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Hello, this is Dr. David. I am reviewing your question now and will be with you momentarily.
TN is complex and you have to see a good neurologist and neurosurgeon and get a good brain MRI scan for evaluation.
medication like carbamazepine (Tegretol) often can help decrease TN pain
a botox injection won't help
but other sclerosing agents can help.
also gamma knife radiosurgery can help decrease TN pain.
if the Tegretol medication can help, you can see a neurologist every 2-3 months for evaluation.
if you need more specialized treatments, you will need to have more visits.
let me know if you have questions.