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Trigeminal neuralgia usually involves brief, but intense jabs of pain, though is sometimes more steady and continuous. It can also get revved-up by external stimuli, like washing face, putting on make-up, brushing teeth, chewing—and sometimes just talking.
The most usual form of trigeminal neuralgia begins after age of 50. And, once present, it tends to hang around. Its course—-like that of stock market—-fluctuates.
Treatment is not usually curative, but help is still available. Most patients obtain relief through one or a combination of medications that either simmer down extra nerve-impulses or reduce effects of barrage of extra signals that arrive in brain. Some of their generic names are carbamazepine, gabapentin, baclofen, clonazepam and lamotrigine.
A minority of patients with this condition undertake surgery for it. One surgery involves purposely damaging trigeminal nerve-fibers where they gather together in a structure called a ganglion. This approach is fairly safe, but produces partial numbness on face.
Another surgery goes straight to where trigeminal nerve fibers meet brain. The surgeon gently separates nerve from its surrounding tissues. The good part of this procedure is that it doesn't seek to damage tissue. The downside is that location for surgery is at an important cross-roads for many nerve and brain pathways, so a complication can be devastating. While some people get long-lasting relief from surgeries, others obtain just temporary respite.
While foregoing summary of treatments sounds gloomy, it's important to realize that most people who seek medical treatment for their trigeminal neuralgia are able to arrive at a happy point where pain is minimized and quality of life is maximized. The neuralgia no longer rules their lives; instead, they're in control of neuralgia.
Gary Cordingley, MD, PhD, is a clinical neurologist, teacher and researcher. For more health-related information see his website at:
http://www.cordingleyneurology.com