Evidence-based guidelines have now been published on diagnosis and management [53, 54]. All patients will initially be treated medically but many will proceed to surgical management. There is currently insufficient evidence to suggest at which time point patients should be transferred from medical to surgical treatments or which is the most successful surgical treatment. There are no RCT of the major forms of surgical management that are in current use. Trials in trigeminal neuralgia are difficult to conduct due to a variety of factors including the rarity of the condition, its paroxysmal nature and the difficulty of using a placebo as opposed to an active form of control.

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Natural Pain Management

Do You Suffer From Chronic Pain? Do You Feel Like You Might Be Addicted to Pain Killers For Life? Are You Trapped on a Merry-Go-Round of Escalating Pain Tolerance That Might Eventually Mean That No Pain Killer Treats Your Condition Anymore? Have you been prescribed pain killers with dangerous side effects?

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