Open AccessThe journeys of patients with trigeminal neuralgia on a background of multiple sclerosis
Author(s) -
Krupali Patel,
Kimia Godazandeh,
Jianhua Wu,
Joanna M Zakrzewska
Publication year - 2021
Publication title -
pain management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.402
H-Index - 21
eISSN - 1758-1877
pISSN - 1758-1869
DOI - 10.2217/pmt-2021-0001
Subject(s) - medicine , trigeminal neuralgia , psychological intervention , polypharmacy , multiple sclerosis , quality of life (healthcare) , physical therapy , surgery , intensive care medicine , psychiatry , nursing
Aim: Multiple sclerosis (MS) is well recognized as a secondary cause for trigeminal neuralgia (TN). In this case series, we detail the management of all the patients with TN and MS (pwTNMS) presenting to a specialist unit. Materials & methods: A prospective patient database was used to extract key clinical data on pharmacological, psychometric and surgical management of 20 pwTNMS. Results: 65% of pwTNMS underwent surgical interventions for management of their pain.12/20 achieved remission periods, through surgery and/or medication. Significant improvement was noted on the global impression of change illustrated by a p < 0.001. Conclusion: pwTNMS require a multifaceted approach combining polypharmacy, surgical interventions and psychological support. Developing self-management skills is crucial if patients are to live well with pain.