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Doctor insights on: Postherpetic Neuralgia Diagnosis

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How is trigeminal neuralgia diagnosed?

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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Dr. Jeffrey Cohen
1,928 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


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What is postherpetic neuralgia?

Nerve Damage: A painful condition that follows a bout of shingles or herpes zoster. This occurs in people that have had chicken pox earlier in life when the virus reactivates in their nervous system..An immunization is available for patients over 50 to reduce the chance of this reactivation happening. Condition is not generally seen in younger people unless they are immunocompromised or under unusual stress. ...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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Definitive diagnosis of pudnedal neuralgia?

Definitive diagnosis of pudnedal neuralgia?

Neurology consult: A definitive diagnosis will require definitive evaluation. For a neurologic complaint, a neurologist is the best bet. Good luck. ...Read more

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Shingles -has anyone had post-herpetic neuralgia pain treated?

Several treatments: Post-herpetic neuralgia (chronic pain after shingles) can be treated with Gabapentin (neurontin) or other related drugs. You can also apply capsaicin (zostrix) cream to the area, which burns the nerve endings to deaden the pain. Other treatments include tricyclic antidepressants, Lidocaine patches, and, in severe cases, narcotic pain relievers. ...Read more

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Will postherpetic neuralgia be visible?

Post herpetic neural: The words only mean pain related to having had shingles.Noted after the shingles has healed. If you have a rash then one ay see it but more often than not the rash is long done. ...Read more

Dr. Paul Grin Dr. Grin
6 doctors agreed:
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What medications treat trigeminal neuralgia?

Dr. Paul Grin Dr. Grin
6 doctors agreed:

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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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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Is trigeminal neuralgia a symptom of multiple sclerosis?

Is trigeminal neuralgia a symptom of multiple sclerosis?

Possibly: Trigeminal neuralgia in a younger adult may be caused by multiple sclerosis. However, there must be more than just trigeminal neuralgia to define definite ms. History of other suspicious symptoms, abnormalities on neuro exam other than just trigeminal neuralgia and supplemental diagnostic studies will better define the suspicion for ms. ...Read more

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Dr. Jackie Lam Dr. Lam
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What is post herpetic neuralgia?

Dr. Jackie Lam Dr. Lam
2 doctors agreed:

Shingles: A neuropathic pain that lasts for more than a month after a shingles infection started. ...Read more

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Is migraineous neuralgia a component of trigeminal neuralgia?

Is migraineous neuralgia a component of trigeminal neuralgia?

Migraineous: Neuralgia is not related to trigeminal neuralgia, but can be and often is mediated by the trigeminal nerve or brain stem nuclei. ...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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What is trigeminal neuralgia?

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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The best treatment for herpes zoster's neuropathy?

The best treatment for herpes zoster's neuropathy?

Post herpetic: Post herpetic neuralgia is a very painful condition that can occur after an outbreak of shingles which is a reactivation of the chickenpox virus usually occurring in older people. It can be very tough to treat. Different nerve pain medications can be helpful. Topical Lidocaine patches can help and there is also a topical capsaicin patch that is applied for one hour in the office. Nerve blocks occ. ...Read more

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Is a stellate ganglion block appropriate treatment for post herpetic neuralgia, along the trigeminal nerve. ?

Possibly: Stellate nerve blocks are often used to treat peripherial nerve problems caused by injuries or trauma. They are designed to block sympathetic nerves. The trigeminal nerve is a cranial nerve, that does not go through the spine or neck, so i don't know if the stellate block would help. The sympathetic nerves do contribute to eyelid motion and facial flushing, so it may be worth a try. ...Read more

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Is a stellate ganglion block appropriate for postherpetic neuralgia along the trigeminal nerve.

Is a stellate ganglion block appropriate for  postherpetic neuralgia along the trigeminal nerve.

Yes indicated: Herpes zoster ' shingles' after blisters healed in some will have severe disabling pains will lost for months and months which most likely you have involving one of the trigeminal nerve branch, the virus stays in nerve root for ever. Image guided cervicothoracic sym. Ganglion block along with t.N block most likely will help your pain , is relatively low risk procedure in trained hands. ...Read more

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Can cluster headache cause trigeminal neuralgia?

Can cluster headache cause trigeminal neuralgia?

Definitely, no: Cluster headaches are sometimes mistaken for trigeminal neuralgia because they have similar symptoms. However, there are a number of big differences between the two conditions. TN is episodic (paroxysmal) neuropathic disorder. Cluster headache is the most painful of all the primary headache disorders. ...Read more

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Can a Vitrectomy cause Trigeminal Neuralgia?

Generally no: A vitrectomy generally does not cause trigeminal neuralgia. If you are having symptoms consistent with trigeminal neuralgia please speak with your physician or make a virtual appointment for further discussion. ...Read more

Dr. Milton Alvis, jr
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