Neural prolotherapy, as developed by Jon Lyftogt, has been found to be an effective treatment for neurogenic pain syndromes. We report a case of trigeminal neuralgia successfully treated with neural prolotherapy. The patient is a 70-year-old man with a 15-year history of trigeminal neuralgia refractory to pharmacologic treatment. After one treatment of neural prolotherapy the patient reported 5 months of complete resolution of his symptoms. A second treatment was performed affording him another 10 months of relief. Neural prolotherapy may have an important role in treating trigeminal neuralgia. It can be a safe and effective treatment for those experiencing side effects from medications, contraindications to surgery, or less than favorable improvement from traditional treatments.
Mononeuralgia is pain along the distribution of a single peripheral nerve. Single nerve neuralgia is often caused by compression or other damage to the nerve, although in many cases a specific cause is not apparent. In instances where a structural cause is identified and corrected, patients may continue to experience pain in the affected nerve due to facilitation. This paper will discuss Neural Prolotherapy as a potential treatment for mononeuralgia by demonstrating cases of successful treatments for trigeminal neuralgia and meralgia paresthetica.