Trigeminal Neuralgia (Facial Nerve Pain) (cont.)
Trigeminal Neuralgia Symptoms
- A defining feature of trigeminal neuralgia is the trigger zone-a small area in the central part of the face, usually on a cheek, nose, or lip, that, when stimulated, triggers a typical burst of pain.
- A light touch or vibration is the most effective trigger.
- Because of this, many common daily activities trigger the attacks.
- Washing your face, brushing your teeth, shaving, or talking
- Common sensations such as having wind hit your face
- Eating and chewing
- Many people avoid food and drink rather than experience the severe pain.
- These people risk weight loss and dehydration, a leading cause of hospitalization in this group.
- People frequently require hospitalization for rapid pain control when their trigeminal neuralgia becomes unmanageable at home.
- Between attacks, most people remain relatively pain-free. A subgroup, however, experience a dull ache between attacks, suggesting physical compression of the affected nerve, either by a blood vessel or some other structure.
Medically Reviewed by a Doctor on 9/4/2015
Scott H Plantz, MD, FAAEM
Francisco Talavera, PharmD, PhD
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