Published on: 2025-07-01 | Written by: Professor Dr. Mohamed Hamdy El-Laqani, Professor, Consultant and Treatment of Chronic Pain
Trigeminal neuralgia is one of the most intense facial pain conditions, causing severe discomfort during everyday activities like talking or chewing. Prof. Dr. Mohamed Hamdy El-Leqany, Professor and Consultant of Chronic Pain Management, explains that understanding the nature of this condition and choosing the right treatment are key to controlling the pain and improving quality of life.
In this article, we highlight what you need to know about trigeminal neuralgia, how it’s diagnosed, and modern treatment options—especially radiofrequency therapy.
The trigeminal nerve is responsible for facial sensation. Pain occurs due to:
Pressure from a nearby artery or vein
Inflammation of the nerve
Nerve damage from conditions like multiple sclerosis
Or sometimes, no identifiable cause
According to Prof. Dr. Mohamed Hamdy El-Leqany, the pain usually comes in sharp, electric shock–like episodes affecting one side of the face.
Diagnosis involves:
A detailed description of the pain’s type and location
A comprehensive neurological exam
Ruling out other causes such as dental or sinus issues
CT or MRI imaging to detect possible nerve compression
Prof. Dr. Mohamed Hamdy El-Leqany stresses that accurate diagnosis is essential for choosing the most effective treatment.
When medications fail, radiofrequency ablation becomes one of the most successful options. It involves:
Inserting a fine needle under local anesthesia
Precisely guiding the needle to the nerve root using imaging
Applying controlled radiofrequency waves to disrupt pain signals
Prof. Dr. Mohamed Hamdy El-Leqany notes that this technique offers excellent results, with success rates over 80%, allowing patients to return to normal life.
As outlined by Prof. Dr. Mohamed Hamdy El-Leqany, the key advantages include:
A non-surgical, minimally invasive procedure
No need for general anesthesia or lengthy recovery
Fast and effective pain relief
Can be repeated if needed
Reduces reliance on strong pain medications
Trigeminal neuralgia doesn’t have to be a life sentence. With accurate diagnosis and modern treatments like radiofrequency, pain can be effectively controlled. Prof. Dr. Mohamed Hamdy El-Leqany emphasizes the importance of consulting a specialized pain expert to determine the ideal treatment plan.