Magnetic resonance imaging is used to look for a tumor compressing the trigeminal nerve. Other diagnostic tools include a short course of anti-seizure medication or tricyclic antidepressants, a positive response to which may indicate trigeminal neuralgia.
Overlapping symptoms of disorders that cause facial pain make designing treatment challenging, so it is imperative that a proper cause of pain be identified first.
Trigeminal neuralgia treatment
Pain management of this condition is imperative, as pain can be debilitating and deadly. There are many different approaches to trigeminal neuralgia treatment.
These medications prevent the nerves from firing and are most effective for TN1. Carbamazepine, oxcarbazepine, topiramate, gabapentin, pregabalin, and clonazepam are a few examples of this type of medication.
Amitriptyline or nortriptyline are often successful at treating the pain of this condition, although how they work is not clear.
Opiates and common analgesics
Trigeminal neuralgia 1 does not usually respond to opioids and other analgesics, but TN2 sufferers may find relief. In general, opioids are not regarded as effective or safe in the treatment of chronic pain