Trigeminal neuropathy a chronic or recurrent pain in the area of trigeminal nerve distribution caused by trauma or injury. The incidence following injuries to the peripheral branches of the trigeminal nerve following implants, 3rd molar extractions, orthognathic surgery, mid-face fractures and root canal therapy is around 3–5%. Considering the wide prevalence of such injuries and procedures PTTN is suspected to be common. Although it may occur at any age typical age of onset is around 50 years, and patients are largely female. Prognosis of PTTN is poor. There is a limited response to available and recommended pharmacotherapeutic interventions. Peripheral surgical interventions aimed at pain relief are generally contraindicated; however microsurgical nerve repair may improve sensation. But whatever the line of treatment is there is having its own merits and demerits with limitations. Hence undoubtedly there is a need for an integrated therapeutic approach in PTTN. In this regard an effort was made to treat the PTTN and the study showed good results in the management of PTTN with a course of Hanubasti and Nasya along with some internal medications. A case report of 52-year-old female who presented with complaints of burning sensation and dull aching pain over the right side of the temporal, pre auricular, infraorbitaland maxillary regions, pain in temporomandibular joint after chewing, continuous and loud talking, continuously since 2 years has been presented here.

Keywords: Anantavata; Hanubasti; Nasya; Trigeminal neuropathy.