A disorder of the trigeminal nerve in which brief episodes of severe, stabbing pain affect the cheek, lips, gums, or chin on 1 side of the face.
The disorder usually occurs over age 50.
Pain may come in bouts that last for weeks at a time.
The cause is uncertain, and pain is often brought on by touching the face, eating, drinking, or talking.
Analgesic drugs may be tried, but often, carbamazepine is more effective.
If this fails, surgery may help.
Facial neuralgia or tic doulourex. This is pain of the gasserian ganglion or one or more branches of the trigeminal nerves. It is felt as pain along the side or top of the head, the scalp and around the eyes...a “skin headache”...and sometimes accompanied by facial muscle cramps. It is usually initiated by trigger points, with blood sugar irregularities and substance sensitivities often lowering their threshold of irritation.
Also called tic douloureux, this is one of the most severe forms of NEURALGIA. It affects the main sensory nerve in the face (TRIGEMINAL NERVE), and may occur in one or more of the three divisions in which the nerve is distributed.
It is usually con?ned to one side. It is more common in women than in men, usually occurring over the age of 50. The attack is often precipitated by movements of the jaw, as in talking or eating, or by tactile stimuli such as a cold wind or washing the face. When the ?rst or upper division of the nerve is involved, the pain is mostly felt in the forehead and side of the head. It is usually of an intensely sharp, cutting, or burning character, either constant or with exacerbations each day while the attack continues. There is also pain in the eyelid, redness of the eye and increased ?ow of tears. When the second division of the nerve is affected, the pain is chie?y in the cheek and upper jaw. When the third division of the nerve suffers, the pain affects the lower jaw. Attacks may recur for years; and, although interfering with sleeping and eating, they rarely appear to lead to any serious results. Nevertheless, the pain may become intolerable.
Treatment The outlook in trigeminal neuralgia was radically altered by the introduction of the drug CARBAMAZEPINE, which usually relieves the pain. If the side-effects – for example, dizziness, headache, nausea or drowsiness – are unacceptable or pain not relieved, PHENYTOIN SODIUM may help. Otherwise, surgery is needed in the shape of controlled, radio-frequency heat damage to the appropriate part of the trigeminal nerve.
(tic douloureux) see neuralgia.
The ?fth cranial nerve (arising from the BRAIN). It consists of three divisions: (1) the ophthalmic nerve, which is purely sensory in function, being distributed mainly over the forehead and front part of the scalp; (2) the maxillary nerve, which is also sensory and distributed to the skin of the cheek, the mucous membrane of the mouth and throat, and the upper teeth; and (3) the mandibular nerve, which is the nerve of sensation to the lower part of the face, the tongue and the lower teeth, as well as being the motor nerve to the muscles concerned in chewing. The trigeminal nerve is of special interest, owing to its liability to NEURALGIA – TRIGEMINAL NEURALGIA, or tic douloureux as it is also known, being the most painful form known.... trigeminal nerve
Trigeminal Neuralgia. Severe lancing pain along one or more branches of the fifth cranial nerve.
Causes include: dental problems, ill-fitting dentures, laughing, yawning, bad teeth.
Symptoms: nervous exhaustion, contracted pupils, flushed face.
Alternatives. Black Cohosh, Cactus, Celery seed, Bogbean, Chamomile, Lady’s Slipper, Ginseng, Hops, Jamaica Dogwood, White Willow, Wild Lettuce, Skullcap, St John’s Wort, Valerian.
Tea. Combine equal parts: Chamomile, Hops, Skullcap. 1 heaped teaspoon to each cup boiling water; infuse 5-10 minutes. 1 cup freely.
Decoction. Combine: Rosemary 2; Ladyslipper 1; Jamaica Dogwood 1.1 heaped teaspoon to each cup water gently simmered 20 minutes. Half-1 cup every 2-3 hours.
Tablets. Passion flower. Ginseng. St John’s Wort, White Willow.
Formula. Equal parts: Jamaica Dogwood, Wild Lettuce, Valerian. Dose: Liquid extracts: 1 teaspoon. Tinctures: 2 teaspoons. Powders: 500mg (two 00 capsules or one-third teaspoon). Thrice daily.
Cayenne pepper (Capsicum). Frequently successful.
Practitioner. Tincture Gelsemium BPC (1973). Dose: 0.3ml (5 drops).
Topical. Poultice: Chamomile, Hops, Linseed or Bran. Acute cases (cold), chronic cases (hot). Grated or bruised Horseradish root. Evening Primrose oil. Hot cider vinegar. Tincture Arnica or Hypericum. Aromatherapy. 2 drops each: Juniper, Lavender, Chamomile to 2 teaspoons vegetable oil. Light massage. Diet, and supplements. Same as for general neuralgia. Australian researchers found that hot curries and spices actually trigger the trigeminal nerve causing a burning sensation. ... neuralgia, facial
Pain along a nerve, i.e. pain in the shoulders from pressure on a spinal nerve serving the neck.
Alternatives. Black Cohosh, Cactus, Chamomile, Lady’s Slipper, Ginseng, Hops, Jamaica Dogwood, White Willow, Wild Lettuce, Valerian.
Chamomile tea (mild analgesic).
Tablets/capsules. Any of the above.
Formula. Ginseng 4; Black Cohosh 2; Skullcap 2; Mistletoe 1; Motherwort 1. Dose: Liquid Extracts: 1 teaspoon. Tinctures: 2 teaspoons. Powders: 500mg (two 00 capsules or one-third teaspoon). Thrice daily. Children: see: DOSAGE. Cayenne pepper (Capsicum) sometimes successful.
Topical. Poultice: Chamomile, Hops, Linseed or Bran. Acute cases (cold), chronic cases (hot). Grated or bruised Horseradish root. Evening Primrose oil. Hot Cider vinegar, Tincture Arnica or Hypericum. Aromatherapy. 2 drops each: Juniper, Lavender, Chamomile to 2 teaspoons vegetable oil. Light massage. Diet. High protein. Calcium-rich foods.
Supplements. Vitamin B-complex, B6, B12, Niacin, Magnesium, Dolomite, Zinc.
See: FACIAL and INTERCOSTAL NEURALGIA; DYSMENORRHOEA (neuralgia of the womb). ANTISPASMODICS. ... neuralgia, general
Pain along a sensory nerve serving the chest, without loss of sensation and power of movement. Differs from neuritis in which nerves are inflamed.
Causes: all kinds of infective diseases. Rheumatism, bad teeth, bony spinal lesions, gall stone, liver disorder, thickening of pleura, fractured ribs, shingles – see: SHINGLES. In simple cases a cup of Chamomile tea may suffice. Persistent cases require one of the following alternatives.
Alternatives. Decoction. Combine equal parts: Black Cohosh, Jamaica Dogwood (or White Willow), Pleurisy root. 1 heaped teaspoon to each cup water gently simmered 20 minutes. Half-1 cup thrice daily. Formula. Cramp bark 2; Black Cohosh 1; Valerian 1. Pinch of Cayenne or few drops Tincture Capsicum. Dose: Liquid Extracts: 1 teaspoon. Tinctures: 2 teaspoons. Powders: 500mg (two 00 capsules or one- third teaspoon). Thrice daily.
Neuralgia associated with bronchi and lung: Formula: Cramp bark 2; Pleurisy root 2; Liquorice half. Dose: as above.
Practitioner. Tincture Gelsemium BPC (1973). 0.3ml (5 drops) in water as necessary.
Dr Finlay Ellingwood. Tincture Pleurisy root (Asclepias). 20 drops, every 2 hours.
Topical. Poultice: Chamomile, Hops, Linseed or Bran. Acute cases (cold), chronic cases (hot). Grated or bruised Horseradish root. Evening Primrose oil. Hot Cider vinegar. Tincture Arnica or Hypericum. Aromatherapy. 2 drops each: Juniper, Lavender, Chamomile, to 2 teaspoons vegetable oil. Massage. Diet, vitamins, minerals. Same as for general neuralgia. Cold water packs. ... neuralgia, intercostal
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