Trigeminal Neuralgia Treatment in New Delhi
Trigeminal neuralgia causes sudden, severe, electric-shock-like pain on one side of the face, often triggered by light touch, chewing, speaking or cold wind. Episodes may last seconds to minutes but can occur many times a day and severely affect eating, grooming and quality of life.
Medically reviewed 2026-08-08 · Dr. Sudheer Pandey, DrNB Neurology
What is Trigeminal Neuralgia?
Trigeminal neuralgia causes sudden, severe, electric-shock-like pain on one side of the face, often triggered by light touch, chewing, speaking or cold wind. Episodes may last seconds to minutes but can occur many times a day and severely affect eating, grooming and quality of life.
Most cases respond well to medication when started correctly. When pain persists despite treatment, neurologists coordinate advanced options including nerve blocks or referral for microvascular decompression or other neurosurgical procedures in selected patients.
What are the symptoms of Trigeminal Neuralgia?
Common symptoms include the features below. Patterns vary — a neurologist matches your history to the right diagnosis rather than treating a single symptom in isolation.
What causes Trigeminal Neuralgia?
Identifying the cause guides treatment. These are frequent contributors — your evaluation may reveal one factor or a combination.
Vascular Compression
A blood vessel pressing on the trigeminal nerve root is the commonest cause.
Multiple Sclerosis
Demyelination of the nerve root can cause trigeminal neuralgia.
Post-Herpetic Neuralgia
Facial nerve pain after shingles may mimic or overlap.
Dental & Sinus Mimics
Tooth and sinus problems must be excluded before diagnosis.
Secondary Causes
Rare tumours or other lesions need MRI when presentation is atypical.
Idiopathic Cases
No structural cause found on imaging in many patients.
How does Dr. Sudheer treat Trigeminal Neuralgia?
Care is personalised after examination and targeted tests. The usual pathway has three stages:
Diagnosis
Characteristic electric facial pain history, neurological exam to exclude numbness or weakness, and MRI of the trigeminal pathway when indicated.
Treatment Plan
First-line carbamazepine or oxcarbazepine titration, with add-on medicines if needed; dental and sinus mimics are excluded before escalating therapy.
Follow-up
Dose and side-effect review, then discussion of nerve block or neurosurgical referral if breakthrough shocks continue despite optimised medication.
When should I seek urgent care for Trigeminal Neuralgia?
- • Constant pain rather than brief shocks
- • Facial numbness or weakness
- • Pain on both sides of the face
- • Pain with fever, weight loss or neurological signs
Frequently asked questions about Trigeminal Neuralgia
Direct answers patients ask before booking a neurology consultation.
Suffering from Trigeminal Neuralgia? Get expert help today.
Same-week appointments at MGS Super Speciality Hospital (Punjabi Bagh) and Shree Aggarsain International Hospital (Rohini).