Treatment Options for Trigeminal Neuralgia

Quality of Life With Trigeminal Neuralgia

Most patients with trigeminal neuralgia (TN) experience recurrences and remissions of intense, painful episodes. Initially most patients will respond to medication but over time, the medication becomes less effective and the patient may begin to experience more frequent, painful attacks as well as shorter periods between episodes. When the pain becomes intractable or interferes significantly with daily activity, the patient may want to discuss surgical options with a doctor.

Remission can last months or years. When the pain recurs, it is usually in the same area of the face as before and may spread to new areas. Some patients may feel random shock-like pains even between attacks. Others report that their symptoms are exacerbated during stressful periods.

Patients experiencing trigeminal neuralgia may develop clinical depression related to the chronic pain and they need to be treated. Psychological counseling is also helpful for the patient and family members. Knowledge of the condition and its treatment options is important in helping the individual make informed decisions.

Quality of life for many patients is significantly impaired not only because of the intense pain, but because of constant fear of participating in any activity that may trigger an attack. This can include important daily activities related to health and hygiene, (e.g., brushing teeth, washing or brushing hair, shaving, or going outside). Nutritional health can also be compromised if the patient fears chewing food or drinking, which can lead to weight loss, malnutrition and dehydration. Soft foods or liquid nutrition supplements may be easier to ingest while providing adequate nutrition.