Top
20
Doctor insights on: Trigeminal Neuralgia

Share
Dr. Paul Grin
423 doctors shared insights

Trigeminal Neuralgia (Overview)

Very painful affliction of the fifth (trigeminal) nerve. Read more about it here: http://www.medscape.com/viewarticle/505378


1

1
What is trigeminal neuralgia?

What is trigeminal neuralgia?

Type of facial pain: Electrical shocks in region of trigeminal nerve of face. Severe, intermittent, debilitating pain. Some have more constant pain. 70% controlled by tegretol. Some require nerve destructive procedures, focused radiation, or separation of blood vessel from trigeminal nerve. ...Read more

See 3 more doctor answers
Dr. Paul Grin
423 doctors shared insights

Trigeminal Neuralgia (Overview)

Very painful affliction of the fifth (trigeminal) nerve. Read more about it here: http://www.medscape.com/viewarticle/505378


2

2
What is trigeminal neuralgia?

What is trigeminal neuralgia?

Sharp pain: It is a sharp pain usually located on one side of the face. Although it is a nerve pain, it's cause can also be confused with things like a tooth ache or muscle pain. If you are experiencing this type of pain see a doctor who can diagnose any of these conditions. ...Read more

See 3 more doctor answers
3

3
Trigeminal neuralgia means pain where?

Trigeminal neuralgia: trigeminal neuralgia involves the face, usually on just one side and can involved the forehead, eye, cheek and jaw. Bilateral TN is usually only seen in patients with MS. ...Read more

See 3 more doctor answers
4

4
Can TMJ cause trigeminal neuralgia?

Can TMJ cause trigeminal neuralgia?

No: Similar symptoms but the trigeminal nerve is usually irritated by a different mechanism in trigeminal neuralgia. Most of the time it is irritated by a vascular loop. Often it will respond to medication like Carbamazepine or related anticonvulsants. There is a surgical treatment ( vascular decompression ) that is sometimes used when medication fails. TMJ is more akin to arthritis of the TM joint. ...Read more

See 4 more doctor answers
5

5
Is trigeminal neuralgia a symptom of multiple sclerosis?

Is trigeminal neuralgia a symptom of multiple sclerosis?

Possibly: Trigeminal neuralgia in a younger adult may be caused by multiple sclerosis. However, there must be more than just trigeminal neuralgia to define definite ms. History of other suspicious symptoms, abnormalities on neuro exam other than just trigeminal neuralgia and supplemental diagnostic studies will better define the suspicion for ms. ...Read more

See 2 more doctor answers
6

6
Is migraineous neuralgia a component of trigeminal neuralgia?

Is migraineous neuralgia a component of trigeminal neuralgia?

Migraineous: Neuralgia is not related to trigeminal neuralgia, but can be and often is mediated by the trigeminal nerve or brain stem nuclei. ...Read more

See 1 more doctor answer
7

7
What are symptoms of trigeminal neuralgia (tn)?

TN symptoms are : The attacks usually occur in brief paroxysms of electric shock-like, sharp (lancinating), stabbing, burning pain lasting a few seconds to one or two minutes which are separated by pain-free intervals of varying lengths.The pain is excruciating in intensity. Typically, a pain attack is accompanied by tic-like cramps or involuntary spasms of the facial muscles ("tic douloureux"). ...Read more

See 2 more doctor answers
8

8
Can cluster headache cause trigeminal neuralgia?

Can cluster headache cause trigeminal neuralgia?

Definitely, no: Cluster headaches are sometimes mistaken for trigeminal neuralgia because they have similar symptoms. However, there are a number of big differences between the two conditions. TN is episodic (paroxysmal) neuropathic disorder. Cluster headache is the most painful of all the primary headache disorders. ...Read more

See 1 more doctor answer
9

9
Is trigeminal neuralgia in young adults always a sign of impending ms? I'm 28 and have had tn for a little over 2 years.

Is trigeminal neuralgia in young adults always a sign of impending ms? I'm 28 and have had tn for a little over 2 years.

No,: The neuralgias, or nerve pains are among the common MS symptoms. One of these is trigeminal neuralgia which causes severe electrical shock-like pain. TN rarely occurs bilaterally; when it does, it is usually secondary to multiple sclerosis. ...Read more

See 3 more doctor answers
10

10
Trigeminal neuralgia means pain where?

Trigeminal neuralgia: trigeminal neuralgia involves the face, usually on just one side and can involved the forehead, eye, cheek and jaw. Bilateral TN is usually only seen in patients with MS. ...Read more

See 3 more doctor answers
11

11
What symptoms characterize trigeminal neuralgia?

See below: Trigeminal neuralgia symptoms may include one or more of these patterns: occasional twinges of mild pain episodes of severe, shooting or jabbing pain spontaneous attacks of pain or attacks triggered by things such as touching the face, chewing, speaking and brushing teeth bouts of pain lasting from a few seconds to several seconds episodes of several attacks lasting days. ...Read more

See 1 more doctor answer
Dr. Paul Grin Dr. Grin
6 doctors agreed:
14

14
What medications treat trigeminal neuralgia?

Dr. Paul Grin Dr. Grin
6 doctors agreed:

TN medications: In spite of vast improvements in the medical or surgical management of TN, there is still no treatment modality available. Carbamazepine, trileptal, neurontin, (gabapentin) baclofen and Dilantin are the most common medications for TN. ...Read more

See 2 more doctor answers
15

15
Can Cricopharyngeal spasm causesupraorbital neuralgia?

No relationship: Maybe you could converse with one of our doctors via a Concierge visit and clarify all of this. ...Read more

See 1 more doctor answer
16

16
How is trigeminal neuralgia diagnosed?

Clinical exam: Trigeminal neuralgia is a condition where sharp, electrical pain affects the face along one or more of the three branches of the trigeminal nerve. There is typical and atypical types of trigeminal neuralgia. Your neurosurgeon or neurologist should be able to examine you and make a diagnosis. Brain MRI scans are usually done to make sure there are no tumors or ms. ...Read more

See 2 more doctor answers
17

17
What is postherpetic neuralgia?

Nerve Damage: A painful condition that follows a bout of shingles or herpes zoster. This occurs in people that have had chicken pox earlier in life when the virus reactivates in their nervous system..An immunization is available for patients over 50 to reduce the chance of this reactivation happening. Condition is not generally seen in younger people unless they are immunocompromised or under unusual stress. ...Read more

See 1 more doctor answer
18

18
How do you test for trigeminal neuralgia?

How do you test for trigeminal neuralgia?

No specific test: Tests that are performed are merely to rule out the presence of underlying factors such as multiple sclerosis or a tumor. A full exam is performed. After discussion of type and location of the pain, your doctor will eliminate possible causes. If it warrants further investigation, MRI may be ordered. ...Read more

See 1 more doctor answer
19

19
Is trigeminal neuralgia very serious?

Is trigeminal neuralgia very serious?

YES! If not treated.: Tn is a specific name to a type of facial pain. It can take a few doctors visits to get a final ruling. Don't wait it is not cancer but the pain can make you wish you were dead! think flesh/tissue and not nerves for face pain! begin a self-care wellness program of vits, magnesium glycinate, sleep hygiene, self/pro massage, chiropractor, heat, epsom soaking, stretching. I use acupuncture! ...Read more

See 2 more doctor answers
20

20
Pain, numbness in face, Neurologist says after tests, cause is stress. He referred me to ENT, he says I have Trigeminal neuralgia. Who do i believe?

Pain, numbness in face, Neurologist says after tests, cause is stress. He referred me to ENT, he says I have Trigeminal neuralgia.  Who do i believe?

See Orofacial Pain: practitioner for a second opinion. They are the experts in facial pain and numbness. In many cases, seeking a second opinion is not only warranted, but necessary. Unless your disease is life threatening and requires emergency care, it is never a bad idea to seek a second opinion. Getting a second opinion helps you feel more confident about your diagnosis and treatment plan. ...Read more

See 2 more doctor answers
Dr. Jeffrey Cohen
1,957 doctors shared insights

Neuralgia (Definition)

Can also be described as neuropathic pain or "nerve pain" which can occur anywhere in the body. It can also be due to many disorders such as direct nerve damage, diabetes, ...Read more


Dr. Bernard Seif
842 doctors shared insights

Nerve Pain (Definition)

Neuralgia is a sharp, shocking pain that follows the path of a nerve and is due to irritation or ...Read more