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Trigeminal Neuralgia, also known as Tic Douloureux, is a chronic pain condition that affects the trigeminal nerve, the main nerve responsible for sensation in the face. The pain is often described as the worst facial pain, ranging from mild to severe. Its onset is sudden, severe, electric shock-like, or stabbing pain. Activities like speaking, eating, or sometimes just touching the face can trigger the condition. The pain is usually felt in the jaw, lips, gums, or cheek. But, may also occur in other parts of the face and last from a few seconds to several minutes once or multiple times a day. For Trigeminal Neuralgia treatment in Salem, you can visit a top hospital that specializes in diagnosing and treating this condition effectively.
Causes of Trigeminal Neuralgia
The exact cause of trigeminal neuralgia is unknown. It may be caused by an abnormal blood vessel loop pressing on the trigeminal nerve, or by a tumour or other growth pressing on the nerve. Sometimes, it can occur due to facial trauma, stroke, dental procedures, multiple sclerosis, or injuries to the face or head.
Symptoms Associated with Trigeminal Neuralgia
Common symptoms of trigeminal neuralgia include sudden, severe, electric shock-like pain in one or more of the branches of the trigeminal nerve (the fifth cranial nerve). The pain may involve the forehead, cheek, lower jaw, or gums. The pain may last anywhere from a few seconds to several minutes.
Other Symptoms of Trigeminal Neuralgia
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Aching, burning, or stabbing sensation.
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Tingling or numbness in the face.
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Pain on one side of the face.
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Headache or migraine-like symptoms.
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Pain that is worse with cold temperatures or exposure to wind.
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Pain is triggered by touching the face, eating, talking, or brushing teeth.
If you’re experiencing any symptoms mentioned above, you should consult a neurologist/Neurosurgeon without delay. Please book an appointment with a Consultant – Neurology & Neurosurgery at Manipal Hospital Salem for a thorough diagnosis and prompt treatment for your condition.
Diagnosing & Treatment of Trigeminal Neuralgia
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Diagnosis
The diagnosis is based on the type of pain, location, severity, and activities that may trigger this condition. The doctor may order an MRI to confirm the diagnosis.
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Disease Management
The standard approach to treating trigeminal neuralgia is to start Medical Management with medications that can help reduce the pain intensity and frequency and prevent it from relapse.
This often includes medications like carbamazepine, a type of anticonvulsant that is effective at reducing pain.
Other medications that can be prescribed include baclofen, gabapentin, lamotrigine, pregabalin, and lamotrigine.
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Surgery Options
In cases where medication is not giving the desired results, surgery may be recommended. To minimize pain and relieve pressure on the trigeminal nerve, Microvascular decompression, radiofrequency rhizotomy, and gamma knife radiosurgery procedures may be recommended.
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Other Treatment Options
Other treatment options for trigeminal neuralgia may include nerve blocks. Nerve blocks can assist in blocking pain signals from reaching the brain. These include percutaneous glycerol rhizolysis and balloon compression of the Gasserian Ganglion.
Alternative therapies such as acupuncture, massage, and biofeedback may also be recommended to help relieve the pain associated with trigeminal neuralgia.
However, it's vital to work with a doctor and find the right treatment plan for your specific situation. Trigeminal neuralgia can be a challenging condition to manage, but with the right combination of medications and other treatments, it is possible to control the pain and improve your quality of life. Consult a neurosurgeon in Salem for diagnosis and treatment.
FAQs
1. Does trigeminal neuralgia cause tooth pain?
Yes. Most TN Patients suffer pain in the tooth socket of the upper jaw. If not diagnosed correctly, it could end up with unnecessary tooth extraction.
2. When does trigeminal neuralgia start?
Trigeminal neuralgia can start at any age, though it is most commonly seen in people over the age of 50.
3. Can trigeminal neuralgia be cured?
Trigeminal neuralgia cannot be cured but can be controlled with treatment. Treatment options may include medications, nerve blocks, and surgery which can help reduce the frequency and intensity of the pain.
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