|The typical trigeminal neuralgia is characterized by sudden, severe and lancing pain in the face, like an electric shock.|
|Capsaicin is not considered a standard treatment for trigeminal neuralgia although at least one article in the literature indicates that it may be useful. In one trial, an ointment containing capsaicin was applied over the painful area tid. Six of 12 patients had complete pain relief, 4 patients reported a decrease in pain, and 2 patients reported no benefit. [Anesthesia and Analgesia 74: pp.375-7, 1992]|
Capsaicin has been used to treat atypical facial pain, especially when a specific pain "trigger point" (a place, if touched, which causes or exacerbates facial pain) is involved. Capsaicin is applied directly to this "trigger point" several times daily. If the trigger point is inside the mouth, a plastic dental splint is used to apply the capsaicin cream. If on the face, it is topically applied. In some cases, pain reduction only occurs after several weeks of application. There is anecdotal evidence that a course of capsaicin treatment can result in long-term pain remission for some patients with atypical facial pain.
|For facial neuralgias, the evidence for acupuncture appears to be mostly anecdotal. Some have reported pain relief for long periods of time; others have had their pain worsen. People with classical trigeminal neuralgia (TN) seem to have very little success, whereas people with atypical TN report success slightly more often. Anecdotal information also suggests that acupuncture has been used for TN connected with multiple sclerosis, with some success, but reliable statistics cannot be found.|
There are a vast number of aches and pains that are often described as neuralgic. Many of these occur as facial pain and most of them cause severe discomfort. It is always worthwhile to attempt to alleviate these pains by using acupuncture. Some people respond and others do not; it is impossible to give figures for success – or even estimates – without going into great detail about the exact cause and type of neuralgia being treated.
One report evaluated the effect of meridian acupuncture treatment on TN. Ten patients aged 26 to 67 years (mean 55.4 years) with TN who visited the outpatient Dental Anesthesiology Clinic at Tsurumi University Dental Hospital from 1985 to 1990 were studied. The patients underwent meridian treatment by acupuncture alone or acupuncture combined with moxibustion. The acupuncture method used was primarily basic treatment employing only needles without electrical stimulation. Meridian acupuncture treatments were repeated from two to four times per month.
Five patients were restored to a pain-free state. The other five patients noted a decrease in pain, but with some level of pain remaining (significant pain in one patient). It is concluded that meridian acupuncture treatment is useful and can be one therapeutic approach in the management of TN. [Practical application of meridian acupuncture treatment for trigeminal neuralgia. Anesthesia and Pain Control in Dentistry, 1992 Spring, 1(2): pp.103-8]
|By using the techniques of neural therapy, combined with detoxification and nutritional supplementation, some doctors claim to significantly reduce facial pain and disability safely without any further surgery and without other medications.|