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Doctor insights on: How To Treat Trigeminal Neuralgia

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How can trigeminal neuralgia be treated?

How can trigeminal neuralgia be treated?

Yes: Generally trials of antiseizure medications can be beneficial. Some individuals fail such therapy and may otherwise benefit from neurosurgical procedures including gamma knife therapy. ...Read more

Dr. Paul Grin
407 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 ...Read more


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What medications treat trigeminal neuralgia?

TN medications: In spite of vast improvements in the medical or surgical management of TN, there is still no treatment modality available. Carbamazepine, trileptal, neurontin, (gabapentin) baclofen and Dilantin are the most common medications for TN. ...Read more

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What medicines can be used to treat trigeminal neuralgia?

What medicines can be used to treat trigeminal neuralgia?

Multiple: You can try traditional approach with tegretol, trileptal, neurontin, (gabapentin) etc., or alternative with acupuncture, homeopathy, herbs. ...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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What procedures or surgeries are there to treat trigeminal neuralgia?

What procedures or surgeries are there to treat trigeminal neuralgia?

Multiple: Surgeries to treat tn can be divided into:

1 — surgeries which damage the nerve
2 — decompression of the nerve

nerve damaging procedures include:
a — gamma knife radiosurgery
b — "burning the nerve" with a radiofrequency pulse
c — "crunching the nerve" with a balloon

Decompression surgery includes microvascular decompression (mvd).

The type of surgery that is best depends on your history. ...Read more

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Is acupuncture helpful to treat trigeminal neuralgia?

Yes: I've treated multiple patients with trigeminal neuralgia with acupuncture with good success. If you've had it for long time, acupuncture may not be able to eliminate pain completely, but still will provide significant relief. It's not a miracle, but does work for a lot of patients. ...Read more

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What kind of surgery is recommended to treat trigeminal neuralgia?, what are side effects?

What kind of surgery is recommended to treat trigeminal neuralgia?, what are side effects?

Several: Microvascular decompression is most effective. It is the only procedure that preserves the trigeminal nerve. Other destructive procedures (effective though less so) include balloon compression, glycerol injections, radio frequency rhizotomy, and gamma knife surgery. Facial numbness may occur. Less common is infection. When effective, these procedures eliminate the need for medication. ...Read more

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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.

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 approaches before arriving at a satisfactory solution. I would suggest beginning with a neurologist. ...Read more

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My right lower&upper molar tooth pains if I eat/drink something, physically teeth look v good. Am i havin trigeminal neuralgia if yes how to treat it?

My right lower&upper molar tooth pains if I eat/drink something, physically teeth look v good. Am i havin trigeminal neuralgia if yes how to treat it?

Looking good can be: Looking good can be deceptive. We as dentists often see teeth that "look good" until we take x-rays which reveal any one of a number of dental problems. Trigeminal neuralgia is not very common. You should see a dentist who can perform a clinical exam, take some x-rays and tell you what's causing your pain. ...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 nurse 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 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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What is trigeminal neuralgia?

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. ...Read more

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What is trigeminal neuralgia?

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. ...Read more

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Can anyone get trigeminal neuralgia?

Yes: Unfortunately. While usually seen in older adults, tn can occur at any age, even children. There is a role for compression of the trigeminal nerve, usually by a blood vessel. This can be seen on a high quality mri. There is nothing known about how to prevent it. There is ongoing work into the genetics of this disorder. ...Read more

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Is trigeminal neuralgia very serious?

Is trigeminal neuralgia very serious?

YES! If not treated.: 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! ...Read more

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Trigeminal neuralgia means pain where?

Trigeminal neuralgia: Trigeminal neuralgia involves the face, usually on just one side and can involved the forehead, eye, cheek and jaw. Bilateral TN is usually only seen in patients with MS. ...Read more

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How is trigeminal neuralgia diagnosed?

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. ...Read more

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What can cause trigeminal neuralgia (tn)?

Unclear: Different reasons: viral, inflammatory, and most of the time it's not clear. ...Read more

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How can trigeminal neuralgia be diagnosed?

Clinical diagnosis: Syndrome of extreme facial pain in the absence of numbness or other objective findings, characterized by paroxysms of sharp stabbing pain in one of the divisions of the trigeminal nerve. Onset in mid->latter life, slighty greater f>m. Between paroxysms patient is pain free, paroxysm may last 15 min or more, many times/day. Trigger zone when stimulated sets off a paroxysm. Rarely bilateral. ...Read more

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What are symptoms of trigeminal neuralgia?

Sudden, sore, sided: Trigeminal Neuralgia is characterised by sharp, electric type pains, or spasms usually on one side of face lasting seconds to minutes, recurring repeatedly for some days or weeks then settling for some months. Thought to be caused by compression of the trigeminal nerve by a blood vessel it is most common in >50s. Diagnosis with Dr, for other causes see patient.info/doctor/trigeminal-neuralgia-pro ...Read more

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What are the causes of trigeminal neuralgia?

Several: Most commonly, there is a blood vessel that touches the trigeminal nerve and causes the covering of the nerve to wear off. This results in abnormal nerve transmission and pain. Much less commonly, there could be compression of the nerve by a mass or tumor. ...Read more

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Why and how a person gets trigeminal neuralgia?

Why and how a person gets trigeminal neuralgia?

Several ways: Idiopathic tn is associated with vascular compression of the trigeminal nerve (although there are often other reasons). There are symptomatic causes as well: multiple sclerosis, tumor, or infection. These causes represent a minority of cases. ...Read more

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What are symptoms of trigeminal neuralgia (tn)?

TN symptoms are : The attacks usually occur in brief paroxysms of electric shock-like, sharp (lancinating), stabbing, burning pain lasting a few seconds to one or two minutes which are separated by pain-free intervals of varying lengths. The pain is excruciating in intensity. Typically, a pain attack is accompanied by tic-like cramps or involuntary spasms of the facial muscles ("tic douloureux"). ...Read more

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What symptoms characterize trigeminal neuralgia?

See below: Trigeminal neuralgia symptoms may include one or more of these patterns: Occasional twinges of mild pain
episodes of severe, shooting or jabbing pain spontaneous attacks of pain or attacks triggered by things such as touching the face, chewing, speaking and brushing teeth
bouts of pain lasting from a few seconds to several seconds
episodes of several attacks lasting days. ...Read more

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Are there complications of trigeminal neuralgia?

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. ...Read more

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Could anyone tell me about trigeminal neuralgia?

Trigeminal neuralgia: Trigeminal neuralgia is a disorder of the \trigeminal neuralgia where a patient develops a severe sudden electrical like pain. It comes on suddenly and the pain is 10/10. It usually only affects one side of the face and rarely (usually with MS) can involve both sides. There are both medical and surgical treatments available for controlling the pain. ...Read more

Dr. Jeffrey Cohen
1,922 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. Lawrence Kessler
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