Trigeminal Neuralgia & The Role of the Neck
The Common Approach to Trigeminal Neuralgia Treatment
Here is the great divide when it comes to treatment for Trigeminal Neuralgia. The common approach is twofold: medication or surgery. The most common prescription is an extraordinarily strong CNS (central nervous system) depressant: usually Tegretol or Lyrica, which are also anti-epileptic drugs. The purpose of the medication is to block pain signals to the brain.
However, there are usually two major problems:
- Head Fogginess. The medication doesn’t just block pain signals: it blocks all signals!
- The medication doesn’t work. Or you just end up take more and stronger medication!
The next option is surgery. Some doctors believe that the cause of Trigeminal Neuralgia is a blood vessel or other structure compressing the branches of the Trigeminal Nerve. Like tumours or infections, this cause is also rare.
Nevertheless, some neurosurgeons will recommend a. nerve ablation: aka destroying the nerve. The problem with surgery, like medication, is that is does not always work. Even the goto surgical procedure – microvascular decompression (MVD) – works only 50% of the time over a 15 year period.
To be fair, a success rate of 50% is phenomenal! However, it means that there must be some other reason that Trigeminal Neuralgia exists for the other 50%.