No relationship: Facial or trigeminal neuralgia is due to irritation of the trigeminal nerve. Enlarged achy lymph nodes are due to a local infection, typically at some site that drains to them. Much of the trigeminal nerve is inear the brain except for the peripheral portions leading up to the face. It is extremely rare to have a "nerve" infection that results in lymphadenopathy. Most likely, they are unrelated.
Answered 1/10/2016
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