The right approach depends on the diagnosis, imaging, prior treatment, overall health, and patient priorities.
Microvascular Decompression (MVD)
For selected patients, MVD addresses pressure from a blood vessel on the trigeminal nerve. It involves surgery through a small opening behind the ear and aims to relieve nerve compression without intentionally injuring the nerve.
Gamma Knife Radiosurgery
Gamma Knife delivers highly focused radiation to a selected portion of the trigeminal nerve. It requires no surgical incision and is an important option for patients who prefer or are better suited to a less invasive approach. Pain relief can take time to develop.
Rhizotomy Procedures
Rhizotomy techniques intentionally interrupt pain signaling in the trigeminal nerve. Options can include percutaneous procedures, with trade-offs such as facial numbness and the possibility of pain recurrence.
How Options Are Compared
A careful evaluation reviews the type and distribution of pain, MRI findings, medication history, and expected benefits and risks. No single procedure is best for everyone.
Planning the Next Step
Decisions about testing, surgery, and device-based therapy require an individual clinical assessment. Discuss expected benefits, risks, alternatives, recovery, and follow-up with your treating team.
← View all nine clinical interest areas