• The cause of trigeminal neuralgia is idiopathic, meaning the cause is not known.
• There are some instances when the nerve can be compressed by nearby blood vessels, aneurysms, or tumors.
• There are inflammatory causes of trigeminal neuralgia because of systemic diseases including multiple sclerosis, sarcoidosis, and Lyme disease.
• There also is an association with collagen vascular diseases including scleroderma and systemic lupus erythematosus

• Episodes of severe, shooting or jabbing pain that may feel like an electric shock
• Spontaneous attacks of pain or attacks triggered by things such as touching the face, chewing, speaking or brushing teeth
• Bouts of pain lasting from a few seconds to several minutes
• Episodes of several attacks lasting days, weeks, months or longer — some people have periods when they experience no pain
• Constant aching, burning feeling that may occur before it evolves into the spasm-like pain of trigeminal neuralgia
• Pain in areas supplied by the trigeminal nerve, including the cheek, jaw, teeth, gums, lips, or less often the eye and forehead
• Pain affecting one side of the face at a time, though may rarely affect both sides of the face
• Pain focused in one spot or spread in a wider pattern
• Attacks that become more frequent and intense over time

• Anticonvulsants - Allopathic Doctors usually prescribe carbamazepine (Tegretol, Carbatrol, others) for trigeminal neuralgia, and it has been shown to be effective in treating the condition.
• Muscle-relaxing agents such as baclofen (Gablofen, Lioresal) may be used alone or in combination with carbamazepine.
• Small studies have shown that onabotulinumtoxinA (Botox) injections may reduce pain from trigeminal neuralgia

Surgery:

• Microvascular decompression can successfully eliminate or reduce pain most of the time
• Brain stereotactic radiosurgery is successful in eliminating pain for the majority of people

• Medicines like Chamomilla, Hypericum, Coffea Cruda, Spigelia, Sanguinaria, etc. are extremely efficient in treating the pain of a trigeminal neuralgia
• Medicine selection depends on the site, type and character of the pain.

• Neurological examination
• MRI of the Brain and Face
• CT-Scan of the Brain and Face
• EEG

Trigeminal Neuralgia
TRIGEMINAL NEURALGIA HELPED BY HOMOEOPATHY

To,
Dr.A.K.Gupta
Consultant Homeopath
Sub:- Expression of convivial gratitude for the compassionate and kind care bestowed by your kind authority.

Dear Sir,
It imparts me blissful sense in turning over my feelings of admiration towards the affable attitude and benevolent kindness, rendered by you. The professional proficiency of paramount nature gelled with a munificent stance makes you a pinnacle of your specialty and as a human being.
No amount of appreciation can really reflect my venerated regards for you as an exemplifying doctor, as you provided keen ears to comprehend the nature of my illness and endowed me with the most excellent treatment modality.

I, genuinely reckon your merciful authority, as a paradigm of your specialty and in sheer positivism I firmly hope that the superfluous sympathy flaunted by you will keep on flowering in future as well.

Wishing your authority highest echelons of accomplishments and feats.
With unfathomable and most revered regards.

Dr. Anil Khetarpal
MS, FAIS, FICS
Laproscopic & Endovirolgical Surgeon
KHETARPAL HOSPITAL
F-95, Bali Nagar, New Delhi -110015

DR. ANIL KHETERPAL
New Delhi