Symptomatic Trigeminal Neuralgia Pain Treatment Options—A Case Report

Background: Severe pain is present in trigeminal neuralgia and may be devastating and debilitating. There are multiple modalities of nonsurgical techniques to help with pain and functionality. Patient: 47 year old male with 6 year history of facial pain due to trigeminal neuralgia. Treated at outside institution with medical management. Intervention: Left gasserian ganglion pulsed radiofrequency with acupuncture and biofeedback by pain psychologist. Results: >50% pain relief for greater than 12 months with improved quality of life. Conclusions: Trigeminal neuralgia may be one of the most challenging disorders to treat in the field of pain management due to the refractory and prolonged course of pain. The purpose of this article is to report the difficult treatment requiring true multidisciplinary treat to treat the severity of the patients pain. Due to his young age we opted for the pulsed radiofrequency as opposed to the thermal radiofrequency.