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Doctor insights on: Trigeminal Neuralgia

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Dr. Paul Grin
407 Doctors shared insights

Trigeminal Neuralgia (Overview)

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 a problem. Http://patient. Info/health/trigeminal-neuralgia-leaflet


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Trigeminal neuralgia means pain where?

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

Dr. Paul Grin
407 Doctors shared insights

Trigeminal Neuralgia (Overview)

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 a problem. Http://patient. Info/health/trigeminal-neuralgia-leaflet


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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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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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Is trigeminal neuralgia in young adults always a sign of impending ms? I'm 28 and have had tn for a little over 2 years.

Is trigeminal neuralgia in young adults always a sign of impending ms? I'm 28 and have had tn for a little over 2 years.

No,: The neuralgias, or nerve pains are among the common MS symptoms. One of these is trigeminal neuralgia which causes severe electrical shock-like pain. TN rarely occurs bilaterally; when it does, it is usually secondary to multiple sclerosis. ...Read more

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How do you test for trigeminal neuralgia?

How do you test for trigeminal neuralgia?

No specific test: Tests that are performed are merely to rule out the presence of underlying factors such as multiple sclerosis or a tumor. A full exam is performed. After discussion of type and location of the pain, your doctor will eliminate possible causes. If it warrants further investigation, MRI may be ordered. ...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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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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Will Medrol (methylprednisolone) dose pk help pain from trigeminal neuralgia?? If not does it mean that it is something else? On it 3 days now not much relief

Neuralgia: A steroid treatment will help symptoms to some extent, but neuralgia is often treated with gabapentin. Trigeminal neuralgia can be associated with a "vascular loop" a blood vessel causing a constriction of the 5th nerve, so sometimes a neurosurgical procedure can be done to help. Make sure of the diagnosis with a complete evaluation with imaging like MRI/MRA. See a neurologist and neurosurgeon. ...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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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 more

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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. ...Read more

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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. ...Read more

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Can trigeminal neuralgia be cured by naturopathy? Or by doing acupressure on ones index finger?

No: Please read http://www. Quackwatch. Com/01QuackeryRelatedTopics/Naturopathy/naturopathy. Html. I am not trying to discredit the other docs' answers. I am trying to encourage you not to allow yourself to be hoodwinked by uncritically accepting just any unfounded claim that appeals to you. Think critically. The facts are what they are, not what you want them to be. ...Read more

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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. ...Read more

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I've got trigeminal neuralgia it's been in remission I've got flare ups strong today. Will a pain pill help. I'm on 150 Trileptal 1 daily.?

Talk to personal doc: Trigeminal neuralgia flares can be exceedingly painful and often require medication to provide pain relief. The type of pain medication used for flares varies from physician to physician and also varies based on your other medical comorbidities. Call your personal physician for recommendations. ...Read more

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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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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. ...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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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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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

Dr. Jeffrey Cohen
1,919 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. Adam Lewis
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