Hello,
From your symptoms the possibilities of trigeminal neuralgia and temporal arteritis need to be ruled out. Trigeminal neuralgia is painful swelling (inflammation) of the nerve (trigeminal nerve) that delivers feeling to the face and "surface" of the eye. Trigeminal neuralgia causes severe, short-lasting (only a few seconds) facial pain on the side of the affected nerve even by slight touch. Mostly affects elderly females. May be caused in multiple sclerosis also.
Hello,
In your case, I think that it can be trigeminal neuralgia. Trigeminal neuralgia is very painful swelling (inflammation) of the nerve (trigeminal nerve) that delivers feeling to the face and "surface" of the eye. Trigeminal neuralgia causes severe, short-lasting (only a few seconds) facial pain on the side of the affected nerve even by slight touch. Mostly affects elderly females. May be caused in multiple sclerosis also.
Trigeminal neuralgia can come and go but your statement suggests that you probably had some type of nasal surgery or what is called percutaneous stereotactic radiofrequency rhizotomy, an effective treatment for trigeminal neuralgia and one with lasting benefit. Thus the pain that you are now experiencing is unlikely to be related to the trigeminal neuralgia, as you yourself suggest.
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.
According to my research some physicians also recommend psychological counseling in order to minimize the disturbance that trigeminal neuralgia pain causes in their daily activities. Some ppl benefit from treatment at a PM Clinic where there is a multi-disciplinary approach to coping with pain.
Vicodin is not a very powerful pain reliever. I am surprised that given the severity of the pain caused by TN you are not on a stronger opiate. Lyrica is usually an effective nerve pain medication.
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.
I have these symptoms and a diagnosis of RRMS. Bilateral trigeminal neuralgia is almost exclusive to MS. I have it as well to match my brainstem lesions.
As noted on one of my recent posts, dysautonomia can occur in MS with brainstem lesions so it may be tough to parse out the different symptoms to different diagnoses.
The bilateral trigeminal neuralgia points to MS. The rest of the symptoms I can't be so definite about. But I have done much research on the trigeminal neuralgia.
of the eye. Trigeminal neuralgia causes severe, short-lasting (only a few seconds) facial pain on the side of the affected nerve even by slight touch. Mostly affects elderly females. May be caused in multiple sclerosis also.
Diagnosis is by nerve conduction tests coupled with electromyography and CT or MRI head. It helps in ruling out other causes of facial pain like cluster headaches, atypical neuralgia and myofascial pain.
the ophthalmic, maxillary, and mandibular. The pain of trigeminal neuralgia occurs almost exclusively in the maxillary and mandibular divisions.
You most commonly feel pain in the maxillary nerve, which runs along your cheekbone, most of your nose, upper lip, and upper teeth. Next most commonly affected is the mandibular nerve, affecting your lower cheek, lower lip, and jaw.
In almost all cases (97%), pain will be restricted to one side of your face.
There are three branches of trigeminal nerve, the ophthalmic, maxillary and mandibular. The pain of trigeminal neuralgia occurs almost exclusively in the maxillary and mandibular divisions. One most commonly feels pain in the maxillary nerve, which runs along one’s cheekbone, most of the nose, upperlip, and upper teeth. Next affected is mandibular nerve, affecting the lower cheek, lower lip, and jaw.
Trigeminal neuralgia does explain your symptoms. Treatment is usually medication which reduces the frequency and intensity of attacks.
There are other potential causes which can usually be ruled out by a complete history and examination.
Do not start with a general dentist. You should begin with a Board Certified Oral and Maxillofacial Surgeon.
Your symptoms do not exactly match the clinical picture of trigeminal neuralgia but you should continue with the treatment and do notgo in for complicated details.The treatment consists of medicines, surgery, and complementary approaches.
For more information refer http://www.ninds.nih.gov/disorders/trigeminal_neuralgia/detail_trigeminal_neuralgia.
which you need to evaluate and avoid. Drug of choice for trigeminal neuralgia is carbamazepine but as the dose may vary according to severity therefore I would advice an oral medicine specialist consultation or at least a physician to confirm this diagnosis and get you treated accordingly. Take care.
One of the causes of Trigeminal Neuralgia could be tumors. The Trigeminal nerve and its branches touches many parts of the face including the sinuses. (Google Gray's Anatomy (bartleby.com) for good diagrams of where the Trigeminal Nerve is).
I personally have not heard that TN loosens teeth -- although pain in the teeth and gums (because of all the areas the nerve touches) is common.
I have right unilateral head pain that causes the right side of my face to swell and teary eyes. Nothing I do seems to relieve the pain it just comes and goes on its own. I may have one a week, 5 a day , or none for 2 weeks. I have been to a neurologist and he believes it is either cluster headaches or trigimenal neuralgia. Any suggestions, on what may reduce or stop this pain I experience?
i have a reaserch on mangment of trigeminal neuralgia , but i cann't know until now which the best medical or surgical treatment and i couldn't found which have high rate of recurrance.
From reading my info could this be trigeminal neuralgia or atypical trigeminal neuralgia, acute sinusitis, tinnitus, TMJ? Other than MRI are there any other procedures and scans that can be done to get a better look at my sinuses and internal ear. Can wisdom teeth cause these symptoms? My dentist recommends I extract all 4 wisdom tooth, can these extractions cause my symptom to increase.?
Hi, possibly it is neuralgia, in conditions like trigeminal neuralgia similar kind of symptoms are seen. Do consult neurologist for investigations. Trigeminal neuralgia is a disorder affecting the areas of the face where the trigeminal nerve's branches are distributed, including the lips, eyes, nose, scalp, forehead, and upper and lower jaws.
You could start with your dentist if you are due for a checkup.
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, , but hardly varies with age. Drug of choice for trigeminal neuralgia is carbamazepine but as the dose may vary according to severity therefore I would advise an oral medicine specialist consultation or at least a physician to confirm this diagnosis and get you treated accordingly. Take care.
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