Trigeminal neuralgia is a chronic pain condition that affects the trigeminal nerve that carries the sensation from your face to your brain. If you have trigeminal neuralgia, even mild stimulation of your face – such as brushing your teeth or applying makeup – can trigger unbearable pain.
Types of Trigeminal neuralgia Diseases: We have a nerve in our body called the trigeminal nerve which usually supplies sensations from the mouth to the brain. If there is any problem with this nerve, there is a sudden pain like an electric shock on one side of the mouth and on the side of the ear. Women are more prone to this disease than men.
Cause: This disease can occur if the trigeminal nerve is stressed by the veins in the lower part of our brain. It can also be caused by aging, multiple sclerosis, brain tumors, or other problems. In addition, patients with trigeminal neuralgia may experience the sudden onset of severe pain during shaving, shaking hands, eating, drinking water, brushing teeth, talking, washing face, smiling, applying makeup. Time, in the face of strong winds.
Symptoms: Patients with trigeminal neuralgia may have one or more symptoms – severe pain like an electric shock.
- Pain may increase when shaving, rubbing hands in the face, brushing teeth, applying makeup.
- The pain lasts a few seconds, usually less than two minutes.
- If there is recurrent pain, the pain can last from a few days to a few months.
- There is usually no pain between the two episodes.
- The trigeminal nerve provides sensations in areas such as the cheeks, chin, gums, teeth, lips, and occasionally the eyes and forehead.
- The pain is on either side of the mouth (the side where the nerve is affected).
- The intensity and severity of the pain increases day by day.
Diagnosis: The type of pain, where the pain occurs, and what to do to increase the pain – from the answers to these three questions and some neurological examination can be done immediately. Sometimes MRI, EMG, NCS, etc. may be needed to determine the cause of the disease.
Treatment: This disease should be treated under the supervision of a physiotherapist or a neurologist. Treatment includes:
(A) Medications: Acetaminophen, NSAIDs,
Anticonvulsant carbamazepine, oxcarbazepine, gabapentin, muscle relaxant baclofen.
(B) Rehabilitation: Physical Therapy – Electrical Stimulation, Ice Massage, Hot Packs, Biofeedback; Speech therapy – those who have trouble speaking or swallowing food; Cognitive Behavioral Therapy; Adaptive Equipment- Telephone Airset; Exercise- Low-Intensity Aerobic Exercise; Relaxation Techniques- Meditation, Prayers, Prayer.
(C) Intervention: Trigeminal nerve block, local anesthetic nerve block, neurolytic block with alcohol/glycerol, acupuncture.
(D) Surgical treatment: Usually surgery is done only when other treatments do not work, microvascular decompression, gamma knife radiosurgery.
It is very difficult to live with trigeminal neuralgia. The disease impedes communication with family and friends, reducing work success and quality of life. It is important to be a member of an effective support group that will provide information on the treatment of this disease and share their experiences. It is possible to treat this disease in our country. If you take treatment under the supervision of a physiotherapist, the disease will be under control and the patient will be well
The page content is for informational purposes only. Items containing information about therapeutic health services are not included in the content of the page. Consult your physician for diagnosis and treatment.
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