Experience real nerve healing through our in-clinic and at-home programs, trusted by patients across the country. No drugs. No surgery. Just results.
Trigeminal Neuralgia Treatment - Relief That Works
410-694-7217
What is Trigeminal Neuralgia? Understanding Your Condition
Are you still living with the sharp, stabbing pain of Trigeminal Neuralgia — even after trying everything?
Do simple things like brushing your teeth, smiling, or eating trigger unbearable shocks of pain?
Are you scared the next flare could come out of nowhere?
You’re not imagining it. And you’re not alone.
By the time most people come to Chesapeake AIM, they’re in a dark place.
They’ve seen neurologists, had MRIs, tried medications like carbamazepine, gabapentin, or oxcarbazepine.
Some have even had injections or surgery.
They’ve been told to “just manage it.” Or worse — that nothing more can be done.
But they’re still in pain.
Still living in fear.
Still wondering how long they can go on like this.
Trigeminal Neuralgia is one of the most painful conditions known to medicine — and often
misunderstood. There’s a reason it’s called “the suicide disease”.
We help people with Trigeminal Neuralgia who are exhausted from trying everything — but still
holding out hope for a real solution.
And the truth is: it’s not too late. We’ve helped patients from all across the U.S. find lasting relief.
Call To Schedule An Appointment
410-694-7217
Advanced Treatment Options for Facial Pain Relief
Trigeminal Neuralgia happens when the trigeminal nerve becomes damaged — often from vascular compression, trauma, or no clear cause at all.
The result?
Sudden, electric-shock pain in the face.
Burning. Tingling.
Anxiety about the next flare.
Medications that may dull the edge — but often stop working, or cause brain fog, fatigue, or worse.
But here’s the truth:
Nerves can heal — if you give them the right support.
At Chesapeake AIM, we use a personalized, drug-free approach designed to painlessly
stimulate nerve repair and restore your function. Our therapies are non-invasive, backed by science, and built around real results.
Why Patients Choose Chesapeake AIM for TN Treatment
While most providers offer medication or surgery to manage the pain, we use therapies that go deeper — gently and painlessly stimulating the nerve cells to actually heal.
We combine two cutting-edge therapies:
ATP Resonance BioTherapy™
A microcurrent treatment that delivers targeted frequencies to reduce nerve hyperactivity and promote regeneration at the cellular level.
O3 Reboot Therapy™
A breakthrough oxygenation method that reduces inflammation and supports tissue healing at the root of the nerve.
Home-Based Therapy Program
Ideal for distance patients, with daily device use, bi-monthly reprogramming, and regular phone and live video support.
These are not “one-size-fits-all” solutions. Every program is customized to your symptoms, history, and goals — starting with a comprehensive consultation.
Traveling for Care? We’ll Help You Every Step of the Way
We’ve treated patients from all over the country who travel to our clinic in Anne Arundel County, Maryland.
Your initial consultation must be done in person, but after that, you can continue care from the comfort of your home using our distance care model.
We’re located just 30 minutes from Baltimore/Washington International Airport (BWI) and approximately an hour from Reagan National Airport (DCA) and Dulles International Airport (IAD).
We’ll send you a personalized travel packet with information about local airports, directions, and a list of recommended hotels nearby — including several we partner with for discounted rates.
Our team is here to make your trip smooth and stress-free.
Call To Schedule An Appointment
410-694-7217
Initial Consultation Required
An initial consultation with Dr. Smithmyer is required to determine if you are a candidate for treatment. If you qualify, your first procedure can typically be performed the same day.
410-694-7217
| Category | In-Clinic Program | At-Home Program (After Initial Visit) |
|---|---|---|
| Initial Consultation | Conducted in-person at our clinic in Anne Arundel County, Maryland | Begins with an in-person evaluation at our clinic in Anne Arundel County, Maryland |
| Therapies | ATP Resonance BioTherapy™, O3 Reboot Therapy™, Electro-Acupuncture, and more | Specialized home-use device with personalized instructions and support materials |
| Frequency | 2–3 visits per week | Daily use from home |
| Support | Hands-on care with our licensed clinical team | Bi-monthly device reprogramming, plus phone and live video check-ins with our licensed clinical team |
| Best For | Patients within driving distance of our clinic | Patients from other regions or those who are home-bound — after in-person evaluation |
Wherever you are, we have a way to help.
What to Expect
Quick & Painless
Whether you’re receiving treatment in our clinic or using the at-home program, our therapies are designed to be quick and painless. In-clinic sessions typically last about 30 minutes, while at-home device use fits conveniently into your daily routine.
Treatment Course
The amount of treatment needed to support nerve healing varies from person to person. This is determined after a detailed evaluation during your consultation.
The Process
For in-clinic patients, treatments are usually scheduled 2-4 times per week until maximum improvement is achieved. For at-home patients, daily use of the therapeutic device, combined with bi-monthly reprogramming and regular remote support, guides your progress. Once optimal results are reached, a maintenance plan may be prescribed to prevent regression.
Long-Term Results
Many patients experience a complete absence of Trigeminal Neuralgia symptoms through consistent treatment—whether in-clinic or at home—even in severe cases that have persisted for years or even decades.
Who We Help
- Classical (Type 1) — sudden, stabbing pain with pain-free periods
- Atypical (Type 2) — constant burning or aching pain
- Post-dental or related to surgical nerve trauma
- Medication-resistant cases
- Idiopathic or unknown-cause
You don’t need to wait until it gets worse.
Even if you’ve been told “this is something you just live with” — we’re here to offer another path.
Early intervention gives the best results — but even advanced cases improve with the right care.
Still Wondering If This Will Work for You?
They’d been told:
- “Try this new drug and see if it helps.”
- “You have to learn to just live with it.”
- “You’ve already had surgery — there’s nothing more to do.”
Is It Safe? How Soon Will I See Results?
Many patients report:
- Fewer and less intense flares within the first 6 weeks
- Better sleep, reduced anxiety around flare-ups
- Longer remission periods — and in many cases, full resolution
Call To Schedule An Appointment
410-694-7217
Real Patients, Real Results
Dr. Jinell Smithmyer
With advanced training in the United States and China, over 9,000 treatments performed, and a specialty in complex, hard-to-treat cases, Dr. Smithmyer has built Chesapeake AIM into one of the leading neuralgia clinics in the country. Her team of expert clinicians supports patients nationwide with personalized, non-invasive care.
Don’t Give Up. Real Healing Is Possible.
If you’ve been told nothing else can be done, we’re here to tell you:
Your story isn’t over.
Call To Schedule An Appointment
410-694-7217
Frequently Asked Questions About Trigeminal Neuralgia
What causes trigeminal neuralgia?
Trigeminal neuralgia can be caused by a variety of factors, including compression of the trigeminal nerve by blood vessels, head or facial trauma, or post-surgical nerve injury. In many cases, the cause remains idiopathic—meaning no clear origin is found—though the symptoms are still very real and treatable.
What triggers trigeminal neuralgia attacks?
Common triggers include light touch to the face, chewing, speaking, brushing teeth, shaving, or even a gentle breeze. These triggers can vary between patients, and what affects one person may not affect another. Stress, fatigue, and certain foods may also increase sensitivity. Understanding your personal triggers is an important part of managing trigeminal neuralgia and can help reduce the frequency of episodes.
Can stress cause trigeminal neuralgia flare-ups?
While stress doesn’t directly cause trigeminal neuralgia, it can make symptoms worse and may trigger flare-ups in people who already have the condition. Stress can increase muscle tension, affect sleep quality, and lower your pain threshold, all of which can make trigeminal neuralgia episodes more frequent or severe. Managing stress through relaxation techniques, adequate sleep, and stress reduction strategies can be an important part of overall treatment.
What foods should I avoid with trigeminal neuralgia?
While food triggers vary by individual, many patients report that very hot or cold foods can trigger attacks. Spicy foods, acidic foods like citrus fruits, and foods requiring extensive chewing may also cause problems. Some patients find that softer foods and room-temperature beverages help reduce triggers. Keeping a food diary can help identify your personal dietary triggers so you can avoid them.
What’s the difference between trigeminal neuralgia and TMJ Syndrome?
Trigeminal neuralgia causes sudden, electric shock-like pain along the trigeminal nerve, typically lasting seconds to minutes. TMJ (temporomandibular joint) Syndrome usually causes aching pain in the jaw, often accompanied by clicking, popping, or difficulty opening the mouth. TMJ pain is typically more constant and dull, while trigeminal neuralgia pain is sharp and episodic. However, it is not uncommon for both conditions to occur together. At our clinic, we diagnose and treat both trigeminal neuralgia and TMJ Syndrome to help patients find lasting relief.
Is trigeminal neuralgia considered a disability?
Yes, trigeminal neuralgia can qualify as a disability under certain circumstances. The Social Security Administration recognizes severe trigeminal neuralgia as potentially disabling, especially when it significantly impairs your ability to work or perform daily activities. The key factors are the severity, frequency of episodes, and how well the condition responds to treatment. Many patients find that proper treatment can help them return to normal activities
Can trigeminal neuralgia really be managed naturally without surgery or heavy medications?
Yes. Many of our patients come to us after trying medications, injections, or even surgery—often with little or no lasting relief. While conventional treatments aim to suppress symptoms, our approach focuses on gently stimulating nerve regeneration and repair. For those whose trigeminal neuralgia hasn’t responded to standard care, this natural, non-invasive method can offer meaningful, lasting relief—and a return to functional independence and improved quality of life.
Can your treatments help even if I’ve had surgery or take medication?
Yes. Many of our patients seek us out after years of medication use or even failed surgeries. Our therapies are designed to support the body’s natural nerve repair processes, offering relief even in chronic or treatment-resistant cases. Whether you’re still on medication or recovering from surgery, our approach can help restore nerve function and reduce symptoms over time.
What are the side effects of carbamazepine and other TN medications?
Common side effects of carbamazepine include drowsiness, dizziness, nausea, and double vision. More serious side effects can include liver problems, blood disorders, and skin reactions. Gabapentin may cause fatigue, weight gain, and cognitive difficulties. Many patients find these side effects significantly impact their quality of life. Additionally, these medications often become less effective over time, requiring higher doses or additional medications.
How long does trigeminal neuralgia last without treatment?
Trigeminal neuralgia typically follows a pattern of episodes and remissions. Episodes can last from days to months, followed by pain-free periods that may last weeks, months, or even years. However, the condition often progresses over time, with episodes becoming more frequent and severe. Without proper treatment, many find that remission periods shorten and pain episodes become more intense. Early intervention with treatment that supports true nerve healing can disrupt this cycle and provide lasting relief.
Why did my trigeminal neuralgia come back after surgery?
Surgical procedures like microvascular decompression or gamma knife have varying success rates, and symptoms can return months or years later. This may happen because the underlying nerve irritation wasn’t completely resolved, scar tissue developed, or the condition progressed. Some patients experience partial relief initially but find symptoms gradually return. The success of surgery can depend on the underlying cause of your trigeminal neuralgia and individual factors.
I don’t live near Maryland — can I still get treatment?
Yes. We regularly work with patients from across the U.S. who travel to our clinic for a one-time in-person consultation. After that, your entire treatment plan can be carried out from home through our distance care model. We’ll provide a detailed travel guide and make sure every step of the process—from arrival to ongoing support—is seamless and stress-free.
Why should I travel for treatment when I have local doctors?
Many patients choose to travel to us after exhausting conventional options closer to home. What sets us apart is our specialized, integrative approach—designed specifically for trigeminal neuralgia—that often isn’t available locally. Our team has extensive experience treating this complex condition, and we combine multiple non-invasive therapies to promote real nerve healing. After your initial in-person evaluation, we offer a remote care model to minimize the need for repeated travel while ensuring you continue to receive expert support throughout your treatment.
Can I get a second opinion before starting treatment?
Absolutely. We encourage patients to gather all the information they need to make an informed decision. During your consultation, we’ll provide detailed information about our approach and realistic expectations. You’re welcome to discuss this information with your current healthcare providers. We believe that informed patients make the best treatment decisions.
How many treatments will I actually need?
The number of treatments depends on several factors, including how long you’ve had symptoms, their severity, and how your body responds to treatment. During your consultation, we’ll assess your condition and provide a personalized treatment plan with a clear timeline. Some patients experience noticeable relief within a few weeks, while others may require several months for meaningful improvement. We closely track your progress and make adjustments to ensure the best possible outcomes.
How quickly does trigeminal neuralgia treatment work?
Response times vary by individual, but many patients begin noticing improvements within 4-6 weeks of starting treatment. Some may notice changes sooner, while others with more complex or long-standing cases may take longer to respond. We track your progress carefully and look for gradual improvements in pain frequency, intensity, and duration of episodes. Consistent treatment is important for achieving optimal results.
What happens if my symptoms return after treatment?
While our goal is long-term relief, some patients may require periodic maintenance treatments to sustain their progress. When appropriate, we create individualized maintenance plans tailored to your needs. If symptoms reappear, we reassess your condition to identify any changes and adjust your treatment accordingly. Many patients find that if symptoms do return, they are typically milder and more manageable than before starting therapy.
Is this trigeminal neuralgia treatment painful?
Our treatments are designed to be completely pain-free and non-invasive. Many patients find the treatment sessions relaxing. Unlike some conventional treatments that may involve injections or surgical procedures, our approach uses gentle, painless therapies. You should never experience additional pain during treatment – if anything, many patients report feeling more comfortable during and after sessions.
How much does trigeminal neuralgia treatment cost?
Our comprehensive evaluation helps determine the most appropriate treatment plan for your specific case. We provide transparent pricing during your consultation and can discuss payment options. Patients who invest in our treatment programs often report not only significant pain reduction but also tremendous improvements in daily function, independence, and overall quality of life.
What if the treatment doesn’t work for me?
Every patient responds differently to treatment, which is why we begin with a comprehensive evaluation to determine if you’re a candidate for treatment. During your consultation, we’ll discuss realistic expectations based on your specific case. We track progress closely and adjust treatment plans as needed.
How do I know this isn't just another expensive disappointment?
We absolutely understand this concern—many of our patients come to us after exhausting other options that didn’t work. That’s why we begin with a detailed evaluation to determine whether you’re a good fit for our treatment approach. We’re honest about what we can and cannot help with, and we don’t move forward with patients who are unlikely to benefit. Our priority is to give you clarity, set realistic expectations, and help you make an informed, confident decision about your care.
© 2026 Chesapeake Acupuncture & Integrative Medicine
The information contained on this website is not intended to diagnose, treat, or intervene in any medical condition. The circumstances of each patient are different. Treatment is offered only after an appropriate medical consultation and assessment. Outcomes are never guaranteed. Individual results may vary.