Category Archives: Trigeminal Neuralgia

Trigeminal Neuralgia (TN) Botulinum -Updated Treatment

When I first started Botulinum injections I just just injecting intradermally the areas where they felt the pain. Then it became clear the trigger zone needed special treatment and subcut was more done. I used to have a researcher repeatedly … Continue reading

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Neuropathic Pain – Phenytoin Topical Augments Ketamine or Baclofen

It is all very well to say a drug works topically. However it is easy to assume they work on similar mechanisms so one does not add to the other. Phenytoin (Dilantin) augmented both ketamine or Baclofen so might be … Continue reading

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Shooting Trigeminal Neuralgia – Facial Epicrania Fugax – and a New Treatment

6-8 years ago a brief neuralgic pain in the scalp that radiated to front or back of head was described. I wrote about it here: http://painmuse.org/?p=1516 Now a facially originated version has been defined and sounds very much like trigeminal … Continue reading

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Trigeminal Neuralgia (TN) – How Good is the Gamma Knife?

Radiation “knifing” trigeminal nerve appears to be a safe and effective alternative in Trigeminal Neuralgia – though used more in people unable to tolerate microvascular decompression.

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Trigeminal Neuralgia – New Treatment For Drug Resistant Cases

A simple infusion of lidocaine 100 mg and Magnesium sulphate 1.2 gm over 1 hour –  weekly for 3 weeks, gave good results in 9 trigeminal neuralgia resistant cases.

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Chronic Facial Pain Needs Help

Is there anyone who can help me, please??? I am a 49-year-old woman who was diagnosed with an infected dental implant almost 3 years ago. Unfortunately, the Oral surgeon who removed the infected 3rd molar implant & cadaver bone in … Continue reading

Posted in Trigeminal Neuralgia | 7 Comments

Glossopharyngeal Neuralgia – Treated by Steroid Injection and Amitriptyline

I got a question on what could be done for Glossopharyngeal neuralgia and came across this article on repeated bilateral intraoral glossopharyngeal nerve injections and amitriptyline as an alternative.

Posted in Injection, neuropathic, Trigeminal Neuralgia | 1 Comment

Epicrania fugax – Like a Trigeminal Neuralgia of the Scalp

Have a case of lancinating severe jabs to right top of head. She had them before but they have recently returned. There was no trigger zone, no tenderness, and occipital, temporal and supraorbital nerve trunks were nontender. Write up on subject … Continue reading

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Glossopharyngeal Neuralgia (GN) Relief Manouver

GN causes sharp sudden pain in one side of pharynx (anterior neck) and lower jaw. It can be initiated by drinking cold drinks and food and by yawning. Enclosed is a case who found relief by “earlobe hyperextension and ear … Continue reading

Posted in ENT, Neck, neuropathic, Trigeminal Neuralgia | 2 Comments

Self Treatment For Trigeminal Neuralgia

Case was presented where deep breathing was found to abort TN episodes with hope that others would try it and maybe report if it was effective.

Posted in Trigeminal Neuralgia | 1 Comment

Trigeminal Neuralgia – Those With Constant Pain Component Do Poorly

There are two versions of Trigeminal Neuralgia – one version that just has episodic sharp pains, and another that has that and also a continuous pain component. Those with a continuous component do poorly.

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Manual Therapy May Help Trigeminal Neuralgia

A case  demonstrating that work on the neck can be helpful in Trigeminal Neuralgia (TN).

Posted in Manual Med, Neck, Trigeminal Neuralgia | 1 Comment

Confirmed – Botox works for Trigeminal Neuralgia – Given Into Trigger Zone

Cases of Surgery failed drug resistant Trigeminal neuralgia were treated with Botox to trigger zones and not only resulted in relief, but also relative cure in some case

Posted in Botox, Trigeminal Neuralgia | 3 Comments

What Does One Do When Trigeminal Neuralgia Comes Back?

After Various Procedures, Trigeminal Neuralgia can come back. Study discusses how they handled it.

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Trigeminal Neuralgia

Listened to talk by Dr. Anthony Kaufman.He does probably the largest amount of Trigeminal nerve microvascular decompressions in Canada (~50/year) and helps run the Winnipeg Centre for Gamma Knife Surgery. He has a web site with detailed descriptions here Here … Continue reading

Posted in Trigeminal Neuralgia | 8 Comments