Trigeminal Neuralgia Treatment in New Delhi

It often feels like tooth pain, yet root canals do not fix nerve-root shocks. If dental work fails and pain remains electric and triggerable, ask for a neurology assessment rather than further dental procedures alone.

Carbamazepine or oxcarbazepine are usual first choices when tolerated. Doses rise gradually while watching for dizziness, drowsiness or low sodium — never double doses without neurologist advice.

MRI is recommended for most patients to look for vascular compression, multiple sclerosis plaques or rare tumours, especially if pain is atypical, bilateral or begins at a younger age.

Yes — demyelination of the trigeminal pathway can cause secondary trigeminal neuralgia. MRI and clinical review help identify this pattern so MS-specific care can be considered alongside pain medicines.

Options include dose optimisation, add-on neuropathic drugs, nerve blocks, radiosurgery or microvascular decompression. Choice depends on age, MRI findings, medical fitness and how disabling the pain remains.

Common effects include sleepiness, unsteadiness and low sodium. Rare serious rashes need urgent review. Blood tests may be ordered when starting or adjusting therapy, especially in older adults.

Stress, wind, talking and chewing can provoke shocks once the nerve is sensitised. Medicine remains the foundation; stress reduction helps but rarely controls classic trigeminal neuralgia alone.

Many patients notice fewer shocks within days of reaching an effective dose. If pain stays severe after careful titration, return promptly rather than suffering weeks of uncontrolled attacks.