Doctor insights on:
Trigeminal Neuralgia (Facial Nerve Pain)
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 moreSee 1 more doctor answer
Trigeminal neuralgia (TN) is a condition that causes repeated (recurring) severe pains in parts of your face. It usually affects people aged over 50. Treatment with a medicine called carbamazepine usually works well to stop the pains. Surgery is an option if medication does not work, or if side-effects from the medicine ...Read more
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 moreSee 1 more doctor answer
My girlfriend have trigeminal neuralgia on her right side of her face and she can't get medicale assist. in Kansas City, KS..what can she take 4 pain?
See neurologist: There are several ways to reduce the pain but she will need to consult a neurologist. ...Read more
Could the drugs being used to treat my trigeminal neuralgia be causing more odd sensations on my face?
Yes: All medications have side effects.Get a more detailed answer ›
If you have infraorbital neuropathy does that mean you have trigeminal neuralgia, since the infraorbital nerve comes from the trigmeinal nerve?
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
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
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 moreSee 1 more doctor answer
If herpes can cause vestibular neuritis. Is it possible it could spread throughout the nerves causing things like trigeminal neuralgia?
Severe facial pain for 4 mos, diagnosis of sinus probs & toothache. Currently have severe facial swelling. Could this be trigeminal neuralgia?
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 moreSee 1 more doctor answer
What can be applied topically to face to help with trigeminal neuralgia pain. I am already taking topomax. I heard lidocaine cream helps?
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 moreSee 2 more doctor answers
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?
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!
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 moreSee 1 more doctor answer
What type of doctor treats trigeminal neuralgia? Pain on right side of my tongue and awhile back right side of face.
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 moreSee 2 more doctor answers
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
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 moreSee 2 more doctor answers
In trigeminal neuralgia, is the pain throbbing/stabbing on the face, or more like constant tension on the cheek, behind the ear and jawline?
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 moreSee 1 more doctor answer
After 2 episodes of intense facial pain i've been told it could be trigeminal neuralgia but now i'm also experiencing upper lip numbness & twitching.
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 moreSee 2 more doctor answers
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
Enlarged perivascular space in basal ganglia. Is by any cranial nerves? Double vision, enlarged pupils, trigeminal neuralgia, pulsating tinnitus
Can trigeminal neuralgia cause facial sensitivity on one side lasts all day, with globus sensation and jaw pain, with one-sided finger joint pain?
Burning sensation on left side of face, eye, nostril, lip, cheek, but NO electric stabbing pain at all, could this be ATYPICAL trigeminal neuralgia?
Possible: But if this continues, then see DR for exam and DX ...Read more
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 moreSee 1 more doctor answer
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?
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, ?
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 moreSee 3 more doctor answers
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
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 moreSee 2 more doctor answers
Trigeminal neuralgia: The most common form of paroxysmal orofacial pain is TN. When a demonstrable structural lesion such as a tumor (e.g., meningioma), vascular malformation or demyelinating disease (multiple sclerosis) has been identified, TN is classified as symptomatic. When the cause of TN is unknown, it is classified as idiopathic. See an orofacial pain specialist for diagnosis and management. ...Read moreSee 1 more doctor answer
No: Similar symptoms but the trigeminal nerve is usually irritated by a different mechanism in trigeminal neuralgia. Most of the time it is irritated by a vascular loop. Often it will respond to medication like Carbamazepine or related anticonvulsants. There is a surgical treatment ( vascular decompression ) that is sometimes used when medication fails. TMJ is more akin to arthritis of the TM joint. ...Read moreSee 4 more doctor answers
The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more
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