No serious pain meds......just Advil. I may have to in the future but so far ....so good. The pain comes and goes and hasn't been earth shattering as yet......and I'm hoping it won't be. My Mother had Trigeminal Neuralgia...(Tic-dela-ru) in the 70's and had hers operated on ( in Rochester N.Y. ) and never had another problem with it.