FAQ - facial neuralgia
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Facial neuralgia?

My doctor said I have facial neuralgia. I had started to feel some tingling on my face and a burning sensation too and I have a red patch on my right cheek too which becomes even more red if I go out in the sun. Doctor said it is neuralgia - like when you 'catch a cold in the face'. He said it will take quite a long time for my red patch on my face to disappear. Anyone ever had this or heard about it?

Neuralgia is a term that means "Nerve Pain". It is a general term, like words ending in -itis, that means, "The Doctor is going to use a compound Latin word in order to sound like he knows what is wrong".
Neuralgias can be caused by injuries (do you cook or weld?), diabetes, herpes and other nerve dwelling viruses (rabies, chickenpox/shingles), and more. I and many other nurses have Neuralgia in our feet from standing way too long. No prognosis is possible until the cause is known.
Pain from Neuralgia can be reduced with Gabapentin; if it is too severe for Gabapentin, your doctor may select Lyrica.  (+ info)

Is Trigeminol Neuralgia the only type of facial pain, what causes it.?

Some years ago my wife had a miner neck dislocation or whiplash had it manipulated,enter facial pain,taken medication for it nill results had MRI? Since having PMR, and cataract surgery a combination for which I was concerned about and was successfull the pain has increased

I have just been told i have trigeminol neuralgia, after having other tests done which showed nothing. I read on the computer it is a nerve that travels though a small hollow opening in the head. I wonder if your wifes whiplash, had something to do with it, i read that the nerve has a great deal that triggers the pain, i think mine came though a nerve that is blocked due to having a slipped disc in my back sit on a nerve on the same side? Any thing can trigger it off, from wind to couging, heat , touching. You said she had surgery to this area it would"nt be helping it, because it has been touched with pressure.I feel for her because i know what the pain is like. I just started medication, but have been reading a natural herb called passionflower.take care try read all you can on your internet about it.  (+ info)

Can ANYONE CURE ME? I have depression, multiple personality disorders, Gastritis, facial neuralgia etc, etc?

I am only 30 yrs old. have attempted suicide twice in my life. Also have almost constant pain in stomach due to long-term anxiety, depression and stress. Also have chronic pain in rt shoulder and rt knee. Also have SEVERE headaches due to facial neuralgia. I have been to multiple psychiatrists, psychotherapists, neurologists, neurosurgeons, homeopaths, herbalists, acupuncturists, Reiki healers, Bio-energy healers etc etc but with little benefit. Currently using a new allopathic medicine for the depression and headaches. It seems to work atleast partially. also getting counselling/psychotherapy with some benefit. I have lost my lovely fiance due to my illness. Tried to marry again but the girl's parents refused to give their daughter to a mentally sick man. It has also destroyed my once-great career. My psychiatrist is not very optimistic about me. It is very difficult to live with this constant physical and mental pain.Is there any HOPE for me? Or is Suicide the only answer???

Hi Bob.
I'm sorry for all the problems you've had. I can make a suggestion but you might not be ready to hear it.
Your question is "Can anyone cure me?"--so you want the work taken away from you. No matter what the illness is, or who you turn to for help, you have to take responsibility for your own healing. The question is, "Can you help me heal myself?" Any healing takes work and dedication. If you have a headache, no one's going to walk up to you and hand you an aspirin. You have to say, "Hey, anyone got an aspirin I can have?" That's vocalizing your need.
If inside your belief is that healing is from an outside source that has nothing to do with you, it's not going to happen. It requires your participation. And not going to someone and saying "Can you fix me?" It's not about someone else fixing you. You aren't a car with a bad carburetor. It's about saying, "I'm in mental and physical pain and I need help. What can I do, what can WE do, to help me overcome this pain?" Do you see the difference? It's HUGE change in thinking.
It also sounds like you are fighting very hard against your illnesses, and fighting causes stress, and stress will make you feel worse.
If you go around saying "Look at me, I'm mentally ill" people will treat you accordingly. I see this with my own father. He has Alzheimer's. Sometimes he tries to get into a discussion with strangers because he's still a friendly guy, and they'll look at him a little funny because he can't talk correctly anymore. Once I explain his condition people's demeanor toward my dad totally change. A woman who had been looking at my dad as if he was some kind of stupid idiot when he didn't move out of the way of a moving vehicle, took his arm very nicely and called him "dear" after I explained. My point isn't that you have Alzheimer's (you're way too young) but that people's perceptions of you, and therefore how they treat you, comes from what they are TOLD about you.
I have been through lots of therapy myself and I also do healing work and I'm giving you my perspective.
I hope that you find the help you need and that you are able to become whole once again. I also hope that you do not choose suicide. Not because I think it's wrong, but because I think your problems can be overcome.  (+ info)

Need a LICENSED Dr. to treat facial pain (trigeminal neuralgia) with BOTOX injections? Near Cleveland, Ohio?

Go to this link and click on "find a doctor". That is how I found mine. BTW, I love Botox.

http://www.botoxcosmetic.com/  (+ info)

For those with trigeminal neuralgia or who know a lot about it?

My mother experiences a lot of pain in both sides of her face. While most times you can't see any facial redness sometimes her face gets very red and almost looks burnt. She hads the pain all the time, don't in shocks...such as those described in trigeminal neuralgia. She is currently going to the neurologist and has tons of test run. The doctor is pretty much doing a trial and error as far as meds go. They are treating her fortrigeminal nueralgia, but from what I read it doesn't seem quite the same as what she is experiencing. Do people with TN every have constant pain on both sides? I can not find any other conditions that even come close to describing what she has besides TN.

Thanks to anyone with advice.

i think it is normal to have pain on both sides but if she is being treated and it is not working maybe she could try other doctor  (+ info)

What treatments have you had for trigeminal neuralgia?

I have facial pain that is triggered by hot,cold,and pressure. It has gotten so bad that even if i touch my face it triggers pain. I just need to know what treatments have been suggested for others.

What Is It?

Trigeminal neuralgia, also known as tic douloureux, is a disorder of one of the nerves in the face that causes brief, shock-like pain, usually on one side of the jaw, cheek or mouth. This disorder involves the fifth cranial (trigeminal) nerve, which is responsible for sending impulses to the brain from the face, jaw, gums, forehead and the area around the eyes.
The cause of trigeminal neuralgia is not always known. The condition can occur as a result of multiple sclerosis, a brain tumor or another brain disease, such as an aneurysm. However, in 90% of cases, there is no serious brain disease. One widely held theory is that the problem is caused by an artery pressing on the trigeminal nerve where it exits the brain. A computed tomography (CT) scan or magnetic resonance imaging (MRI) should be done to check for a brain lesion.

Trigeminal neuralgia is rarely seen in people under the age of 50. When it does occur in younger people, the cause is more likely to be a tumor, aneurysm or multiple sclerosis.


Trigeminal neuralgia is characterized by a sudden, severe, electric-shock-like attack of pain on one side of the face. The pain generally lasts for several seconds to a minute and then disappears. Shaving, showering, eating, speaking or even exposure to wind can trigger a painful episode, and patients often protect the trigger zone. Trigger zones usually are found around the cheek, nose, lips or inside the mouth. When the trigger zone is inside the mouth, it often is confused with a toothache.


Trigeminal neuralgia is diagnosed based on the symptoms, including a history of characteristic pain along the trigeminal nerve. An MRI scan should be done to look for other possible conditions, such as a tumor, aneurysm or multiple sclerosis.

Expected Duration

Trigeminal neuralgia attacks last for several seconds to a minute and then totally disappear, but they may be repeated one after another. The number of attacks can vary from one or two per day to several per minute throughout the day. Episodes of attacks can last for days, weeks or months at a time and then disappear for extended periods of time. People with severe trigeminal neuralgia can be significantly disabled by the attacks.


A number of drugs can help to prevent attacks, including oxcarbazepine (Trileptal), carbamazepine (Tegretol, Atretol, Carbatrol, Epitol), gabapentin (Neurontin) and phenytoin (Dilantin and other brand names). However, these drugs have the potential for serious side effects, and a dentist or physician should monitor their use. These medications sometimes are used in combination with other drugs, such as baclofen (Lioresal), to help achieve pain relief. Some of these medications require blood tests while you are taking them to monitor liver function and the level of the drug in your blood.
If medication fails to provide relief, your doctor may refer you to a neurosurgeon to talk about surgical treatment options.

When To Call A Professional

If you are experiencing pain characteristic of trigeminal neuralgia (electric-shock-like pain on one side of the jaw or cheek), you should see your dentist or physician immediately.


Trigeminal neuralgia is not a life-threatening condition unless it is caused by a tumor, aneurysm or other brain disease. Yet, the condition can be incapacitating. However, most cases can be controlled with medication, and/or surgery.

Additional Info

National Institute of Neurological Disorders and Stroke
P.O. Box 5801
Bethesda, MD 20824
Phone: (301) 496-5751
http://www.ninds.nih.gov/  (+ info)

can raynauds syndrome cause trigeminal / facial neuralgia like symptons in the upper teeth on one side?

from cold air blowing on your face or from being really cold?

huh..i thought i was the only one with raynauds...my hands and feet are beet red...it looks like trigeminal neuralgia is related to nerves, and my understanding of raynaud's is that the capillaries are just real close to the skin's surface, and that's what causes the pain/numbness like we get frostbite real fast just because the blood is so susceptible that close to the surface...my hands get really red, almost purple when I'm working out or real hot, and i can barely hold a can of cold pop for more than 5-10 seconds without almost freezing my palms...back to trigeminal neuralgia...see your doctor ASAP, like tomorrow, since this may be a symptom of something more serious and is not a "normal" feeling for raynauds  (+ info)

neuralgia and facial spasms?

what could it be

An exposed tooth nerve can cause neuralgia ands spasms of the facial muscles. You need to contact a dentist to see that this is a fact.
Sometimes airflow over the face can give rise to a neuralgic like pain but it may also develop into Bells Palsey. ( facial paralysis of a temporary nature)  (+ info)

What is the best surgery for trigeminal neuralgia?

My mom is 73 year old and diagnosed with trigeminal neuralgia. She's done with al kinds of pain medication and is now considering surgery. Any suggestion?

It depends on what is pressing on the nerve or where on the nerve the problem is. SHe needs to see a Neuro Surgeon.  (+ info)

Trigeminal neuralgia: can it involve a constant pain instead of a fleeting pain?

Classic trigeminal neuralgia involves a fleeting pain that is often triggered by an external stimulus. The cause is often found to be a blood vessel pressing on a nerve. Can that same situation (a blood vessel pressing on a nerve) cause a constant pain that is not triggered by an external stimulus? If so, is the blood vessel always apparent on an MRI? Or might an MRI miss it? Thanks for all replies.

Yes, TN can cause constant pain. When it does, it's usually classified as "atypical trigeminal neuralgia."

If a blood vessel is pressing on the nerve, an MRI ordered to focus in tightly on the trigeminal nerve ought to catch it, but sometimes the cause of trigeminal neuralgia isn't as readily apparent as a blood vessel pressing on a nerve. Sometimes (as in my case) there's no visible cause at all to explain why the nerve keeps firing.

There's a useful breakdown of the various types of TN and related facial pain problems here:

(Although bear in mind while reading it that this website is focused on MVD, so it tends to overstate both the probability of a blood vessel pushing on a nerve as the evident cause *and* the efficacy of the MVD operation as a cure for TN. Nonetheless, if you can overlook that, it's still a pretty decent breakdown.)  (+ info)

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