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.
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.
This may be Trigeminal neuralgia as you have 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'm a 57-year-old female. I've been having constant nerve-like pain in my right lower jaw/cheek area for two years, with very occasional tingling in my right lower lip. On occasion, toward the end of the day, I may also have pain on the upper and lower left sides.
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.
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.
I have had this disease for 11 years now. Only age 40 when I got it. I have researched it for many years and I've read that there have been cases in newborns. It is where the blood vessels wrap around or touch the Trigeminal Nerve causing it to send a pain signal. It's a horrible disease. Tho I've heard of the most promising treatment as Stereotactic Radiosurgery done with the help of a Neurosurgeon and an Oncologist... If it is classic TN; this one time treatment works.
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.
First diagnosis was sinusitis with treatment of antibiotics, daily Claritin and Flonase. No relief. Still having pain, mostly in the jaw area. Pain is now getting more severe and moving to overall headaches. I believe I have atypical trigeminal neuralgia as my pain is more constant than abrupt. Any suggestions? Alternative diagnoses?
Does anyone know an Acupuncturist who specializes on the relief of pain from Trigeminal Neuralgia in the UK/ France/Germany?Brussels?
Any feedback on this appreciated.
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.
The best way to put to rest the issue of whether trigeminal neuralgia, or any of a number of sites of nerve compression, is playing a role in your facial pain is to consult with a good neurologist. Many neurologists work with pain clinics and the neurologist may be able to suggest other approaches to chronic pain, even when the cause is not readily apparent.
Good luck.
org/posts/Multiple-Sclerosis/Attack-of-trigeminal-neuralgia--OMG/show/2646953#post_12856616) I moaned about it, but I have to say it was excruciating. Fine now, at least from that standpoint.
The standard treatment is Tegretol (carbamazepine). It turns out I can't tolerate that, as a reasonably effective dose wiped out my balance and had me staggering all over the place. It also almost destroyed my platelet count, which was down to 23.
and can trigeminal neuralgia cause pain in the back of the head where the skull meets the spine. i have had continuous pain there worse then ever. i am now on neurontin and baclofen and it helps extremely. please help me get some questions answered.
Trigeminal neuralgia is nearly always unilateral. In rare cases of bilateral trigeminal neuralgia, individual attacks are usually unilateral, with distinct episodes involving each side of the face at separate times. A change in the location, severity, or quality of the pain should be an alert to the possibility of an alternative diagnosis. Symptomatic trigeminal neuralgia is usually caused by multiple sclerosis or by tumours arising near the trigeminal nerve root.
Hi, This may be Trigeminal neuralgia as you have 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.
This is one of those conditions that takes a lot of trial and error before actually finding the right treatment. I have been dealing with this since April and know how it feels to be helpless and just waiting for something to work. If you need anymore info or suggestions let me know. Thanks and good luck!
Hello, and Welcome to the Forum :)
So do you have an appointment set as of yet??
From what you are describing and the location as well as the intensity of the pain level...It sounds like Trigeminal Neuralgia". Several of us on this Forum (including myself) know oh to well how this feels.
There are 3 branches of the Trigeminal Nerves. One can be affected or all three can be. And the pain is intermittent as you described.
In all probability, you are suffering from trigeminal neuralgia. For medical treatment of trigeminal neuralgia several types of drugs are tried either singly or in combination. These are anti-epilepsy drugs such as valproate, carbamazepine, lamotrigine, phenytoin, gabapentin, and pregabalin; muscle relaxants such as clonazepam and baclofen; tricyclic antidepressants such as carbamazepine, amitriptyline, and nortriptyline.
There is a chance of a misdiagnosis here if Tegretol is not working. It is the gold standard for treating trigeminal neuralgia. If it is not working, it may possibly be pain of some other cause. The neurologist may be able to help you sort this out.
Hi, About a year ago, I suddenly developed shooting pains in the front of my face, above my upper front teeth. I went to the dentist, who x-rayed me, and said I had an abscess, above my left upper 1 tooth. He did root canal treatment, but could not find anything, the pain did not go away, and after several root canals, he referred me to a consultant for an apicectomy. When the operation was done, as he drilled through the bone, he said there was lots of pus to drain away.
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.
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