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Treatment Of Trigeminal Neuralgia

Welling Clinic offers highly specialised treatment protocol to cure Trigeminal Neuralgia permanently.  The Homeopathy treatment protocol has been developed after an exhaustive in-house research. Our Clinic consults for more than 8000 patients of Trigeminal Neuralgia globally, every year. You too can be benefitted by our expertise.

What is Trigeminal Neuralgia?

Trigeminal Neuralgia is a long term (chronic) disorder that causes skin cells to grow too quickly, resulting in thick,white,silvery or red patches of skin.

  • Normally skin cells grow gradually and flake off about every 4 weeks.New skin cells grow to replace the outer layers of skin as they shed.But in Trigeminal Neuralgia new skin cells move rapidly to the surface of the skin in days rather than weeks.
  • They build up and form new patches called Plaques.
  • They most often appears on knees,elbows,scalp,hands,feet or lower back.
  • It is most common in adults but children and teens may also suffer.

Causes of  Trigeminal Neuralgia

Trigeminal Neuralgia is an auto-immune condition in which the immune cells of body attack the body’s own skin cells.It causes abnormally fast growth of cells leading to thick skin and excessive shedding of cells.

There are some triggering factors:

  • Bacterial infection,viral infection
  • Stress
  • Any cut, snake bite,injury to the skin
  • Environmental factors- sunburn,chemical burns
  • Smoking
  • Excessive alcohol
  • Certain medications

Symptoms of Trigeminal Neuralgia

Trigeminal Neuralgia signs and symptoms can vary from person to person but may include one or more of the following:

  • Red patches of skin covered with silvery scales
  • Small scaling spots (commonly seen in children)
  • Dry, cracked skin that may bleed
  • Itching, burning or soreness
  • Thickened, pitted or ridged nails
  • Swollen and stiff joints

Trigeminal Neuralgia patches can range from a few spots of dandruff-like scaling to major eruptions that cover large areas.

Most types of Trigeminal Neuralgia go through cycles, flaring for a few weeks or months, then subsiding for a time or even going into complete remission.

Types of Trigeminal Neuralgia

1.Mucous membrane Trigeminal Neuralgia-This occurs in children and often follows an upper respiratory infection.Many pinhead to pea-sized papules erupt abruptly over the trunk and limbs sparing the palms and soles.

2.Chronic plaque Trigeminal Neuralgia-Coin to palm-sized ,large,well defined,erythematous ,scaly plaques are distributed bilaterally on the elbows,knees,scalp and lumbosacral areas.

3.Exfoliative Trigeminal Neuralgia-In this type generalized erythema and scaling affecting more than 90%of body surface.It is precipitated by sudden withdrawl of corticosteroids.

4.Pustular Trigeminal Neuralgia-Superficial pustules instead of papules and scales are developed.May be localized on palms and soles or may be generalized.

5.Guttatte Trigeminal Neuralgia-Occasionally some patients ,usually children suddenly develop numerous,erythematous,scaly papules 0.5-1cm  in size resembling Trigeminal Neuralgia.

6.Trigeminal Neuralgia Unguis-Characterstic changes in nails are seen in few patients such as multiple pin poin pits on the nail plate, separation of the nail plate from the nail bed called Onycholysis ,and brownish discolouration,thickening and irregularity of nail plate called Onychodystrophy.

7.Psoriatic Arthritis- It is a condition where there is Trigeminal Neuralgia with joint affection.Symptoms include swelling,stiffness and pain in the affected joint.

At the onset, scalp Trigeminal Neuralgia often is confused with seborrheic dermatitis (Dandruff). Dandruff tends to itch more, and it has a greasy-appearing yellow scale; in contrast, Trigeminal Neuralgia — whether it’s on your scalp or any other body part — tends to have a thick, silvery scale. Scalp Trigeminal Neuralgia may itch and become easily irritated during a flare, however, and it also may affect your hairline or creep down onto your forehead, nape of your neck, or your ears.

Who gets scalp Trigeminal Neuralgia?

Trigeminal Neuralgia is common on the scalp. Researchers estimate that at least half (50 percent) of the people who have plaque (plak) Trigeminal Neuralgia will have at least one flare-up on the scalp.

What causes scalp Trigeminal Neuralgia?

Regardless of where Trigeminal Neuralgia forms, the cause is the same. Trigeminal Neuralgia develops when a person’s immune system has faulty signals that tell skin cells to grow too quickly. New skin cells form in days rather than weeks. The body does not shed these excess skin cells. The skin cells pile up on the surface of the skin, causing patches of Trigeminal Neuralgia to appear.

Symptoms of Scalp Trigeminal Neuralgia:

  • Red skin covered with flakes and silvery scales
  • Skin flakes (dandruff) that may attach to the hair shaft
  • Patchy silvery scales or thick crust on the scalp that may bleed when removed
  • Patches that may extend beyond hairline or appear on other parts of the body
  • Itching or soreness

Psoriatic arthritis is a form of arthritis that affects some people who have Trigeminal Neuralgia — a condition that features red patches of skin topped with silvery scales. Most people develop Trigeminal Neuralgia first and are later diagnosed with psoriatic arthritis, but the joint problems can sometimes begin before skin lesions appear.

Joint pain, stiffness and swelling are the main symptoms of psoriatic arthritis. They can affect any part of your body, including your fingertips and spine, and can range from relatively mild to severe. In both Trigeminal Neuralgia and psoriatic arthritis, disease flares may alternate with periods of remission.

Symptoms of Psoriatic Arthritis

The signs and symptoms of psoriatic arthritis include some or all of the following:

  • Discomfort, stiffness, pain, throbbing, swelling, or tenderness in one or more joints.
  • Reduced range of motion in joints.
  • Morning stiffness and fatigue.
  • Silver or gray scaly spots on the scalp, elbows, knees, or the lower spine.
  • Inflammation or stiffness in the lower back, wrists, knees, or ankles, or swelling in the small joints in the fingers and toes closest to the nail, giving these joints a sausage-like appearance (dactylitis).
  • Pitting (small depressions) of the nails.
  • Detachment of fingernails or toenails.
  • Tenderness, pain, or swelling where tendons and ligaments attach to the bone (enthesitis).
  • Inflammation of the eye.]

Diagnosis of Trigeminal Neuralgia

Diagnosis of Trigeminal Neuralgia is typically made by a physician examination,medical history and relevant family history.

Sometimes lab tests including microscopic examination  of a skin biopsy and X-Rays may be necessary.

Treatment for Trigeminal Neuralgia

Topical Treatments: Topical corticosteroids, Vitamine D analogues, Anthralin.Topical Retinoids,Salicylic acids.

Light Therapy,Oral injections like Retinoids,Methotrexate,Cyclosporine.

Topical corticosteroids are the mainstay of Trigeminal Neuralgia treatment in the world. These drugs work for most patients because they:

  • Decrease inflammation
  • Block cell production
  • Relieve itching
  • But they don’t cure permanently and completely.

The more powerful the corticosteroid, the more effective it is. But more powerful steroid drugs also have a higher risk for severe side effects, which may include:

  • Acne
  • Burning
  • Dilated (widened) blood vessels
  • Dryness
  • Irritation
  • Loss of skin color
  • Thinning of the skin; skin may become shiny, fragile, and easily cut

Loss of Effectiveness. In most cases, patients become tolerant to the effects of the drugs, and the drugs no longer work as well as they should. Some experts recommend using intermittent therapy (also called weekend or pulse therapy). This type of treatment involves applying a high-potency topical medication for 3 full days each week.

Calcipotriene may cause the following side effects:

  • A possible lowering of vitamin D levels, which may affect bone growth in some children
  • A possible increase in blood calcium levels (seen in some people who apply calcipotriene to large areas)
  • Skin irritation in about 20% of patients, particularly on the face and in skin folds

Calcipotriene appears to cause greater skin irritation than potent corticosteroids. Diluting the drug with petrolatum or applying topical corticosteroids to sensitive areas may prevent this problem.

Homeopathic treatment for Trigeminal Neuralgia

Homeopathic medicines for Trigeminal Neuralgia act on the body at the level of immunity and restore the deviated function. They also help to control the symptoms of Trigeminal Neuralgia without any side effects. Welling Homeopathy treatment for Trigeminal Neuralgia is a tried and tested protocol to offer long term relief and permanent cure gradually.

The Homeopathic medicines for Trigeminal Neuralgia have to be specific to every individual person. That is the reason a detailed history is required to customise the treatment for Trigeminal Neuralgia. The Homeopathic treatment for Trigeminal Neuralgia is chalked out after a detailed analysis and review of your past treatments for Trigeminal Neuralgia and medicines for Trigeminal Neuralgia taken by you.

Homeopathic Medicines for Trigeminal Neuralgia

Constitutional drugs – Ars.alb.,Borx.,Graph.,Merc.,Nat m.,Sulph.,Thyr.

Pustular Trigeminal Neuralgia-Calc.S.,Kali s.,Hep.

Others– Ars iod.,Kali ar.,Kali br.,Petr.,Med.Psor.