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

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

Symptoms

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

Manage

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

Approaches

Surgery:

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

Homoeopathy:

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.

Investigation

Neurological examination
MRI of the Brain and Face
CT-Scan of the Brain and Face
EEG

Testimonials

Trigeminal Neuralgia TRIGEMINAL NEURALGIA HELPED BY HOMOEOPATHY To, Dr.A.K.Gupta Consultant Homeopath Sub:- Expression of convivial gratitude for the compassionate and kind care bestowed by your kind authority. Dear Sir, It imparts me blissful sense in turning over my feelings of admiration towards the affable attitude and benevolent kindness, rendered by you. The professional proficiency of paramount nature gelled with a munificent stance makes you a pinnacle of your specialty and as a human being. No amount of appreciation can really reflect my venerated regards for you as an exemplifying doctor, as you provided keen ears to comprehend the nature of my illness and endowed me with the most excellent treatment modality. I, genuinely reckon your merciful authority, as a paradigm of your specialty and in sheer positivism I firmly hope that the superfluous sympathy flaunted by you will keep on flowering in future as well. Wishing your authority highest echelons of accomplishments and feats. With unfathomable and most revered regards. Dr. Anil Khetarpal MS, FAIS, FICS Laproscopic & Endovirolgical Surgeon KHETARPAL HOSPITAL F-95, Bali Nagar, New Delhi -110015 DR. ANIL KHETERPAL New Delhi

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