Suggest remedy for pain due to trigeminal neuralgia
Patient: My mother is suffering from heavy facial pain in the region of eye and nose on the right side of the face since last 3 years. As per the doctor consulted last year, he has diagnosed as Trigeminal Neuralgia and had been prescribed Tegretol-200 1-1-1 and amytrine-10, 0-0-1. During these days there was no issue until last week. Now she is getting the pain worser than ever, pain lasts for hours and unable to speak due to the pain. When consulted the doctor, apart from the medicines prescribed Gabapentin-300mg. But the pain still persists. Can you suggest a remedy ? Doctor: Hi.Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain as your mother was prescribed with Tegretol which has the active ingredient Carbamazepine which is an anticonvulsant drug and is used as First Line Drug for the treatment of pain due to Trigeminal Neuralgia as well as Gabapentin and amytriptyline which are second line drugs which can relieve the neuralgic pain and in case if nothing works for her you need to consult a Neurophysician and get her evaluated and if required he can advise you to get an MRI or CT SCAN done to rule out the exact cause of trigeminal neuralgia and the most common is an artery compressing over the nerve..Other causes can be any tumour compressing the nerve, multiple myeloma, facial injury causing trauma to the trigeminal nerve etc..In case of compression of the nerve with an artery or tumour the decompression of the nerve by surgical procedure can help..In other conditions where pain is not caused by any compression certain techniques like GAMA KNIFE SURGERY, BALLOON COMPRESSION or RADIO-FREQUENCY THERMAL LESIONING are a few techniques in which the nerve is damaged to reduce pain and in this case if there is a relapse repetition of treatment can be done..Hope this information helps..Thanks and regards..Dr.Honey Nandwani Arora..