Conversation: The conversation between human and AI assistant.
[|Human|] Hello doctor, I am suffering from facial nerve pain. Am taking tablets tegretal 200 3 times aday , gabatin 400 3 times a day and duzela 20 2 times a day from last 4 years but still I have stiffness andvpain on my face. Pls give me your advice Regards, Mrs. Arpita.
[|AI|]  Hello, I have gone through your question and understand your concern. Facial pain is a debilitating type of pain, but it does not come from your facial nerve but from the trigeminal nerve. Anyway, you are already on full Chat Doctor.  You might increase the regret dose, but this might have some adverse. The next step in my opinion is injecting glycerol in the trigeminal ganglion, which is a minimally invasive treatment with good outcomes, but there is high probability of recurrence this does not help I recommend a cerebral MRI to see if there is a neurovascular conflict of the trigeminal nerve after it leaves the brain stem. In case there is this situation you can do a microvascular decompression, which is very invasive but with a high percentage of pain relief. Hope this answers some of your questions, please feel free for further questions