Trigeminal Neuralgia-Dr.Kirpa Johar - HariDaan Laser Wellness

Trigeminal Neuralgia

Trigeminal neuralgia (TN), also known as tic douloureux, is a distinctive facial pain syndrome that may become recurrent and chronic. 

It is a chronic pain condition that affects the trigeminal nerve, which carries sensation from your face to your brain.

                                                                                  Trigeminal_neuralgia

                                                                                     Trigeminal neuralgia

If you have trigeminal neuralgia, even mild stimulation of your face such as from brushing your teeth or putting on makeup may trigger a jolt of excruciating pain.


Symptoms

Trigeminal neuralgia symptoms may include one or more of these patterns:
    
bullets1 Occasional twinges of mild pain.
    bullets1 Episodes of severe, shooting or jabbing pain that may feel like an electric shock.
    bullets1 Spontaneous attacks of pain or attacks triggered by things such as touching the face, chewing, speaking and brushing teeth.
    bullets1 Bouts of pain lasting from a few seconds to several seconds.
   bullets1 Episodes of several attacks lasting days, weeks, months or longer some people have periods when they experience no pain.
    bullets1 Pain in areas supplied by the trigeminal nerve, including the cheek, jaw, teeth, gums, lips, or less often the eye and forehead.
    bullets1 Pain affecting one side of your face at a time.
    bullets1 Pain focused in one spot or spread in a wider pattern.
    bullets1 Attacks becoming more frequent and intense over time.


Causes of Trigeminal Neuralgia

In trigeminal neuralgia, the trigeminal nerve's function is disrupted.

bullets1 Usually, the problem is contact between a normal blood vessel in this case, an artery or a vein and the trigeminal nerve, at the base of your brain. This contact puts pressure on the nerve and causes it to malfunction
bullets1 Result of aging
bullets1  It can be related to multiple sclerosis or a similar disorder that damages the myelin sheath protecting certain nerves.


                                                                                        Trigeminal_nerve

                                                                          Trigeminal nerve supply to face

Less commonly, trigeminal neuralgia can be caused by

   
 bullets1 A tumour compressing the trigeminal nerve.
    bullets1 A brain lesion or other abnormalities.


In other cases, a cause can't be found.


Triggers

A variety of triggers may set off the pain of trigeminal neuralgia, including:

    bullets1 Shaving
    bullets1 Stroking your face
    bullets1 Eating
    bullets1 Drinking
    bullets1 Brushing your teeth
    bullets1 Talking
    bullets1 Putting on makeup
    bullets1 Encountering a breeze
    bullets1 Smiling
    bullets1 Washing your face


Diagnosis

Your doctor will diagnose trigeminal neuralgia mainly based on your description of the pain, including: 

bullets1 Type
 
Pain related to trigeminal neuralgia is sudden, shock-like and brief.


bullets1 Location 
The parts of your face that are affected by pain will tell your doctor if the trigeminal nerve is involved.


bullets1 Triggers 
Trigeminal neuralgia-related pain usually is brought on by light stimulation of your cheeks, such as from eating, talking or even encountering a cool breeze. 

Tests such as neurological examination and Magnetic resonance imaging (MRI) may be required to make accurate diagnosis of trigeminal neuralgia and determine underlying causes for your condition.


Treatment

Trigeminal neuralgia treatment usually starts with medications, and many people require no additional treatment. However, over time, some people with the condition may stop responding to medications, or they may experience unpleasant side effects. For those people, injections or surgery provide other trigeminal neuralgia treatment options.


Low Level Laser Therapy Treatment for Trigeminal Neuralgia

Low Level Laser Therapy (LLLT) is the application of red and near infrared light over injuries to stimulate cellular repair. LLLT has a powerful anti-inflammatory effect as well as a healing effect. 


Clinical studies of the effects of LLLT on injured nerves have revealed 

    bullets1 An increase in nerve function and improved capacity for myelin production.
    bullets1 LLLT has been shown to be effective for promoting axonal growth in injured nerves. 


The main benefit of LLLT is that it is relatively non-invasive and has the ability to treat nerve injuries without surgical intervention thus making it a desirable treatment option.

LLLT appears to be a highly effective modality in treating intractable facial pain as seen with trigeminal neuralgia.

LLLT has no known side effects, is safe and effective.