Trigeminal Neuralgia

Trigeminal neuralgia is inflammation of the trigeminal nerve, causing intense facial pain. It is also known as tic douloureax because the intense pain. It can cause patients to contort their face into a grimace and cause the head to move away from the pain. The obvious movement is known as a tic. Though it can affect people of any age, trigeminal neuralgia tends to afflict people older than 60 years of age. It affects the right side of the face five times more often than the left.
Causes Symptoms Manage Approaches Investigation Testimonials
  • The cause of trigeminal neuralgia is idiopathic, meaning the cause 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 erythematosus
  • Episodes of severe, shooting or jabbing pain that may feel like an electric shock
  • Spontaneous attacks of pain or attacks triggered by things such as touching the face, chewing, speaking or brushing teeth
  • Bouts of pain lasting from a few seconds to several minutes
  • Episodes of several attacks lasting days, weeks, months or longer — some people have periods when they experience no pain
  • Constant aching, burning feeling that may occur before it evolves into the spasm-like pain of trigeminal neuralgia
  • Pain in areas supplied by the trigeminal nerve, including the cheek, jaw, teeth, gums, lips, or less often the eye and forehead
  • Pain affecting one side of the face at a time, though may rarely affect both sides of the face
  • Pain focused in one spot or spread in a wider pattern
  • Attacks that become more frequent and intense over time
  • Anticonvulsants - Allopathic Doctors usually prescribe carbamazepine (Tegretol, Carbatrol, others) for trigeminal neuralgia, and it has been shown to be effective in treating the condition.
  • Muscle-relaxing agents such as baclofen (Gablofen, Lioresal) may be used alone or in combination with carbamazepine.
  • Small studies have shown that onabotulinumtoxinA (Botox) injections may reduce pain from trigeminal neuralgia


  • Microvascular decompression can successfully eliminate or reduce pain most of the time
  • Brain stereotactic radiosurgery is successful in eliminating pain for the majority of people
  • Medicines like Chamomilla, Hypericum, Coffea Cruda, Spigelia, Sanguinaria, etc. are extremely efficient in treating the pain of a trigeminal neuralgia
  • Medicine selection depends on the site, type and character of the pain.
  • Neurological examination
  • MRI of the Brain and Face
  • CT-Scan of the Brain and Face
  • EEG

Trigeminal Neuralgia

Consultant Homeopath
Sub:- Expression of convivial gratitude for the compassionate and kind care bestowed by your kind authority.

Dear Sir,
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Wishing your authority highest echelons of accomplishments and feats.
With unfathomable and most revered regards.

Dr. Anil Khetarpal
Laproscopic & Endovirolgical Surgeon
F-95, Bali Nagar, New Delhi -110015

New Delhi

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