Trigeminal Neuralgia & Atypical Facial Pain
Trigeminal neuralgia is a chronic pain condition that affects the trigeminal nerve, which carries sensation from one side of your face to your brain. Nura offers several treatment options to provide relief from facial pain.
Treatment Options for Trigeminal Neuralgia and Atypical Facial Pain
As far as treatment, there are various medications including gabapentin, pregabalin and carbamazepine that are sometimes very effective. Some patients also find pain relief with opioids, but narcotic pain pills may lead to addiction.
- At Nura, we start with neural blockade of the trigeminal ganglion– a simple and safe procedure in which steroid and local anesthetic is injected near and around the trigeminal ganglion.
- If nerve block relieves pain short term but does not last, we consider radiofrequency ablation of the trigeminal ganglion, a procedure done with IV sedation or general anesthesia in the interventional pain clinic.
- In the most severe cases which fail to respond to medications, injections, nerve ablations, and/or surgeries, targeted drug delivery with an implanted pain pump may be considered.
Trigeminal Neuralgia Symptoms
Patients with trigeminal neuralgia typically experience episodes of lightning-bolt pain on one side of the face often triggered by simple activities like chewing, brushing teeth or applying makeup.
Jolts of excruciating pain may last seconds to minutes and then stop with pain-free intervals which may last hours or days.
The trigeminal ganglion has 3 divisions and pain may involve one, two or all three of these divisions:
- ophthalmic (forehead)
- maxillary (mid-face)
- mandibular (lower jaw)
Atypical Facial Pain Symptoms
A less common form of the disorder, called atypical facial pain, causes a constant, dull burning or aching pain that is continuous rather than episodic. With atypical facial pain, electric shock-like stabs may occur, worsening the constant and continuous ache.
Unlike typical trigeminal neuralgia, there is often not a specific trigger point for the pain, and it can grow worse over time. Both trigeminal neuralgia and atypical facial pain affect one side of the face and are believed to be caused by injury, inflammation or mechanical impingement of the trigeminal ganglion.