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Treatment Of Trigeminal neuralgia

Guide to Freedom From Trigeminal Neuralgia

Trigeminal neuralgia , or Tic Douloureux, is a neuropathic disorder of the trigeminal nerve that causes episodes of intense pain in the eyes, lips, nose, scalp, forehead, and jaw.

Trigeminal neuralgia is considered by many to be among the most painful of conditions and has been labeled the suicide disease, due to the significant numbers of people taking their own lives because they were unable to have their pain controlled with medications or surgery.

An estimated one in 15,000 people suffers from trigeminal neuralgia, although numbers may be significantly higher due to frequent misdiagnosis. It usually develops after the age of 40.

The trigeminal nerve is the fifth cranial nerve , a mixed cranial nerve responsible for sensory data such as tactition (pressure), thermoception (temperature), and nociception (pain) originating from the face above the jawline; it is also responsible for the motor function of the muscles of mastication , the muscles involved in chewing but not facial expression.

Several theories exist to explain the possible causes of this pain syndrome. Among the structural causes, damage to the myelin sheath of this nerve causes the electrical impulses traveling along it to be erratic or excessive, activating pain regions or deactivating pain inhibitory regions in the brain.

The damage may be caused by an aneurysm (an outpouching of a blood vessel ) or abnormally coursing artery compressing the nerve, most frequently at the area of its cerebellopontine nerve root ; the superior cerebellar artery has been an oft-cited culprit.

Two to four percent of patients with TN, usually younger, have evidence of multiple sclerosis , which may damage either the trigeminal nerve or other related parts of the brain.

Trigeminal Neuralgia may also be caused by a tumor , an arachnoid cyst in the cerebellopontine angle , or a traumatic event such as a car accident or even a tongue piercing . When there is no structural cause, the syndrome is called idiopathic . Postherpetic Neuralgia , which occurs after shingles , may cause similar symptoms if the trigeminal nerve is affected.

Treatment

There is no cure for trigeminal neuralgia, but it can be treated with anticonvulsants such as carbamazepine (Tegretol), phenytoin , or gabapentin (Neurontin). Anticonvulsant effects may be potentiated with an adjuvant such as baclofen or clonazepam.

Baclofen may also help some patients eat more normally if jaw movement tends to aggravate the symptoms. Pain may be treated long-term with an opioid such as methadone in some patients, but due to the nature of the neuralgia, traditional analgesics typically have negligible effect.

Low doses of some antidepressants such as nortriptyline can also be effective in treating neuropathic pain. Surgery may be recommended, either to relieve the pressure on the nerve or to damage it further to prevent the transmission of pain.

Surgery is effective in more than 75% of people with classic trigeminal neuralgia. The nerve can also be damaged to prevent pain signal transmission using a fine beam of radiation, so-called gamma knife . This is used especially for those people who are medically unfit for a long general anaesthetic , or who are taking medications for prevention of blood clotting (e.g., warfarin ).

Excellent success rates using a cost effective percutaneous surgical procedure known as balloon compression have been reported . This technique has been helpful in treating the elderly for whom surgery may not be an option due to coexisting health conditions.

Balloon compression is also the best choice for patients who have ophthalmic nerve pain or have experienced recurrent pain after microvascular decompression (MVD).

Atypical trigeminal neuralgia is more difficult to treat, both with medications and surgery. Surgery may result in areas of numbness bothersome to the patient and lead occasionally to "anesthesia dolorosa," which is numbness with intense pain. It should, however, be noted that many people do find dramatic relief with minimal side effects from the various surgeries that are available.

Effective Alternative Treatment:

Guide to Freedom From Trigeminal Neuralgia

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Some User Comments:

"What a blessing! I did not know for many options that are available. After 3 MVDs that failed and 2 gamma knifes that kept me for only one month pain free, I did not see the future any more. God bless you for this product." Marylyn White , US

"Great package. I have chosen few avenues already and introduced some lifestyle changes. I have started getting benefits already." Martha Wicklich , US

"I can now understand why I have developed Trigeminal Neuralgia and I am already changing number of things in my life. Thank you so much for helping me to understand myself and giving me my hope back. I only watched videos so far and read coping techniques chapter. The feeling of empowerment comes to me." Jonathan Gray , US

Guide to Freedom From Trigeminal Neuralgia

 

 

 

 

 

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