Trigeminal neuralgia management
Common Questions and Answers about Trigeminal neuralgia management
trigeminal-neuralgia
I may have trigeminal neuralgia in the mandibular branch. Severe pain in the lower gum area but it is on both sides which has my PC doctor, my neurolgist, my pain management dr, my neurosurgeon and my accupuncturist all baffled. Meanwhile, I am on Lyrica, which is becoming ineffective, Vicodin, which does not help much, and Ambien to knock me out at night to get some sleep. Is anyone out there who has experienced such a problem that can head me in the right direction? I am losing hope.
Without the medication I could not live with this pain, it does help but the pain never goes away, and I dread it when I know that I am going to have an attack, nobody seems to know exactly what is what is causing this, I have looked up Trigeminal Neuralgia and I have these symptoms along with other symptoms, can you please tell me if you think that I may have this or a combination of Trigeminal Neuralgia and Hemicrania Continua.
I live in the UK and would really appreciate your advice.
I know trigeminal neuralgia is an extrememly painful condition that causes intractable pain. The pain itself can affect your driving abilities.
As far as pain medications go, you need to not drive until you know how to react to the medicine. You always need to ask yourself, Am I safe to drive? If you are extremely drowsy or dizzy along with a lot of pain, driving is probably not the right thing to do.
You need to be investigated for trigeminal neuralgia and temporal arteritis. Trigeminal neuralgia is a nerve disorder that causes a stabbing electric shock like pain in parts of face. Various possible causes are multiple sclerosis and pressure on the nerve from a swollen blood vessel. Pain may be triggered by touch, sounds, chewing and light touch on face. Certain blood tests, MRI brain and trigeminal reflex testing apart from a neurological examination are required.
Would someone who has Trigeminal Neuralgia please help me out with the progression of this condition. For about a week now - I have numbness above my left eye that seems to have gotten worse everyday - first my eyebrow, then my forehead and now my skull. I have a low grade headache at times and when I lift my eyebrow, pain shoots up my forehead and skull, although not intense pain. I went to see my PCP and he thinks it is Trigeminal Neuralgia and wants to do an MRI.
Has your mother seen a Neurologist for evaluation? I had Trigeminal Neuralgia after shingles on my face, and the pain is worse than anything I've ever felt before. She definately needs to be checked out.
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.
The pain in teeth 5 and 6 were initially diagnosed as trigeminal neuralgia, however I have none of the symptoms of trigeminal, other than the pain being in the general area of the trigeminal nerve. This pain, (5 and 6) would spread in a line, #5 going up my face, through the eye socket and into the scalp. #6 would go from the tooth along my cheek and into the back of my head. I finally convinced my dentist to extract #6 and that line of pain stopped after the extraction.
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.
I feel like a limp dish rag. I have trigeminal neuralgia, polymyalgia rheumatica, and fibromyalgia, but my doctors say it is not caused by any of them or the medications I am taking?
Has anyone else experienced the same thing? What was your diagnosis? How did you treat it?
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