment again in the future but usually , it is not required .
Trigeminal neuralgia also has surgical intervention in medically repellent cases . Alcohol blockage of peripheral spunk and roots of the trigeminal cheek are the discourse of the past tense and are not used nowadays due to the vast amount of side effects and very less selectivity.(1 )
Best Treatment For The Pain Of Trigeminal Neuralgia?
A best and most efficient way to deal with trigeminal neuralgy is medical discussion because of its effective control and scant term discussion . operating theatre is also favorable in patients who do not want to be on medicinal drug and want a mere and immediate solution for the disorder because it is a individual step discourse and does not require any further interference and patient can live disease - free living thereafter . Most coarse operative treatment includes vascular decompression surgeries which are most efficacious because of its connexion with vascular malformation up to 36 % . Gamma knife surgery is one of the effective surgeries for the discourse . These are efficient for about 15 - 20 long time and the patient is immediately symptom - free and stay the same way .
Conclusion
It is a curable disease with a very in effect success rate and prognosis . Medical discourse has a very in high spirits achiever charge per unit with generally a individual medical specialty effective for the discourse . Surgical intervention can become necessary in few of the intractable case with high return . It may get resolved in a few months to years but sometimes it may persist for even lifelong especially in the case associated with other degenerative or autoimmune disease . It is necessary to key the symptoms early on to get beneficial treatment and prevention of the complications .
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