Trigeminal Neuralgia

Trigeminal neuralgia is the most common facial pain syndrome and is often described as "the most terrible pain known to man". Trigeminal neuralgia is characterized by a sudden (paroxysmal) attack of facial pain described as intense, sharp, like an electric-shock, or stabbing. The pain is most commonly felt in the cheekbone, most of the nose, upper lip and upper teeth and, in some people, it also extends to the lower lip, teeth, and chin. Pain is usually felt on one side of the face (unilateral) and lasts from a few seconds to two minutes. Trigeminal neuralgia is the most frequently occurring nerve pain disorder.

The trigeminal nerve has three branches. 

⦁ The ophthalmic branch runs through the eye, forehead and nose.

⦁ The maxillary branch runs through the upper teeth, gums, lips, cheek, lower eyelid and side of the nose.

⦁ The mandibular branch runs through the lower teeth, gums and lip. It also controls jaw movement for mastication or chewing.

Trigeminal neuralgia most often affects the maxillary branch or the mandibular branch of the trigeminal nerve. Most patients complain of pain in both the maxillary and mandibular branches. 

The Revive Spine and Pain Care team can diagnose headaches during a comprehensive history and physical examination. In addition, we may also request diagnostic tests such as an MRI, X-ray, or CT.

⦁ Trigeminal Nerve Blocks