The Effects of Diode Laser Therapy in Treatment of Trigeminal Neuralgia

Abstract

Trigeminal neuralgia (TN) is mainly a periodic, unilateral, sharp, and electric shock-like pain which passes through trigeminal nerve branches, Treatment of trigeminal neuralgia conventionally by alcohol and the other by surgical intervention, Alternative treatment is by using laser. To evaluate the effect of laser therapy (Diode laser solase-808 and solase-976) for treatment of trigeminal neuralgia Hospital-based cross sectional descriptive study in Military hospital that turn the patients in to Health and beauty medical polyclinic, Khartoum, Sudan. 8 patients with Trigeminal neuralgia above 40 years.8 patients (50%) male and (50) female, in period extending from January to June 2018, were participated. Patient were diagnostic by TN and have a previous conventional treatment .laser used was diode laser 976 nm, and parameter use were 0.800 mW as starting dose and end 2.5 Watt . VAS was used to analysis degree of pain. Compressible, variable used ANOVA test to compare between Sessions in degree of pain and Duration of pain during treatment by laser with level of significant P<0.05The presented facial pain (75.0%). Most common patients pain in face (62.5%)All patients had pain in one side of face (100.0%). prevalent pain with ear, throat , tongue ,near to the tonsil (37.5%) and (37.5%) without pain .Most patients have facial pain constancy (25%). Facial pain background during half of waking hours (37.5%) their pain was starting when something touch their face(75.0%).Most patients used drugs frequently (carbamazepine &gabapentin) about( 75.0%).Mean of the pain duration of the laser treatment measured by seconds drops rapidly from (492 s) at the 1st(Diode laser solase-976)treatment session and (78 s) at the 2nd(Diode laser solase-976)treatment, then complete to decrease slightly through the remaining 10 sessions until it reaches zero (0.0s) at the twelfth session. Results of this study are consistent with Health and beauty medical polyclinic Khartoum state (2018) .male and female affected by trigeminal neuralgia. The prevalence Patients in fifth decade of age showed a higher frequency rate of trigeminal neuralgia.all of the patients received 12 sessions of laser treatment, which made them feeling better without any side effects , and reduce the degree and duration of pain