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Doctor insights on: Atypical Trigeminal Neuralgia Treatment

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Dr. Paul Grin Dr. Grin
Pain Management
32 years in practice
UCLA School of Dentistry
1

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Is it possble that a toothache cause trigeminal neuralgia?

Is it possble that a toothache cause trigeminal neuralgia?

The opposite is true: "There is one disease of the Jaws which seems in reality to have no connection with the Teeth, but of which the Teeth are generally suspected to be the cause. As simple pain demonstrates nothing, a Tooth is often suspected, is perhaps drawn out; but still the pain continues, with this difference however, that it now seems to be in the root of the next Tooth". John Hunter (1778). It is true today.

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Dr. Paul Grin
404 Doctors shared insights

Trigeminal Neuralgia (Definition)

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 are ...Read more


Dr. Andrew Turrisi Dr. Turrisi
Radiation Oncology
43 years in practice
Georgetown University School of Medicine
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What treatments may decrease my trigeminal neuralgia pain?

What treatments may decrease my trigeminal neuralgia pain?

Gamma Knife: Or other forms of stereotactic radiosurgery are possible alternatives to dr. Nguyen's correct suggestions, but not all neurosurgeons have access.

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Dr. Jeffrey Cohen Dr. Cohen
Neurology
30 years in practice
State University of New York Downstate Medical Center College of Medicine
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Are there any effective treatments for trigeminal neuralgia?

Are there any effective treatments for trigeminal neuralgia?

Yes: Antiseizure medications are first line. There are also miscellaneous brain drugs that may work. Important to balance pain relieving dose vs. Potential side effects. Microvascular decompression highly effective. Can try gamma knife surgery, as well as nerve destructive procedures. Important to find a doctor well versed in these treatments.

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Dr. James Goodrich Dr. Goodrich
Neurosurgery
37 years in practice
Columbia University College of Physicians and Surgeons
4

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What are non-surgical treatments for trigeminal neuralgia?

Trigeminal neuralgia: There are a number of medications available that treat TN in addition the Gamma Knife, a radiation source has also been added to the treatment protocols.

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Dr. Kenneth Choquette Dr. Choquette
Pain Management
31 years in practice
Midwestern University Chicago College of Osteopathic Medicine
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Please help me find a specialist in atypical trigeminal neuralgia? I live in waynesboro pa, 17268.

Ask GP: Look for either chonic pain docs, dentists who specialize in tn, neurlogists familiar with the condition. Either ask your family doc who they would recommend or look on line or in phone book for one of these specialists.

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Dr. Randy Baker Dr. Baker
Holistic Medicine
36 years in practice
University of Michigan Medical School
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I am 35 married woman with no kids. I have TN trigeminal neuralgia. Is it a cure or natural cure. What are the causes.

I am 35 married woman with no kids. I have TN trigeminal neuralgia. Is it a cure or natural cure. What are the causes.

Many causes & Rx's: Trigeminl neuralgia has many causes- sometimes something pressing on the nerve, illnesses like MS & Lyme Disease etc. Standard treatment is various drugs or surgery- see http://tinyurl. Com/7fssqw However, it is often cured by homeopathy so I advise seeing a good homeopath- see http://www. Homeopathycenter. Org Cranial osteopathy also often helps- see http://physician. Academyofosteopathy. Org/

Dr. Mitchell Cohn Dr. Cohn
Pain Management
31 years in practice
Western University of Health Sciences College of Osteopathic Medicine of the Pacific
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What is the cure for trigeminal neuralgia?

What is the cure for trigeminal neuralgia?

Depends which Dr.: Many drs rely only on pain meds to control trigeminal neuralgia.Some use surgery to cushion a nerve.More recently (though little known) neuroprolotherapy has been found to help. It consists of injections of 5% glucose near the affected nerve (s) which calms it. I have yet to see if effect is permanent, but my pts like it. Also osteopathic cranial manipulation helps some. So, depends on Dr's training.

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Dr. Paul Grin Dr. Grin
Pain Management
32 years in practice
UCLA School of Dentistry
8

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What is the cure for trigeminal neuralgia?

Cure for TN: There is no cure for TN. Current state of the art dictates that all patients should be treated initially with medication. But if a patient becomes refractory to medical management or develops serious side effects to medication, surgical intervention should be considered.

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Dr. Paul Grin Dr. Grin
Pain Management
32 years in practice
UCLA School of Dentistry
9

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Can you name any physicians who specialize in atypical trigeminal neuralgia?

Orofacial pain: Any board certified orofacial pain doctor or neurologist. Check the aaop list.

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Dr. Paul Grin Dr. Grin
Pain Management
32 years in practice
UCLA School of Dentistry
10
Dr. Bennett Machanic Dr. Machanic
Neurology
48 years in practice
Johns Hopkins University School of Medicine
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Is left index finger pain a sign of atypical trigeminal neuralgia on the left side of face?

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.

Dr. Tonya Fordham Dr. Fordham
Family Medicine
18 years in practice
West Virginia School of Osteopathic Medicine
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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.

Dr. Ed Friedlander Dr. Friedlander
Pathology
40 years in practice
Northwestern University Feinberg School of Medicine
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35 F. rare bite cells & hypocellular marrow 15-20%. mild polychromasia & high retic. Trigeminal neuralgia & atypical hemangioma in c4 vert. Related?

35 F. rare bite cells & hypocellular marrow 15-20%. mild polychromasia & high retic. Trigeminal neuralgia & atypical hemangioma in c4 vert. Related?

No: Your neuralgia, your inconsequential hemangioma, and what sounds like G6PD deficiency that you can learn to manage are not related. I am glad you are taking a proactive approach Yoro your health.

Dr. Paul Grin Dr. Grin
Pain Management
32 years in practice
UCLA School of Dentistry
15

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What are your treatment options for trigeminal neuralgia?

Management of TN: All patients should be treated initially with medication. But if a patient becomes refractory to medical management or develops serious side effects to medication, surgical intervention should be considered.

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Dr. David Rosenfeld Dr. Rosenfeld
Pain Management
23 years in practice
University of Wisconsin School of Medicine and Public Health
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Is there a clear top treatment for trigeminal neuralgia? What is it?

See below: I would try a medication for neuropathic pain like Lyrica (pregabalin) or gralise. I have had great success with cumbalta as well. See a pain specialist who had do an x-ray guided injection of the nerve.

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Dr. Ron Jones Dr. Jones
Family Medicine
41 years in practice
Des Moines University College of Podiatric Medicine and Surgery
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What is the most effective treatment for the pain of trigeminal neuralgia?

Tough Problem: This problem is tough to treat. But the approved treatments which may or may not be the "best" treatments usually involve tegretol, the "spinal cord" muscle relaxants, nerve blocks and ablation.

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Dr. Martin Schaeffer Dr. Schaeffer
Pain Management
27 years in practice
Medical College of Pennsylvania
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A trigeminal neuralgia treated with radiofrecuency and present, there is another treatment?

Yes.: Medication management is often sufficient to treat trigeminal neuralgia and should be used as a first-line treatment. When this fails other invasive treatments can be tried such as radiofrequency lesioning or a gamma knife procedure.

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Dr. Dora Chizea Dr. Chizea
Anti-Aging Medicine
44 years in practice
Temple University School of Medicine
19

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Is there anything otc that can help pain from trigeminal neuralgia, something without caffeine? I'm not getting treatment for it yet from my neuro.

Vit B-50 or B-100: 21y/o female asks, Is there anything otc that can help pain from trigeminal neuralgia, something without caffeine? I'm not getting treatment from my neuro. Since one has a Neurologist, the diagnosis is most likely correct and he/she will treat one when considered appropriate. For Now Vitamin B-Complex B-50 or B-100 tab daily, for a few weeks could be helpful

Dr. Alon Seifan Dr. Seifan
Neurology
9 years in practice
Mount Sinai School of Medicine
20

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Just been diagnosed with trigeminal neuralgia, and started on a treatment course, will the pain still get worse over time? Will my anxiety decrease?

Just been diagnosed with trigeminal neuralgia, and started on a treatment course, will the pain still get worse over time? Will my anxiety decrease?

No: trigeminal neuralgia, although it can be very painful, can be treated. There is no reason it should get worse over time, especially if you find the right treatment. Once you are no longer in pain, your anxiety might decrease.

Dr. Jeffrey Cohen
1,915 Doctors shared insights

Neuralgia (Definition)

Can also be described as neuropathic pain or "nerve pain" which can occur anywhere in the body. It can also be due to many disorders such as direct nerve damage, diabetes, ...Read more


Dr. Abraham Jaskiel
842 Doctors shared insights

Nerve Pain (Definition)

Neuralgia is a sharp, shocking pain that follows the path of a nerve and is due to irritation or ...Read more