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Nerve pain

Trigeminal Neuralgia Treatment

Eat, talk and shave without fear of the next attack

Trigeminal Neuralgia Treatment
Overview

What is nerve pain?

Trigeminal neuralgia produces brief, intense, electric-shock pain in the face, usually triggered by touch, chewing, cold air or brushing teeth. It is one of the most severe pain conditions we treat.

It responds poorly to ordinary painkillers and needs nerve-specific medication and, where that isn't enough, targeted blocks or radiofrequency treatment.

Common symptoms

  • Sudden stabbing or electric pain in the cheek, jaw or forehead
  • Attacks lasting seconds to two minutes
  • Triggered by touch, chewing, wind or cold water
  • Pain on one side of the face only
  • Avoiding eating, shaving or dental care

What causes it

  • A blood vessel compressing the trigeminal nerve
  • Demyelinating conditions such as multiple sclerosis
  • Post-herpetic (shingles) nerve damage
  • Dental or facial trauma and surgery
  • Tumour pressing on the nerve (rare)
Our approach

How we treat trigeminal neuralgia treatment

1

Careful diagnosis

Distinguishing true neuralgia from dental, sinus and jaw joint pain.

2

Imaging where needed

MRI to look for vascular compression or other secondary causes.

3

Medication trial

Nerve-stabilising medication titrated slowly to control attacks.

4

Procedural options

Nerve blocks or radiofrequency when medication is not enough.

Treatment options

What your plan might include

Nerve-stabilising medication

Carbamazepine-class therapy, carefully monitored.

Trigeminal branch block

Targeted anaesthetic and steroid for rapid relief.

Radiofrequency treatment

Longer-lasting control for drug-resistant neuralgia.

Neurosurgical referral

For microvascular decompression assessment when indicated.

Results

What treatment achieves

0%

attack frequency reduction

0 hrs

to relief after a block

0 mo

average relief after RF

I was living on soft food and avoiding conversation. After the block and the right medication, I've been attack-free for months.

Sofia B. · Trigeminal neuralgia, treated 2025

FAQs

Trigeminal Neuralgia Treatment questions, answered

Is this the same as a migraine?+
No. Migraine is a throbbing headache lasting hours; trigeminal neuralgia is seconds-long electric facial pain.
Do I need brain surgery?+
Most patients don't. Medication and targeted procedures control the majority of cases.
Could it be a dental problem?+
It's often mistaken for one. We assess carefully before any irreversible dental work.

Ready to treat your nerve pain?

Same-week appointments available. Bring any scans you have — or come with nothing but your story.

Book Appointment