Is Supraorbital Neuralgia Treatable Or Recurrence-Prone?

If you have supraorbital neuralgia, you might be wondering whether it's treatable or recurrence-prone. This article provides an overview of the disease, its treatment, diagnosis, and possible side effects. It will also give you a basic understanding of the disorder and how to find a treatment that works for you. To learn more, read on! And don't forget to share your story, too.


The treatment of supraorbital neuralgia involves a series of drugs and surgical procedures. In the early stages of the condition, supraorbital nerve blockade may provide pain relief. Other treatment options include local anesthetic injections, glucocorticoids, and multiple injections. Chemical neurolysis is another option. Surgery may be necessary to remove the nerve. In the long term, cryo neuro ablation or radiofrequency thermocoagulation are other alternative treatments.

A phase-out period of four to six months was needed to assess the effectiveness of percutaneous radiofrequency. This treatment method appears to be safe and effective. However, further studies are needed before it can be used as a treatment for supraorbital neuralgia. In the interim, pulsed radiofrequency may be a promising treatment for supraorbital neuralgia. However, it is important to note that more invasive methods should not be used for this condition.

Subsequent to these treatments, surgery is another option for the treatment of supraorbital neuralgia. This procedure is particularly beneficial for those who suffer from migraines. This treatment relieves the pressure on the supraorbital nerve and can improve the quality of life. It is important to note that the current treatments of supraorbital neuralgia are limited in the number of patients they can treat and the risks associated with them.

Anticonvulsants are an option for the treatment of supraorbital neuralgia. Carbamazepine is the only medicine approved in the UK for this condition. However, carbamazepine is effective in the beginning but loses its effect as time goes by. Hence, this treatment is used only in the early stages of the disease. It is also accompanied by a number of side effects.

A recent study evaluated 63 patients with supraorbital neuralgia. Of these, sixty-three responded to the procedure and met the study's protocol requirements. Thirteen patients experienced pain recurrence. In such cases, twelve patients underwent repeat radiofrequency thermocoagulation. Four of them underwent a third procedure. In the long run, the procedure results in a gradual reduction of pain and numbness.


Researchers studied 53 patients with supraorbital neuralgia who underwent ultrasound-guided radiofrequency thermocoagulation. While there were ten patients who were excluded due to other causes, the remaining 53 met the study protocol requirements. Approximately one third of the patients received pain relief. The study is limited by its low follow-up rates. Patients are often not able to report whether they experienced recurrence.

The symptoms of supraorbital neuropathy are often mistaken for those of frontal sinusitis. Patients usually seek medical treatment before surgery. However, in 80% of cases, the condition resolves without any treatment. The best treatment option for somatoform pain is a combination of medications. This treatment option can relieve the pain without risking the facial structure. The condition can also be caused by an accident or an infection or inflammation of the frontal sinus.

Ultrasound-guided radiofrequency is an excellent, minimally invasive method for treating pain. In addition, there are few side effects and only a few minutes of surgery. This treatment has few risks and is safe for patients with supraorbital neuralgia. Researchers have only published two case reports that show success with this procedure. One patient had acute supraorbital neuralgia and responded well to pulsed radiofrequency. The patient was pain-free after just one treatment. The second patient was a post-craniotomy patient who experienced pain relief after one pulsed radiofrequency treatment. The patient gave her consent to publish the case report.

In the study, about 8% of the patients with thyroid eye disease developed supraorbital neuralgia. Patients with SON describe their pain as throbbing, burning, or similar to a nail driven into the head. This condition is under-diagnosed and under-reported. However, management options have not been widely established. Therefore, it is important to recognize the symptoms in patients with this condition.

In this rare condition, the number of patients with the symptoms and the level of treatment options have not been studied in detail in the literature. Although nerve block treatments have been performed, few have shown lasting efficacy. In addition, nerve ablation and neurolysis may cause significant trauma to the patient and worsen their facial symptoms. Peripheral nerve stimulation and nerve ablation also carry substantial risks. So, the current treatments cannot achieve satisfactory outcomes while reducing injury.


There are several ways to diagnose supraorbital neuralgia. It may be misdiagnosed as frontal sinusitis. In 80% of patients, treatment relieves pain. The pain typically comes and goes, and in some patients, suicidal thoughts are a result of the pain. A physician may consider a blockade to the nerve trunk for immediate pain relief.

The symptoms of supraorbital neuralgia include pain in the forehead, with relief following blockade of the supraorbital nerve. They can be persistent or intermittent. Some patients may experience allodynia or paresthesia symptoms. They may also experience photophobia and blurred vision. Treatment may include a combination of methods. In severe cases, neurosurgeons may even use a brain scan to confirm the diagnosis.

Neurological testing is important in the diagnosis of supraorbital neuralgia. In order to determine the underlying cause of the pain, doctors must rule out other conditions and diagnose any neoplasms. After the patient has been treated with a local anesthetic nerve block, imaging studies are recommended to rule out other causes. A rudimentary test to determine the cause of the pain may confirm the diagnosis of supraorbital neuralgia.

Ultrasound-guided radiofrequency thermocoagulation can be used to block the pain in the supraorbital area. In this procedure, ultrasound helps physicians accurately identify the location of the supraorbital nerve and the supraorbital artery. The ultrasound helps guide the needle to the supraorbital nerve without damaging nearby tissue. In some cases, ultrasound-guided blocks are more accurate than landmark-based techniques.

Neurological tests for this type of neuropathy include neuroimaging, electromyography, and CT scan. Imaging may show the presence of a tumor or a traumatic injury. In some cases, patients will experience a chronic, intermittent, or paroxysmal pain in the supraorbital area. A diagnosis of supraorbital neuralgia must be made soon. There are several other reasons why you might be experiencing pain in the supraorbital area.


Recurrence of supraorbital neuropathy is a relatively rare condition. As such, patients who experience the condition rarely seek invasive neurosurgical procedures. However, the low follow-up rate limits the possibility of detecting recurrence of pain. A number of treatments are available for TN. One such treatment is peripheral neurectomy. It involves the removal of all terminal branches of the trigeminal nerve.

Neurological treatment involves a combination of conservative and surgical methods. Surgical treatment is reserved for patients who experience poor pain control and undesirable side effects. Microvascular decompression, percutaneous radiofrequency rhizotomy, and balloon compression of the trigeminal ganglion are surgical procedures. Microvascular decompression is considered the most effective procedure, although it is associated with a high recurrence rate.

Radiofrequency thermocoagulation is another treatment option. It has been shown to provide a promising pain relief effect. Ultrasound-guided radiofrequency thermocoagulation (RFT) has a high initial effective rate, although the procedure is neurotoxic. A radiofrequency-guided RFT causes less trauma than a surgical resection. The most significant side effect of this treatment is numbness in the forehead.

A combination of physical and psychological symptoms is usually necessary for treatment. If the pain is severe, it can interfere with daily activities, leading to a frantic state and even sleeplessness. Moreover, the ear and temple can be swollen. However, if the pain is not severe and is accompanied by a fever or nasal catarrh, treatment will depend on other medical conditions.

A case report of a 69-year-old man with recurrent episodes of left facial pain was reviewed. The patient had a history of blurry vision and idiopathic intracranial hypertension. The pain was localized to the left V1-V3 territory. Moreover, he experienced superimposed episodes of shooting pain that aggravated when the patient was eating. Overall, his clinical picture was distressing and had a negative impact on his daily life. The patient underwent a neurological evaluation and an MRI of the brain.


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Written by Wayne Parker

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