has suggested a diagnosis of Trigeminal Neuralgia. I am on a wide host of medications but not getting relief. I have had MRI, CT scan, etc... What do you suppose I do next. Does this sound like a likely diagnosis?
I have a recent dx of Trigeminal Neuralgia from Primary Care and have been referred to Neurology for further evaluation. The pain distribution is unilateral and follows the sensory distribution of cranial nerve V at the maxillary area. History of previous trauma (neuroplasia) dates to 1997, though asymptomatic to current presentation. There is no prior history of TMJ, aneurysms, tumors or other common precipitants. I am 61 years old, consistent with typical onset.
I was diagnosed with trigeminal neuralgia yesterday and have been prescribed oxcarbazepine also hydrocodone for pain. I know I can trigger the attacks by movement of my head but I also get attacks by putting various foods in my mouth. I really don't even get a chance to taste them since I go into pain immediately. Do you have a list of triggering foods available?
I wasted thousands on a chiropractor. More on an acupuncturist.
Hello,
I would like to know if any one out there has TMJ like symptoms along the jaw area, along with their neuralgia. I have been told it is not trigeminal neuralgia, but the symptoms seem to be more like atypical trigeminal instead.. It is consistent, and very painful and the pain medications are making me so sick, I can't function.
I have tried many medications, physio, acupuncture, chiro. I have been told it is not MS or Trigeminal Neuralgia even though a lot of my pain patterns seem to follow branches of the TN nerves or nucleus from brain, into tmj joint, face, teeth and nucleus at cervical spine. I have had three neurologists rule on trigeminal neuralgia. However, couldn't there be nerve impingement somewhere along the trigeminal nerve path?
Did you ever get a reply? Sounds like Trigeminal Neuralgia Type 1 or Atypical. There is help for this! Same needs used for seizures help condition and pain attacks. Tegretol is one but many more. Thank you
Neurologist treats TN. Studies happening now.
Traumatic trigeminal neuropathy is generally not associated with trigeminal neuralgia. However, both entities may be responsive to pharmacologic intervention. Seeing a neurologist or orofacial pain specialist misadvised.
Hi,
I would suggest you to try alternate treatment like acupuncture. Acupuncture has shown good results in drug refractory trigeminal neuralgias.
Please check the link below.
http://www.liebertonline.com/doi/abs/10.1089/acu.2007.0535
In some cases of refractory occipital neuralgia CT fluoroscopy guided nerve block have produced good results.
http://www.ajnr.org/cgi/content/full/24/10/2105
Hope this helps!
Symptomatic trigeminal neuralgia is usually caused by multiple sclerosis or by tumours arising near the trigeminal nerve root.
Differential diagnosis of trigeminal neuralgia:
Cluster headache - Longer-lasting pain; orbital or supraorbital; may cause patient to wake from sleep; autonomic symptoms
Dental pain (e.g.
Hi,
The common causes of shooting pains on right side of head are trigeminal neuralgia, temporal arteritis, tension headaches etc.In trigeminal neuralgia there are successive bouts of face pain. This pain occurs when a blood vessel compresses the trigeminal nerve as it leaves the brain stem. Temporal arteritis is caused due to inflammation of medium and large sized arteries bringing blood to the head.
I have been going to the doctor for several years for sinusitis, then I began to have facial pain. After several different doctors, I was told that I had trigeminal neuralgia as well as a deviated septum. I eventually had laser surgery for the trigeminal neuralgia, but the a facial pain continues. The nerve pain has subsided, but I continue to have facial pain on my left side. The pain seems to get worse if I lean my head to that side.
Hello unnerved,
Trigeminal nerve which is responsible for sensations of the face. The cause trigeminal neuralgia is probably a blood vessel pressing on the trigeminal nerve. Tumors and multiple sclerosis can also cause it, but in some cases the cause is unknown. The pain is sudden, severe, electric shock-like, stabbing that is typically felt on one side of the jaw or cheek.
Trigeminal neuralgia (TN) rarely occurs with sinusitis but it has been described. The persistent congestion and your severe headache suggest that, despite the "clear" sinus x-rays you may have sinusitis or an infection of the sinus that has extended beyond the sinus walls.
That you are still ill suggests a possible infectious complication. You would do well to consult with an ENT specialist and have a CT scan of your sinuses and the adjacent areas.
Good luck.
Hi, Thank you for your question. Trigeminal neuralgia may be presented with typical one sided facial pain extending to temple and eye( ophthalmic branch of trigeminal nerve may be involved) and sore gums of the teeth of same side (maxillary branch of 5th nerve). Trigeminal neuralgia may have a triggering factor like recent history of tooth extraction, touch, cold breeze or hot sensation etc. which you need to evaluate and avoid.
she is 29 and has been diagnosed with trigeminal neuralgia. could her tn be from the meningitis? maybe a sid effect?? she is on very strong medication and can not have the dosage increased anymore. she suffers alot with extreme pain. thank you, i need to find out as much as i can about this disease.
Does Trigeminal Neuralgia worsen with age. I've tried Tegretol but the pain has some back agaiin after about a year and is very, very intense. It is like a needle made of glass penetrating the right side of my nose and going into my head. What is the best treatment for this and can it be cured completely.
This discussion is related to <a href='/posts/show/894401'>Trigeminal neuralgia more help</a>.
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