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A 46-year-old member asked:

what is trigeminal neuralgia?

8 doctor answers12 doctors weighed in
Dr. Romanth Waghmarae
Pain Management 39 years experience
Trigeminal neuralgia: It is pain along the distribution of the trigeminal nerve. Usually over the face , and mandible region.
Dr. Jeffrey Cohen
Neurology 34 years experience
Severe Facial Pain: Sharp, shooting, electrical attacks of pain usually on one side of the face, that is intermittent. There are variants. Often responds to anti-seizure drugs, but not traditional pain killers. Associated with blood vessels pushing on the trigeminal nerve (pain nerve for face). May also be treated with (surgical) procedures.
Dr. Brijesh Chandwani
Pain Management 11 years experience
Severe face pain: Trigeminal neuralgia is a severe pain disorder which manifests as severe, electric-like intermittent pain episodes which lasts moments. These always occur in the region of one of the branches of trigeminal nerve which is a major nerve to the facial region. Pain is most often on one side and can be triggered by light touch or cold air over certain areas called "trigger zones".
Dr. John Van der Werff
Dentistry 39 years experience
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.
Dr. Chaim Colen
Dr. Chaim Colen commented
Neurosurgery 19 years experience
Facial pain in the distribution of the Trigemenal nerve. There are 3 divisions to this nerve; V1, V2, and V3; covering from the eye to the jaw respectively. It typically manifests as pain shooting on the side of the face towards the mouth and may have a trigger agent such as brushing the teeth, lightly blowing onto the cheek or similar. Surgery can help in intractable cases.
Sep 15, 2013
Dr. Charles Kattuah
Dentistry 23 years experience
Nerve disorder: The fifth cranial nerve (trigeminal nerve) is affected in this disorder. A neuralgia is a condition of unknown etiology that causes severe pain when areas of the nerve are stimulated. Trigeminal neuralgia can have areas of the face or mouth sends sharp pains when barely touched. Tic doloreaux is common which appears as a nervous twitch around the eye of the side that is affected.
Dr. Stephen Rodrigues
A Verified Doctor commented
A US doctor answered Learn more
Hello, I’ve been in medicine for 30 yrs and doing pain therapy for 15 yrs. Therapy meaning it is possible to treat pain issues with a combination of techniques used over decades and millennial. This awareness started out as a journey on how to help patients with Fibromyalgia studying Acupuncture. The acupuncture guru, Joe Helms, MD suggested reading the text of Janet G. Travell, MD and C. Chan Gunn, MD. These 2 pioneers in pain treatments have textbooks on the subject. Their protocols can treat and possibly cure complex pain issues from headaches/lower back pain to Fibromyalgia to neuropathy. They see pain as in the muscle tissues and NOT in the nerves proper. Travell and Gunn calls this therapy myofascial release therapy. MRT is focused on painful “errors of repair” in muscle tissues called “trigger points.” The myofascial pain patterns are a little different and less precise than the nerve patterns but have to be considered in the work up. They should explain the vast majority of pain issues in the early stages of pain issues. So consider, flesh and muscles and not nerves or bone or joints in myofascial pain patterns. One can began MRT early because it is already in use today in regular physical therapy, massage therapy, sports medicine and in chiropractic medicine. Self-care is a mandatory part of the therapy, so stretching, yoga Pilates, soaking and exercise are vital. For chronic pain suffers a Wellness Program of Vitamins and minerals (esp. Magnesium glycinate) sleep hygiene, exercise, self Massage, yoga, heat, Epsom tub soaking, stretching all are needed.
Oct 6, 2012
Dr. Stephen Rodrigues
A Verified Doctor answered
A US doctor answered Learn more
Facial shock pain!: 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
A Verified Doctor commented
A US doctor answered Learn more
Provided original answer
Hello, I’ve been in medicine for 30 yrs and doing pain therapy for 15 yrs. Therapy meaning it is possible to treat pain issues with a combination of techniques used over decades and millennial. This awareness started out as a journey on how to help patients with Fibromyalgia studying Acupuncture. The acupuncture guru, Joe Helms, MD suggested reading the text of Janet G. Travell, MD and C. Chan Gunn, MD. These 2 pioneers in pain treatments have textbooks on the subject. Their protocols can treat and possibly cure complex pain issues from headaches/lower back pain to Fibromyalgia to neuropathy. They see pain as in the muscle tissues and NOT in the nerves proper. Travell and Gunn calls this therapy myofascial release therapy. MRT is focused on painful “errors of repair” in muscle tissues called “trigger points.” The myofascial pain patterns are a little different and less precise than the nerve patterns but have to be considered in the work up. They should explain the vast majority of pain issues in the early stages of pain issues. So consider, flesh and muscles and not nerves or bone or joints in myofascial pain patterns. One can began MRT early because it is already in use today in regular physical therapy, massage therapy, sports medicine and in chiropractic medicine. Self-care is a mandatory part of the therapy, so stretching, yoga Pilates, soaking and exercise are vital. For chronic pain suffers a Wellness Program of Vitamins and minerals (esp. Magnesium glycinate) sleep hygiene, exercise, self Massage, yoga, heat, Epsom tub soaking, stretching all are needed.
Oct 6, 2012
Dr. John Van der Werff
Dentistry 39 years experience
Facial pain: The pain is commonly a sharp shooting pain typically felt in the area of the upper or lower jaw on one side of the face. It is a nerve condition where pain signals are sent to the brain without a cause for the pain. Usually other causes of pain like a tooth ache are 1st ruled out.
Dr. Jeffrey Cohen
Neurology 34 years experience
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.

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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 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.
A 40-year-old member asked:

What symptoms characterize trigeminal neuralgia?

2 doctor answers8 doctors weighed in
Dr. David Rosenfeld
Pain Management 27 years experience
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.
Dr. Steven Giannotta
Neurosurgery 49 years experience
Pain is often characterized as an eletic shock. It is often caused by a normal artery rubbing against the trigeminal nerve. Trileptal and tegretol are the most effective medicines. Surgery can be curative.
Jun 18, 2012
Dr. Adam Hebb
Dr. Adam Hebb commented
Neurosurgery 21 years experience
Excruciating pain on one side of the face that is described as electrical. Usually has trigger points on the face.
Jan 25, 2013
A 35-year-old member asked:

How is trigeminal neuralgia diagnosed?

5 doctor answers12 doctors weighed in
Dr. Tung Nguyen
Neurosurgery 31 years experience
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.
ZA
A 39-year-old female asked:

How to treat trigeminal neuralgia?

1 doctor answer3 doctors weighed in
Dr. Ronald Ward
Specializes in ENT and Head and Neck Surgery
Trigeminal neuralgia: Tegretol, Klonopin, gabapentin, botox, microsurgical decompression, gamma Knife, radiofrequency therapy, balloon compression, glycerol injection. Best to start with medications first, proceed to more invasive treatment if unresponsive to more conservative treatment.

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