The trigeminal nerve is a pair of cranial nerves that send and receive sensory and motor information from the face to the brain.
Trigeminal neuralgia, also known as tic douloureux, is a condition that causes intense, sudden, sharp, shooting or electric shock like pain near the ears on one side of the face.
It presents brief episodes of stabbing / lancinating facial pains in 2nd and 3rd division of trigeminal nerve, aggravated by even light touch, drafts, eating etc.
It mainly arises from an irritated or damaged trigeminal nerve, which carries signals from the face to the brain.
The trigeminal nerve’s function is disrupted due to pressure on the nerve because of injury to bone or connective tissue or to a blood vessel supplying the nerve.
During initial phase there are short or mild episodes of pain, but the condition can get worse, causing longer periods of more frequent pains.
The risk gets higher for patients with certain health conditions such as hypertension, multiple sclerosis (damaged myelin sheath) or a tumor pressing against the trigeminal nerve also can cause the condition.
Some people may also experience trigeminal neuralgia as a result of a stroke or facial trauma.
It’s more common in women and people older than 50.
Common Symptoms
- Burning, aching, throbbing, numbness, or tingling sensations
- One-sided facial pains.
- The pain usually on the lower face.
- Episodes of intense shooting or jabbing pain that may feel like an electric shock.
- Pain lasting from a few seconds to several minutes.
- In chronic or very severe cases, episodes of pain lasting days, weeks, months or longer.
- Pain that occurs with facial spasms.
- Pain in areas supplied by the trigeminal nerve i.e., cheek, jaw, teeth, gums, lips, eyes and forehead.
- Pain focused in one spot
- Pain radiating to a wider pattern.
Common Triggers
- Usually, an artery or vein pressing / impinging on the trigeminal nerve.
- Shaving
- Chewing
- Touching face.
- Eating
- Drinking
- Brushing teeth.
- Talking
- Putting on makeup.
- A light breeze blowing over the face.
- Smiling
- Washing face.
DO’S AND DONT’S
- A diet rich in Vitamin B and E is a must.
- Vitamin B12 helps maintain nerve cell health and can be effective in treating painful neuropathies.
- Supplements of Vitamin B6, B complex and E help in regeneration of nerves.
- Magnesium may help regulate nerve function and reduce pain.
- Omega-3 fatty acids reduce neuropathic pain.
- Vitamin D help with trigeminal neuralgia.
- Peppermint oil and lavender essential oils massage may help with pain associated with trigeminal neuralgia.
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