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Doctor insights on: Trigeminal Neuralgia Facial Nerve Pain

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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.

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 more

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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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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?

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 more

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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?

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 more

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If you have infraorbital neuropathy does that mean you have trigeminal neuralgia, since the infraorbital nerve comes from the trigmeinal nerve?

If you have infraorbital neuropathy does that mean you have trigeminal neuralgia, since the infraorbital nerve comes from the trigmeinal nerve?

Depends: Trigeminal neuralgia IS a neuropathy but a very specific type. If you have shocklike lancinating sudden intermittent pain, then you may have trigeminal neuralgia of that division of the trigeminal nerve. ...Read more

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Can facial neuralgia or trigeminal neuralgia cause long term enlarged achy lymph nodes in your neck?

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

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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 ?

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




?

Not likely: Doesn't sound at al like trigeminal neuralgia. TN is unilateral, and the pain character is different than your describe. See your MD or an orofacial pain doc for assessment. ...Read more

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If herpes can cause vestibular neuritis. Is it possible it could spread throughout the nerves causing things like trigeminal neuralgia?

No, See Neurologist: The most commonly accepted theory of what causes trigeminal neuralgia is vascular compression and not viral infection. See a neurologist or orofacial pain specialist for final diagnosis. ...Read more

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Severe facial pain for 4 mos, diagnosis of sinus probs & toothache. Currently have severe facial swelling. Could this be trigeminal neuralgia?

Dangerous condition: Severe facial swelling is not found with trigeminal neuralgia. This is likely caused by an infected (abcessed) tooth. Infection in the head and neck region is a serious condition. You should seek medical/dental care immediately. ...Read more

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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

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 more

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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. ...Read more

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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.

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 more

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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. ...Read more

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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?

No: Typically an MRI is done during the initial workup of trigeminal neuralgia (tn). A cat scan probably wouldn't be sensitive enough to pick up any of the structural problems that can cause tn. Speak with your doctor about obtaining and mri. ...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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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?

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 more

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I have pain in the right side of my face. Doctor thinks Trigeminal neuralgia. Lately having tingling sensation around kidney area. Neuropathy?

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

Nerve (Definition)

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


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