There are more types of medication that are always promoted for Neuralgia. Eventually, most of the patients become numb to them and they have to take increasing doses with side effects. So, there are some limits medication can offer. As it worsens, patients find themselves on 2-3 medications, which I personally feel is very unsatisfactory because we just keep adding medication.
In terms of surgical treatment, it has become safer and safer. Our technique has become more minimally invasive, so the surgical opening is becoming smaller and smaller with the use of advanced endoscopes and microscopes that allow us to do this in a minimally invasive way. So most of these patients go home within 2 days of their surgery.
In terms of radiation treatment, some of the machines have become more sophisticated and we are able to do it with greater precision and increasing efficacy.
