How to Diagnose Trigeminal Neuralgia?

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Trigeminal neuralgia is a chronic pain condition which usually affects the trigeminal nerve. There are two kinds of trigeminal neuralgia: typical trigeminal neuralgia and atypical trigeminal neuralgia. It should be noticed that trigeminal neuralgia is more common among women than men, and it is more likely to occur in people over 50. The disease can be diagnosed by its possible symptoms such as episodes of severe, shooting or jabbing pain feeling like the electric shock; episodes of several attacks lasting days, weeks, months or longer; and constant pain when touching the face, chewing, speaking or brushing teeth. Besides, doctor may use some tests to diagnose the disease. Neurological examination. It is used to examine parts of your face to find the exact parts where the pain occurs. Usually, reflex tests are used to check the nerve condition in your face. Magnetic resonance imaging. MRI scan is used to check your head to determine whether your symptoms are caused by multiple sclerosis or tumor. Keywords: diagnosis trigeminal neuralgia; trigeminal neuralgia diagnosis
My trigeinmal problem was caused by the dentist when he hit the nerve while giving me a Novocaine shot so he could work on one of my teeth. It's been at least 7 years and the trigeinmal nerve still gives me terrible pain. I was put on Trileptal for quite a while until I was able to manage the horrific pain it did and still causes! The pain becomes so intense that I can't always touch my left eye, cheek and the left side of my nose! I know the pain anyone else that has this problem is going through and my heart breaks for them.
Trigeminal neuralgia is a kind of paroxysmal, transient and severe pain, which is often seen in women over 40 years old. It is neither infectious nor hereditary and it is usually divided into primary trigeminal neuralgia and secondary trigeminal neuralgia. The etiology of primary trigeminal neuralgia is not yet known. It may be caused by wear and tear on the outer myelin sheath of the trigeminal nerve due to vascular pulsation close to the trigeminal nerve. In your case, you mentioned that the doctor may have injured your trigeminal nerve during the dental operation, which is also one of the most common reasons. I suggest you go to the department of neurology for cranial nerve examination and make an appointment for cranial magnetic resonance imaging to rule out the possibility of secondary trigeminal neuralgia caused by abnormalities in the brain. When primary trigeminal neuralgia is diagnosed, you can first try medication. Usually gabapentin or carbamazepine is effective. If the drug is not ideal, microvascular decompression surgery can be done, which is a relatively mature surgery.
I know what and how it happened as I went to the neurologist and he was the person that diagnosed me after I told him what happened at the dentist office and also the symptoms that occurred after my dentist damaged the nerve. While I appreciate your input, I chose to continue managing then pain as much as I can. I would rather go through the pain rather than go through any kind of surgery. I'm not very trusting as I get older!!
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