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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 41 years experience
Trigeminal neuralgia: It is pain along the distribution of the trigeminal nerve. Usually over the face , and mandible region.
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Dr. Jeffrey Cohen
Neurology 36 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.
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Dr. Brijesh Chandwani
Orofacial Pain 13 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".
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Dr. John Van der Werff
Dentistry 41 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.
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Dr. Chaim Colen
Dr. Chaim Colen commented
Neurosurgery 21 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 25 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.
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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 Doctoranswered
Family Medicine 40 years experience
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!
Created for people with ongoing healthcare needs but benefits everyone.
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 41 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.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Jeffrey Cohen
Neurology 36 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.
Created for people with ongoing healthcare needs but benefits everyone.

Similar questions

Southfield, MI
A 42-year-old female asked:

What are symptoms of trigeminal neuralgia?

2 doctor answers2 doctors weighed in
Dr. Jerry Brown
Prosthodontics 55 years experience
Trigeminal Neuralgia: Good Day; Trigeminal Neuralgia is a chronic pain affecting the trigeminal nerve ( fifth cranial nerve) in the face. One notices mild to severe facial and frequent muscle spasms. you may even notice extreme, sporadic, sudden burning; the pain episodes could vary from a few seconds to a few minutes.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:

Are there complications of trigeminal neuralgia?

4 doctor answers6 doctors weighed in
Dr. Anthony Mosley
Neurology 26 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.
Created for people with ongoing healthcare needs but benefits everyone.
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
CA
A 34-year-old member asked:

Is trigeminal neuralgia very serious?

3 doctor answers5 doctors weighed in
Dr. Anthony Mosley
Neurology 26 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.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:

How is trigeminal neuralgia diagnosed?

5 doctor answers12 doctors weighed in
Dr. Tung Nguyen
Neurosurgery 33 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.
Created for people with ongoing healthcare needs but benefits everyone.
ZA
A 39-year-old female asked:

How to treat trigeminal neuralgia?

1 doctor answer3 doctors weighed in
Dr. Ronald Ward
Specializes in 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.
Created for people with ongoing healthcare needs but benefits everyone.

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Last updated Mar 24, 2019
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