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Doctor insights on: Trigeminal Neuralgia (Facial Nerve Pain)

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I am taking amitriptyline for facial nerve pain but this is of no use & taking amitriptyline for last 2 weeks. I am trigeminal neuralgia paitent.

I am taking amitriptyline for facial nerve pain but this is of no use & taking amitriptyline for last 2 weeks. I am trigeminal neuralgia paitent.

See a neurologist: Tegretol (carbamazepine) is commonly used to treat patients with trigeminal neuralgia. See a neurologist to discuss your symptoms and undergo a full neurological examination. http://www.nlm.nih.gov/medlineplus/druginfo/meds/a682237.html , http://www.ninds.nih.gov/disorders/trigeminal_neuralgia/detail_trigeminal_neuralgia.htm ...Read more

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Dr. Olav Jaren
1,367 doctors shared insights

Nerve Damage (Definition)

A complete nerve transection will leave an area totally numb. The distribution of the numbers depends upon where the nerve was cut. A partial nerve injury may leave the area tingly or incompletely numb. Finally even if the nerve is not cut the swelling and bruising to the tea can affect the nerve as well. Usually we consider sharp penetrating injuries as likely having nerve lacerations when sensation is lost. A hand surgeon can examine the hand and pinpoint the site or extent of nerve injury and recommend ...Read more


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My doctor told me that "trigeminal neuralgia is a severe spastic, lancinating facial pain due to a disorder of the 5th cranial nerve." What does this mean?

My doctor told me that "trigeminal neuralgia is a severe spastic, lancinating facial pain due to a disorder of the 5th cranial nerve." What does this mean?

It's dictionary time: Clearly you haven't bothered to look up the meanings of the terms used. "Trigeminal" refers to the 5th cranial nerve; "neur + algia" = nerve + pain; lancinating = stabbing. You can figure this out. Look up trigeminal neuralgia. Definitely look at pictures. This is not beyond your comprehension. You're not doing yourself any favors by wanting it spoon-fed to you. Self-education is empowering. ...Read more

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If you have infraorbital neuropathy does that mean you have trigeminal neuralgia, since the infraorbital nerve comes from the trigmeinal nerve?

If you have infraorbital neuropathy does that mean you have trigeminal neuralgia, since the infraorbital nerve comes from the trigmeinal nerve?

Depends: Trigeminal neuralgia IS a neuropathy but a very specific type. If you have shocklike lancinating sudden intermittent pain, then you may have trigeminal neuralgia of that division of the trigeminal nerve. ...Read more

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Can facial neuralgia or trigeminal neuralgia cause long term enlarged achy lymph nodes in your neck?

Can facial neuralgia or trigeminal neuralgia cause long term enlarged achy lymph nodes in your neck?

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. ...Read more

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Can trigeminal neuralgia early symptoms be mild achy feeling in cheek on both sides of face ,weird sensations all over face and no sharp pain ?

Can trigeminal neuralgia early symptoms be mild achy feeling in cheek on both sides of face ,weird sensations all over face and no sharp pain




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Not likely: Doesn't sound at al like trigeminal neuralgia. TN is unilateral, and the pain character is different than your describe. See your MD or an orofacial pain doc for assessment. ...Read more

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I've had tingling and pain in my face for the last week! i thought it might be trigeminal neuralgia but it's on both sides, not just one! what to do?

I've had tingling and pain in my face for the last week! i thought it might be trigeminal neuralgia but it's on both sides, not just one! what to do?

See a neurologist: Trigeminal neuralgia rarely occurs bilaterally; when it does, it is usually secondary to multiple sclerosis. Trigeminal neuralgia tends to occur between after age 40. See orofacial pain specialist for evaluation and management. You also may see a neurologist ...Read more

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Dr. Paul Grin Dr. Grin
2 doctors agreed:
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If herpes can cause vestibular neuritis. Is it possible it could spread throughout the nerves causing things like trigeminal neuralgia?

Dr. Paul Grin Dr. Grin
2 doctors agreed:

No, See Neurologist: The most commonly accepted theory of what causes trigeminal neuralgia is vascular compression and not viral infection. See a neurologist or orofacial pain specialist for final diagnosis. ...Read more

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Severe facial pain for 4 mos, diagnosis of sinus probs & toothache. Currently have severe facial swelling. Could this be trigeminal neuralgia?

Dangerous condition: Severe facial swelling is not found with trigeminal neuralgia. This is likely caused by an infected (abcessed) tooth. Infection in the head and neck region is a serious condition. You should seek medical/dental care immediately. ...Read more

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Can trigeminal neuralgia happen on both sides of the face?Or switch from right to left? Getiing progressively worse. Low grade fever. Lost 90lbs in6mo

Can trigeminal neuralgia happen on both sides of the face?Or switch from right to left? Getiing progressively worse. Low grade fever. Lost 90lbs in6mo

Unlikely: The pain of idiopathic Trigeminal Neuralgia occurs unilaterally in the distribution of one or more divisions of the trigeminal nerve. TN rarely occurs bilaterally; when it does, it is usually secondary to multiple sclerosis. TN never crosses the midline but on rare occasions, may switch to the opposite side in different attack periods. See orofacial pain specialist for proper diagnosis. ...Read more

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Is it possible for my mom to have passed her trigeminal neuralgia to me? I have MS and have been having some twinges in the left side of my face.

Is it possible for my mom to have passed her trigeminal neuralgia to me? I have MS and have been having some twinges in the left side of my face.

MS may cause Tic: Trigeminal neuralgia (tic douloureux) may be caused by multiple sclerosis. The pain can be very mild or quite pronounced. If trigeminal neuralgia is caused by ms, an MRI scan can sometimes identify a plaque in the sensory pathway of the trigeminal system. Medications may provide relief. If meds are not controlling the pain, a balloon microcompression of the trigeminal ganglion may help for 2-3 yrs. ...Read more

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I have trigeminal neuralgia. I suffered 7-10 moderate hits to the side of my face near my temples and left side of my scull. Is a catscan needed asap?

No: Typically an MRI is done during the initial workup of trigeminal neuralgia (tn). A cat scan probably wouldn't be sensitive enough to pick up any of the structural problems that can cause tn. Speak with your doctor about obtaining and mri. ...Read more

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Is left index finger pain a sign of atypical trigeminal neuralgia on the left side of face?

Not at all: The finger pain is fully independent of your trigeminal issues, and represents an additional co-morbidity. A hand specialist can more fully evaluate. ...Read more

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Do you have to have stabbing electric shock pain on the face to have ATYPICAL TRIGEMINAL NEURALGIA? my face burns on the left side but not stabbing!

Do you have to have stabbing electric shock pain on the face to have ATYPICAL TRIGEMINAL NEURALGIA? my face burns on the left side but not stabbing!

No: Any feeling or numbness along the nerve area is trigeminal neuropathy. You need to see a doctor for better history and detailed exam to come up with a treatment plan to help resolve this discomfort and stop it from worsening. I hope you feel well soon. ...Read more

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I have a brain tumor also trigeminal neuralgia . I'm planning on the brain surgrey tumor on the trigeminal neuralgia nerve. Can they remove the tnnerv?

I have a brain tumor also trigeminal neuralgia . I'm planning on the brain surgrey tumor on the trigeminal neuralgia nerve. Can they remove the tnnerv?

Usually No: It sounds like you have a tumor (usually a meningioma or schwannoma) attached to the trigeminal nerve. This can cause the facial pain that you note. When surgery is done for this, the neurosurgeon can usually peel the tumor away from the nerve. Some fibers of the nerve can be sacrificed hopefully with minimal neurologic sequelae. This is a big nerve and it controls facial sensation and chewing. ...Read more

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Dr. LaMont Gee Dr. Gee
3 doctors agreed:
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What type of doctor treats trigeminal neuralgia? Pain on right side of my tongue and awhile back right side of face.

Dr. LaMont Gee Dr. Gee
3 doctors agreed:

A Medical Doctor: Pain from trigeminal neuralgia can result from more than one source. You need to find a physician who is very familiar with this disorder. Evaluation and treatment may require several different approaches before arriving at a satisfactory solution. I would suggest beginning with a neurologist. ...Read more

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Burning dull ache in cheek and along jawline one side face.Worse when cold air blows on it.Trigeminal Neuralgia? Also tmj issue that side. Progress?

Burning dull ache in cheek and along jawline one side face.Worse when cold air blows on it.Trigeminal Neuralgia? Also tmj issue that side. Progress?

See below : Try opening and closing your mouth slowly with the tip of your tongue touching your soft palate + you could take a pain killer + try hot/cold contrast therapies, and please get checked up by a maxilofacial surgeon to get treatment ...Read more

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I have pain in the right side of my face. Doctor thinks Trigeminal neuralgia. Lately having tingling sensation around kidney area. Neuropathy?

I have pain in the right side of my face. Doctor thinks Trigeminal neuralgia. Lately having tingling sensation around kidney area. Neuropathy?

Responses: There can be many causes of facial pain but trigeminal neuralgia involves sudden multiple severe immobilizing attacks of a few seconds over the same facial area. Other causes to be considered include jaw, dentition, sinuses. Perhaps a dentist needs to be seen. Would a Concierge visit help? ...Read more

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Hx of bell's palsy and trigeminal neuralgia. Mult episodes of facial weakness w/ right sided weakness. Neg for ms. Hyper reflexes right side. Help?

Hx of bell's palsy and trigeminal neuralgia.  Mult episodes of facial weakness w/ right sided weakness. Neg for ms. Hyper reflexes right side. Help?

Some thoughts: What kind of help do you need? It is good if you do not have MS. Stroke and MS are the most likely to cause symptoms of weakness of the right face, arm and leg. Proper evaluation for these conditions and their risk factors should be done by a physician in a clinic or a hospital. A rare cause of these could also be hemiplegic migraine. Do you get headaches with these? ...Read more

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In trigeminal neuralgia, is the pain throbbing/stabbing on the face, or more like constant tension on the cheek, behind the ear and jawline?

In trigeminal neuralgia, is the pain throbbing/stabbing on the face, or more like constant tension on the cheek, behind the ear and jawline?

Paroxysmal in face: Typical trigeminal neuralgia pain is characterized by paroxysmal or sudden brief attacks of pain: throbbing, stabbing or electric confined to the face. Pain may be triggered by touch. Not behind the ear or constant tension. ...Read more

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Can eye twitching be related to Trigeminal Neuralgia? I have TN but I'm noticing more twitching than ever on one side of my face, not just pain.

Can eye twitching be related to Trigeminal Neuralgia? I have TN but I'm noticing more twitching than ever on one side of my face, not just pain.

Complex: You are young to have trigeminal neuralgia, but you describe "twitching" which could be myokymia. If involves most of face, it would be facial myokymia, and you need imaging of your brainstem area. This is NOT a usual association unless you have an inflammatory brain disorder, or focal problems in base of brain. A neurological evaluation is needed. ...Read more

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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

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I have trigeminal neuralgia & I have been having intense pain on the left side of my face in forehead/ nose/eye area when i chew. Is it the neuralgia?

I have trigeminal neuralgia & I have been having intense pain on the left side of my face in forehead/ nose/eye area when i chew. Is it the neuralgia?

Most likely it is: All the signs and symptoms fit in . I suggest you talk to your neurologist , there are effective medications and some surgical procedures that can give you great relief from this terrible condition . Good luck. ...Read more

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Enlarged perivascular space in basal ganglia. Is by any cranial nerves? Double vision, enlarged pupils, trigeminal neuralgia, pulsating tinnitus

Enlarged perivascular space in basal ganglia. Is by any cranial nerves? Double vision, enlarged pupils, trigeminal neuralgia, pulsating tinnitus

Neurologic issues: None of what you describe is normal. I would suggest that you seek the opinion of both the Neurologist and the Neurosurgeon and possibly the Interventional Neuroradiologist. ...Read more

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

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. ...Read more

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A few years ago i was diagnosed with trigeminal neuralgia. I don't have it anymore. What are the chances of my tn coming back?

Unpredictable: Some people have an episode of trigeminal neuralgia and never have another. The longer the time between an initial episode and any subsequent one diminishes the likelihood that it will recur. Unfortunately, it is not all that predictable. ...Read more

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Why don't nurses know about trigeminal neuralgia.I had a septoplasty to see if it would relieve it.Not one nurse knew what it was, ?

Information: Trigeminal neuralgia is not all that common. It is entirely possible the a nurse may not have heard about it. However, if the hurse has been associated with a neurologist, or neurosurgeon, then for sure she would know about it. ...Read more

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If carbamazepine isn't working to treat my trigeminal neuralgia, what is a good drug to try next?

Trileptal: is reported to be effective for trigeminal neuralgia. Some clinicians now prefer to use oxcarbazepine (Trileptal) as their first line drug for trigeminal neuralgia because of its reduced side effect profile. Unfortunately, about half of TN sufferers eventually become dissatisfied with medical therapy, explore surgical options. ...Read more

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I'm on carbamazepine for about a week or so and I don't like it. I'm taking it for Trigeminal Neuralgia, can I stop taking it since I haven't been on ?

I'm on carbamazepine for about a week or so and I don't like it. I'm taking it for Trigeminal Neuralgia, can I stop taking it since I haven't been on ?

Careful: Hi, Thank you for your question. You haven't been on it too long to build a physical dependence but you should still discuss with your PCP this decision. They can start you on another medication at the same time. Hope that helps..contact me if you have any other questions :-) Dr. M ...Read more

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Do you know anything about trigeminal neuralgia?

Do you know anything about trigeminal neuralgia?

TN isn't easy define: Face pain is confusing to doctors. Is it nerve, tension, tumor or not? So, I just use 2 types; Tumors or aneurysm or NOT. 2nd type is common from the stresses and strains of life collects in the muscles which can NOT be surgically “fixed.” This stress type needs treatment too but with a combo recipe concept. Wellness, minerals, myofascial release, massage, aerobics, soaking, Chiro and acupuncture. ...Read more

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Does trigeminal neuralgia ever go away on its own?

Does trigeminal neuralgia ever go away on its own?

Sort of: Sometimes people with trigeminal neuralgia have long periods with no symptoms, but there is always the possibility of recurrence. ...Read more

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Peeling Paint In Home (Definition)

Lead is found in: * House paint before 1978. Even if the paint is not peeling, it can be a problem. Lead paint is very dangerous when it is being stripped or sanded. These actions release fine lead dust into the air. Infants and children living in pre-1960's housing (when paint often contained lead) have the highest risk of lead poisoning. Small children often swallow paint chips or ...Read more


Blurry Vision And Eye Pain (Definition)

Blurry vision means vision is not clear: letters on 20/20 eye chart are not clear. Could be due to: need glasses, astigmatism; dry eye/tear film; cataract/lens changes; retinal, optic nerve, brain issue. Most common due to need for glasses or tear film issue. If also have eye pain, could be from dry eyes but have Pentacam to rule out narrow angle: see [email protected] ...Read more