Gabapentin (800–2400 mg/d) or pregabalin (150 mg/d) is helpful for some 1).
Topical capsaicin applied to the symptomatic area may help.
Refractory cases may respond to rhizotomy with alcohol (providing an average of 8.5 months relief 2) or with radiofrequency ablation.
Persistent cases may require exploration and decompression of the nerve by lysing bands overly- ing the supraorbital notch, 3) or, ultimately, to neurectomy which provides an average of 33.2 months relief 4).