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Doctor insights on: What Painkillers Are Helpful For Trigeminal Neuralgia

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Is it possble that a toothache cause trigeminal neuralgia?

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

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 are ...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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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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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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I'm on carbamazepine for about a week or so and I don't like it. I'm taking it for Trigeminal Neuralgia, can I stop taking it since I haven't been on?

I'm on carbamazepine for about a week or so and I don't like it. I'm taking it for Trigeminal Neuralgia, can I stop taking it since I haven't been on?

Careful: Hi, Thank you for your question.

You haven't been on it too long to build a physical dependence but you should still discuss with your PCP this decision. They can start you on another medication at the same time.

Hope that helps. Contact me if you have any other questions :-)
Dr. M ...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?

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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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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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

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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 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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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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What is the best procudure for trigeminal neuralgia?

What is the best procudure for trigeminal neuralgia?

Depends: It would depend upon general health. If the person is relatively young and healthy, then mvd has the best results (only procedure that preserves the nerve). Older and people with significant health risks may consider balloon compression, or some of the other destructive procedures. Some find the gamma knife attractive, though success rate is 60%, and doesn't usually begin working for 6 weeks. ...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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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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What is the cure for trigeminal neuralgia?

What is the cure for trigeminal neuralgia?

Depends which Dr.: Many drs rely only on pain meds to control trigeminal neuralgia.Some use surgery to cushion a nerve.More recently (though little known) neuroprolotherapy has been found to help. It consists of injections of 5% glucose near the affected nerve (s) which calms it. I have yet to see if effect is permanent, but my pts like it. Also osteopathic cranial manipulation helps some. So, depends on Dr's training. ...Read more

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What is the cure for trigeminal neuralgia?

Cure for TN: There is no cure for TN. Current state of the art dictates that all patients should be treated initially with medication. But if a patient becomes refractory to medical management or develops serious side effects to medication, surgical intervention should be considered. ...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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In trigeminal neuralgia's pain does painsheild tm by navovibronix works?

In trigeminal neuralgia's pain does painsheild tm by navovibronix works?

Probably not: Tn is a neurological disorder and treatment that treats the nerve is the most common treatment that is effective. That usually requires a prescription and sometimes surgery. ...Read more

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Can trigeminal neuralgia be seen in MRI?

Can trigeminal neuralgia be seen in MRI?

Rarely: Sometimes you can see a vascular anomaly like an extra loop or an aneurysm causing compression on the CN5 but in most cases mri/mra brain come back normal ...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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Does trigeminal neuralgia always go into remission?

Trigeminal neuralgia: Tn is a disease of excerbation and remission meaning that earlier in the course the pain can come and go. However the longer the patient has tn the attacks can become more severe and less chance of remission unless treated medically or surgically. ...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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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 long term stress and anxiety cause trigeminal neuralgia?

Can long term stress and anxiety cause trigeminal neuralgia?

Not likely: The causes of trigeminal neuralgia include some compression of the nerve and some other possible causes. Stress and anxiety may certainly worsen the problem and bring it to attention, but they alone are not likely the underlying cause. We typically perform imaging to look for something that is pressing on the nerve, so to speak. I recommend the American Headache Society website for more into. ...Read more

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Can long term stress and anxiety trigger trigeminal neuralgia?

Yup.: Seems that stress and anxiety are multi-talented evil-doers. They can, indeed, trigger and aggravate trigeminal neuralgia attacks. This is another good reason to do some CBT therapy to learn skills to avoid, reduce and manage stress/anxiety. It is a very worthwhile investment for many aspects of your (hopefully long and good) life. Best wishes! ...Read more

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Is there a home remedy I can use to manage my trigeminal neuralgia pain?

No, please seek help: Trigeminal neuralgia pain can be quite debilitating. There are treatement options available. Please see your doctor and feel better! ...Read more

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What is the best medication for trigeminal neuralgia aside from tegretol?

There are a number: Gabapentin and Trileptal are common. Clonazepam, Dilantin and Baclofen are less effective. Some a combination of these meds are used. ...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


Painkiller (Definition)

"painkiller" is a general term and not a medical term. Literally, it is something that "kills" the pain. That can include just about anything that ...Read more