Trigeminal neuralgia can be challenging to diagnose because of the many causes of facial pain. Your physician may order imaging tests, such as magnetic resonance imaging (MRI), CT scans, or X-rays, to help rule out other causes of pain.
Pain medication is the first treatment option for trigeminal neuralgia. Complementary therapies such as biofeedback, acupuncture, and electrical nerve stimulation may also help. If these therapies fail to provide adequate pain relief or cause unwanted side effects, then trigeminal neuralgia surgery may be an option. The most effective procedure is microvascular decompression (MVD), which has been shown to relieve pain for most patients.