Dr. SudheerNeurologist

Trigeminal Neuralgia Treatment in New Delhi

Expert diagnosis and personalized treatment by a DrNB Neurology specialist.

Overview

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.

Symptoms

Sudden electric-shock pain on one side of the face
Pain triggered by touch, chewing or talking
Brief attacks lasting seconds to two minutes
Pain in cheek, jaw or around the eye
Periods of remission between attacks
Avoidance of eating or face washing
No weakness or numbness between attacks
Increasing frequency over time

Causes

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 Dr. Sudheer Treats This

Diagnosis

Detailed clinical examination plus targeted tests (MRI, EEG, blood work) to reach an accurate diagnosis.

Treatment Plan

Personalised medication, lifestyle guidance and referrals, explained in plain language.

Follow-up Care

Structured review visits to optimise outcomes and adjust treatment as you progress.

Seek immediate consultation if you experience:

  • 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

It can feel like tooth pain, but if dental treatment does not help and pain is electric and shock-like, a neurologist should assess for trigeminal neuralgia.

Carbamazepine or oxcarbazepine are usually first choice when tolerated. Doses are adjusted carefully under neurologist supervision.

MRI is recommended for most patients to look for vascular compression or secondary causes, especially if pain is atypical or under 40 years.

Options include additional drugs, nerve blocks, radiosurgery or microvascular decompression — discussed based on your symptoms, age and imaging.

Suffering from Trigeminal Neuralgia? Get Expert Help Today.

Same-week appointments available.

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