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A 37-year-old member asked:

can anyone get trigeminal neuralgia?

4 doctor answers23 doctors weighed in
Dr. Jonathan Dissin
Neurology 39 years experience
Yes: It is rarely seen in individuals less than 35 years of age, is more common in woman than in men. When seen in the younger population, the presentation is frequently bilateral and is associated with multiple sclerosis. It is rare for both sides to be active at the same time. Commonly used narcotic analgesics have little effect on this type of pain.
Dr. Stephen Rodrigues
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TN issues.: 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!
Dr. Stephen Rodrigues
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Provided original answer
See my file "New View" on the evolution of needle therapy. Pain meds will lock the triggers into the tissues and help to burn-in the misery Don't if at all possible.
Oct 6, 2012
Dr. Jeffrey Cohen
Neurology 34 years experience
Yes: Unfortunately. While usually seen in older adults, tn can occur at any age, even children. There is a role for compression of the trigeminal nerve, usually by a blood vessel. This can be seen on a high quality mri. There is nothing known about how to prevent it. There is ongoing work into the genetics of this disorder.
Dr. Eric Weisman
Neurology 36 years experience
Treatment with Tegretol goes back to the 1950's. In fact tegretol was used for Trigeminal Neuralgia before it was used for Epilepsy !
Apr 27, 2014
Dr. James Goodrich
Neurosurgery 39 years experience
Trigeminal neuralgia: trigeminal neuralgia is mostly a result of trauma to the nerve, an infection in the nerve or a vascular anomaly where a blood vessel is impinging and compressing the nerve.
Dr. Olav Jaren
Dr. Olav Jaren commented
Neurology 19 years experience
Many causes of TN are not explained however.
Sep 3, 2014

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A 21-year-old member asked:

Does trigeminal neuralgia ever go away on its own?

2 doctor answers4 doctors weighed in
Dr. Barbara A Majeroni
Specializes in Family Medicine
Sort of: Sometimes people with trigeminal neuralgia have long periods with no symptoms, but there is always the possibility of recurrence.
A 21-year-old member asked:

Isn't there a test of some sort to tell if you've got trigeminal neuralgia?

2 doctor answers8 doctors weighed in
Dr. Mark Eisenberg
Neurosurgery 33 years experience
No: Trig neuralgia is diagnosed based upon the history and the description of the pain. An MRI may show the loop of a blood vessel next to the trig nerve. This is thought to be the cause but you may still have tn even if the MRI does not show anything as the vessels are quite small.
A 43-year-old member asked:

How can trigeminal neuralgia be treated?

4 doctor answers11 doctors weighed in
Dr. Virginia Simnad
Neurology 28 years experience
Yes: Generally trials of antiseizure medications can be beneficial. Some individuals fail such therapy and may otherwise benefit from neurosurgical procedures including gamma knife therapy.
Dr. Stephen Rodrigues
A Verified Doctor commented
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I would NOT use a gamma knife. Anti-seizures do help. 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!
Sep 9, 2012
CA
A 34-year-old member asked:

Is trigeminal neuralgia very serious?

3 doctor answers5 doctors weighed in
Dr. Anthony Mosley
Neurology 24 years experience
No: It can be very painful, to the point of causing difficulty speaking or eating, and it can sometimes be caused by a tumor, but trigeminal neuralgia itself is not life threatening, not associated with other neurologic dysfunction, and rarely causes significant disability.
A 25-year-old member asked:

Are there complications of trigeminal neuralgia?

6 doctor answers10 doctors weighed in
Dr. Anthony Mosley
Neurology 24 years experience
No: Simple answer is no, though rarely it can get bad enough to consider neuro surgery (eg janetta procedure) which does have a risk of complications.
Dr. Stephen Rodrigues
A Verified Doctor commented
A US doctor answered Learn more
TN is a type of facial pain. TN overlap with myofascial patterns. DON'T WAIT to start care 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! NO invasive procedure!!!
Sep 9, 2012

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