re: Trigeminal neuralgia - dealing with severe nerve pain - 15 month Update pg3

If first line medications like carbamazepine aren't doing the trick, go see a radiation oncologist that does Gamma Knife. Highly targeted dose of radiation designed to ablate the problem nerve root. Very safe in well-trained hands. It's not invasive like a surgery (microvascular decompression oftentimes is only successful when there is an aberrant artery pulsating on the nerve root) and has pretty good success rates. Radiation oncologists can treat this with radiosurgery without a Gamma Knife (using a regular linear accelerator or CyberKnife machine) but it's not as good. Find someone who does this often.