The management of tic douloureux

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Abstract
The treatment of tic douloureux requires accurate diagnosis. This is almost always established on the basis of history and physical examination. Routine blood studies and skull X-rays are obtained. Only if a mass lesion is suspected are further diagnostic studies recommended. Initial therapeutic measures should be pharmacological; only after these have failed or produced side-effects should surgery be contemplated. Patients should not be forced to endure prolonged pain while pharmacologic, psychologic or physiatric therapies with low success rates are prolonged. Prompt pain relief should be the goal of therapy; surgical procedures can do the job effectively and safely.

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