• Each of the facial pains and neuralgias has slightly different therapeutic approaches.
• Generally, medications are tried first, and usually anti-epilepsy drugs.
• The exception to this is occipital neuralgia where a block is first-line therapy. Nummular headache may also respond to local infiltration of anesthetic.
• In trigeminal neuralgia, time is of the essence due to the level of suffering. Refer to a neurosurgeon or pain anesthesiologist quickly if medications are not adequate at reasonable dose.
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Are Headaches Taking Your Life Hostage and Preventing You From Living to Your Fullest Potential? Are you tired of being given the run around by doctors who tell you that your headaches or migraines are psychological or that they have no cause that can be treated? Are you sick of calling in sick because you woke up with a headache so bad that you can barely think or see straight?