Trigeminal neuralgia is a neuropathic facial pain condition. The pain is recurrent and episodic. Patients describe this pain as lancinating, sharp, pricking, stabbing, and electric shock-like pain lasting for few seconds. It affects one side of the face. The cause has been attributed to the damage of the myelin sheath of the trigeminal nerve and nerve compression due to an enlarged blood vessel. In addition, specific triggers like a gentle touch on the face, chewing, shaving, brushing the teeth, washing face, smiling, talking, wind blow over the face, etc., are known to cause pain episodes. Carbamazepine is recommended to reduce nerve pain. Glycerol injections, balloon compression, radiofrequency lesioning, and microvascular decompression are the available treatment options to relieve the symptoms.
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I have been experiencing sharp shooting pain in my head recently. Why?
Query: Hi doctor, I have had headaches like shooting sharp pains in my head. The headaches are not consistent. It feels like a random sharp pains. These pains have lasted a few minutes (three to four). It is only on the left side of the head that has pain. I have constant ringing in my ears and I have co... Read Full »
Answer: Hello, Welcome to icliniq.com. I need to ask you a few follow-up questions to distinguish what headache subtype it could be. I want answers to my questions to rule out a few possibilities. Thank you. Read Full »
I am pregnant and I have nerve pain all over my face. What could it be?
Query: Hello doctor, I am a 28-year-old female with a height of 5 feet 5 inches weighing 140 pounds, healthy, non-smoking, non-drinking female with no drugs and no other known health problems. Two months ago, I was exposed to HSV-1 and then seven days later, I was tested positive for HSV-1 oral with IgG o... Read Full »
Answer: Hello, Welcome to icliniq.com. Your symptoms are compatible with trigeminal neuralgia. I agree with your doctor's decision to avoid performing brain MRI (magnetic resonance imaging) or any medication within the first trimester. Regarding encephalitis, you should know that it is a very serious co... Read Full »
My lymphocyte count increased by 1000 in eight days. What is wrong with me?
Query: Hello doctor, My age is 27 years, my height is 5’4," and my weight is 65. I have trigeminal neuralgia, for which I take Lyrica 75 mg during flare-ups. I recently had a blood test that indicated low vitamin D (6 ng/ml), for which the doctor advised me to take a D-rise of 60,000 IU/week for eight w... Read Full »
Answer: Hello, Welcome to icliniq.com. Your increased WBC and lymphocytes, I could certainly relate it to your trigeminal neuralgia as this is an inflammation of a nerve which would rise WBC levels even if you are in recovery period with no symptoms. But, what I am concerned about is your appetite and... Read Full »
Is trigeminal neuralgia curable?
Query: Hi doctor, I think that I have atypical trigeminal neuralgia (TN2) and started taking Carbamazepine from two days back. It seems to help me. But it is not helping me entirely. Constantly, I have a dull ache in the left jaw area and a tingling or burning sensation on the lower outside portion of t... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Your symptoms are atypical. As bright light indirectly activates the spinal trigeminal nociceptors, it explains the mechanism of trigeminal nociceptor sensitization that increases the pain quality by bright light. On the other hand, it can be ... Read Full »
Why does my nephew feel pain while resting or sleeping on the left side of his face after surgical removal of the left salivary gland which had a tumor?
Query: Hello doctor, My nephew had a tumor on the left side of his face in the submandibular gland region eight months back. He visited a nearby clinic, where the doctor advised FNAC for the tumor. After reviewing the biopsy reports, he advised him to take some antibiotics, he developed an intolerance to t... Read Full »
Dr. Florilyn Joyce Chulsi Bentrez
Answer: Hello, Welcome to icliniq.com. I understand your concern. I see it is indeed a difficult case. I suggest you also give a trial to anti-Koch's medications (antitubercular medications). I am thinking of it as a differential diagnosis, given the duration, location, and biopsy results. Please continue... Read Full »
My mom was treated for trigeminal neuralgia, with no relief. What to do?
Query: Hello doctor, My 58 year old mother has a history of trigeminal neuralgia from the past four years. She was initially treated with Carbamazepine, but she had a severe allergic reaction, due to which it was stopped. Oxcarbazepine was tried, and it caused allergy too. Pregabalin, phenytoin, and sod... Read Full »
Answer: Hello, Welcome to icliniq.com. You seem to have tried all the possible treatments. I would suggest trying a medicine known as Tapentadol at doses of 50 mg twice daily, along with Gabapentin 600 mg per day. Consider radiofrequency ablation or alcohol injection into the nerve again, if no r... Read Full »
Does numbness, burning and tingling sensation on face mean trigeminal neuralgia?
Query: Hello doctor, Three and a half months ago I started with numbness, burning and tingling on the left side of my face. I had been very sick with a chest cold. One week later I had blisters on my upper left palate, I went to the doctor and she said definitely shingles. Now l never had any pain or sens... Read Full »
Answer: Hello, Welcome to icliniq.com. You should know that trigeminal neuralgia is a common complication of shingles or herpes infection. As blisters appeared the first time, it means that the herpes infection was present (probably HSV1 (herpes simplex virus, which is typical in this region). It is quite... Read Full »
What is the reason for recurrent pain in the left side of my face when I swallow liquids?
Query: Hello doctor,I am a 27 year old male in good physical shape, doing workouts every day. My weight is 90 kg and my height is 170 cm. About four months ago, I started to feel a sharp pain on the left side of my face, above my left eye when I swallow liquids. The pain is not intense, but rather I feel... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concerns. Firstly, I feel your neurologist was right to prescribe you Lyrica (Pregabalin) although it did not help you in gaining control over the pain. Secondly, finding the etiology of a sharp pain over the left eye is quite impo... Read Full »
What can cause episodes of dizziness and electric shocks in the head?
Query: Hi doctor, I am a 37-year-old male. I am getting bouts of dizziness as an electric shock in my head. I have some nerve twitch in my temple. I have done some screening tests such as stress echo, blood test, and holter monitor. All the results came back normal. My doctor referred me to an ENT speci... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Dizzy boots are caused due to inner ear disorders including positional paroxysmal benign vertigo. Electric shock-like feeling in the head occurs due to trigeminal neuralgia. It is a condition where a nerve in the brain gets irritated and it ap... Read Full »
What can cause head and ear pain on the same side for a month?
Query: Hi doctor, I have earache and headache on the same side. I have pain while washing my face near my ears for a month. Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. You are having headaches and earaches on the same side. You have more pain while washing your face. Please mention the nature of your pain whether it seems like an electric shock or it comes and goes or dull in nature. This type of pain can oc... Read Full »