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The most effective treatment for TN is MVD (Microvascular Decompression).
Other, less effective, types of surgery include GammaKnife (radiation), needle rhizotomy, balloon compression and neurofrequency lesioning, which are all nerve damaging procedures.
TN can be rather successfully treated with anticonvulsants.
Tegretol/Carbamazepine and Dilantin are highly effective medications in the treatment of TN.
It is diffcult to find the right combination of medications that works for a particular individual.
This requires treatment by an expert neurologist.
Other types of treatment include sphenopalatine ganglion blocks or Botox injections.