- 1 What is Trigeminal Neuralgia?
- 2 Causes of Trigeminal Neuralgia
- 3 Symptoms of Trigeminal Neuralgia
- 4 How is Trigeminal Neuralgia Diagnosed?
- 5 Tests for Trigeminal Neuralgia
- 6 Treatment for Trigeminal Neuralgia
What is Trigeminal Neuralgia?
Trigeminal neuralgia is a disorder of the fifth cranial nerve that causes episodes of intense, stabbing, electric shock-like pain in the areas of the face where the branches of the nerve are distributed – lips, eyes, nose, scalp, forehead, upper jaw, and lower jaw.
The attacks of pain, generally last several seconds but may be repeated one after the other, throughout the day. The attacks may come and go and last for days, weeks, or months at a time, and then disappear for days, months or years.
Causes of Trigeminal Neuralgia
Most often, the cause of trigeminal neuralgia is not known. There are some instances when the nerve can be compressed by nearby blood vessels, aneurysms, or tumors.
There are inflammatory causes of trigeminal neuralgia because of systemic diseases including multiple sclerosis, sarcoidosis, and Lyme disease. There also is an association with collagen vascular diseases including scleroderma and systemic lupus erythematosu
Symptoms of Trigeminal Neuralgia
The pain is severe and described as an electric shock. It may be made worse by light touch, chewing, or coldexposure in the mouth. In the midst of an attack, affected individuals shield their face trying to protect it from being touched. This is an important diagnostic sign because with many other pain syndromes like a toothache, the person will rub or hold the face to ease the pain.
While there may be only one attack of pain, the person may experience recurrent sharp pain every few hours or every few seconds. Between the attacks, the pain resolves completely and the the person has no symptoms. However, because of fear that the intense pain might return, people can be quite distraught. Trigeminal neuralgia tends not to occur when the person is asleep, and this differentiates it from migraines, which often waken the person.
- Pain is described as lancinating – (sharp)
- Pain comes and goes (intermittent)
- Pain must be in the distribution of the trigeminal nerve.
- There is remission.
- A diagnostic tool is the response to Tegretol ( Carbamazepine); or other antiepileptic medications.
- The pain is triggered.
Pain triggers may include:
- touch – rubbing the face, brushing your teeth, blowing your nose or shaving
- facial movement – chewing, talking, smiling
- temperature – drinking hot or cold liquids, cold breezes, washing with cold water
How is Trigeminal Neuralgia Diagnosed?
Idiopathic trigeminal neuralgia is a clinical diagnosis and often no testing is required after the health care professional takes a history of the situation and performs a physical examination which should be normal.
It is important to remember that the neurologic exam must be normal. There are two specific areas to test. There can be no muscle weakness; V3 is responsible for chewing and there can be no jaw or facial weakness found. The corneal reflex controlled by V1must be present. When the cornea or covering of the eye is touched, the eye blinks in response. If these two findings are not normal, the search should begin for an inflammatory or compression cause of the trigeminal nerve. Some clinicians may order an MRI to help diagnose other conditions that may cause trigeminal neuralgia.
Tests for Trigeminal Neuralgia
Magnetic resonance imaging (MRI) can detect if a tumor or MS is irritating the trigeminal nerve. However, unless a tumor or MS is the cause, imaging of the brain will seldom reveal the precise reason why the nerve is being irritated. The vessel next to the nerve root is difficult to see even on a high-quality MRI. Tests can help rule out other causes of facial disorders. Trigeminal neuralgia usually is diagnosed based on the description of the symptoms provided by the patient.
Treatment for Trigeminal Neuralgia
Trigeminal neuralgia is usually a long-term condition, and the periods of remission often get shorter over time. However, most cases can be controlled with treatment to at least some degree.
An anticonvulsant medication called carbamazepine, which is often used to treat epilepsy, is the first treatment usually recommended to treat trigeminal neuralgia.
Carbamazepine needs to be taken several times a day to be effective, with the dose gradually increased over the course of a few days or weeks so high enough levels of the medication can build up in your bloodstream.
Unless your pain starts to diminish or disappears altogether, the medication is usually continued for as long as necessary, sometimes for many years.
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.