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Doctor insights on: Trigimenal Neuralgia

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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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Dr. Jeffrey Cohen
1,920 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 trigeminal neuralgia?

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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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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Can TMJ cause trigeminal neuralgia?

Can TMJ cause trigeminal neuralgia?

No: Similar symptoms but the trigeminal nerve is usually irritated by a different mechanism in trigeminal neuralgia. Most of the time it is irritated by a vascular loop. Often it will respond to medication like Carbamazepine or related anticonvulsants. There is a surgical treatment ( vascular decompression ) that is sometimes used when medication fails. TMJ is more akin to arthritis of the TM joint. ...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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Does trigmenial neuropathy ever recover? (Not trigmenial neuralgia)

Does trigmenial  neuropathy ever recover? (Not trigmenial neuralgia)

VARIES: Really depends on cause, and if a main branch or division. If myelin coverings affected, reversal could occur in 4-5 weeks, but if internal axon injured, might take months if ever. This can be tested by electrodiagnostic studies, which may confirm prognosis. ...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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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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Can Cricopharyngeal spasm causesupraorbital neuralgia?

No relationship: Maybe you could converse with one of our doctors via a Concierge visit and clarify all of this. ...Read more

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Could dental work cause trigeminal neuralgia?

Could dental work cause trigeminal neuralgia?

Not usually: Newer leading research indicates that it is an enlarged blood vessel - possibly the superior cerebellar artery - compressing or throbbing against the microvasculature of the trigeminal nerve near its connection with the pons. Such a compression can injure the nerve's protective myelin sheath and cause erratic and hyperactive functioning of the nerve. ...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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Would oxycodone relieve nerve pain? Particularly pudendal neuralgia?

Would oxycodone relieve nerve pain? Particularly pudendal neuralgia?

Yes and No: Short answer is that any opiate or narcotic, oxycodone, hydrocodone, morphine etc, will help just about any pain. But one develops rapid tolerance to such drugs and in time they become less effective. Most all neuralgias are much more effectively treated with more "nerve specific" meds like Gabapentin and carbamazepine. ...Read more

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What painkillers are helpful for trigeminal neuralgia?

Anticonvulsant drug: Carbamazepine was found to be effective for trigeminal neuralgia and has been the most prescribed medication for management this disorder. A relatively new anticonvulsant, Neurontin, (gabapentin) is now considered a first line drug for trigeminal neuralgia along with carbamazepine. ...Read more

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Tcan you have cervical facet joint syndrome and occipital neuralgia

Tcan you have cervical facet joint syndrome and occipital  neuralgia

Yes: and Yes. Sometimes the facet joint nerves can connect with the occipital nerve causing both. Sometimes they are separate issues altogether. ...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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Dr. Brian Le Dr. Le
2 doctors agreed:
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What is occipital neuralgia complex?

Dr. Brian Le Dr. Le
2 doctors agreed:

Occipital neuralgia: Occipital neuralgia is a neurological condition in which the occipital nerves (the nerves run from the top of the cervical spine up through the scalp) are inflamed or injured. Occipital neuralgia is characterized by severe pain that begins in the upper neck and back of the head as well as chronic headache. ...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 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. ...Read more

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Dr. Walter Husar
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