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Do simple daily acts of brushing your teeth or drinking scare you? Do you live in the constant fear of being attacked by pangs of immense pain? Then TN may be the underlying reason.

Causes of TN

Trigeminal Nerve, also known as the CN V, is the fifth out of the 12 cranial nerves and is the largest one. The main functions of this nerve include the transmission of sensory information to the skin, sinuses, and the mucous membranes of the face and the stimulation of the motor functions such as biting and chewing.

All the nerves, especially the facial nerves in the human body, are covered by a protective layer known as the myelin sheath. This sheath insulates the nerves. But, when these sheaths are eroded due to the underlying pathogenesis, they leave the nerves exposed like live wires waiting to explode if ruffled. The nerves short-circuit, without the insulation and bombard the brain with an overload of sensory signals, which are felt as pain by the patient. When the CN V nerve is under immense pressure or irritated, usually occurring when a vein or artery presses against it, it can give rise to chronic trigeminal nerve pain in the person. Other reasons that could compress or damage the nerve include:

Underlying Causes:

The neuralgia may be the presenting manifestation of any of these underlying conditions such as:

Individual results may vary from individual to individual.

Individual results may vary from individual to individual.

Symptoms of TN:

People affected by this disease can experience bouts of pain at the slightest exposure to triggers such as normal drinking cold water, washing the face, shaving, or even plain swallowing.

Type of pain: The pain of TN is described as a paroxysmal, brief attack of lancinating pain in the distribution of one or more of the divisions of the nerve. The acute attack of the pain can be a stinging, throbbing type of pain felt like a terrible electric shock or that of a burning hot metal rod being thrust into the face. Hence, this disease is commonly known as the ‘Suicide Disease’ because the person affected by it would want to commit suicide not being able to bear the pain.

Onset: It usually begins by the fifth or sixth decade of life and occurs without any apparent cause known as the idiopathic form. Occasionally, it might affect a person by the age of 30-35 years and is the symptomatic form in most of the cases.

Affected areas: The pain usually affects the second and third divisions of the nerve.

Pattern: The pain pattern is usually that of a brief, episodic pain followed by a dull, ‘after-pain’ in the remaining part of the face.

Diagnosis of TN

This disease can be diagnosed by the presence of sensory loss at a young age, and imaging techniques such as CT Scan and MRI.

Differential Diagnosis:

The presence of TN needs to be confirmed before beginning any mode of therapy. Many other conditions might present with similar symptoms giving a TN like picture such as Post-herpetic trigeminal pain, temporomandibular arthrosis, dental malocclusion, and so on.

Sometimes, even migrainous neuralgias or cluster headaches can cause pain in the trigeminal distribution giving a replica of the disease.

A foolproof investigation with the help of a doctor’s consultation is therefore highly recommended.

Trigger Factors of TN

Why Avoid Synthetic Medicines?

Conventional drugs such as Carbamazepine have serious side effects such as suicidal tendencies, memory loss, dizziness, increased weight gain, and so on. Strong opiates and anti-convulsive treatments might give rise to further mental and emotional disturbances.

The surgeries that are chosen as a last resort when medicines fail and are expected to solve the problems have their share of side effects such as the threat of permanent sensory loss and facial numbness along with, potential hearing loss and so on. Severe side effects might occur during the invasive procedures of MVD or Rhizotomy, where the nerve fibers are destroyed to block the pain.

A clinical study on Gamma Knife procedures has shown that only 44% of the TN patients who went through the complicated and expensive procedure lived a pain-free life. ⁽¹⁾

Whereas, herbs have shown relief for over 60% of patients in some trials. ⁽²⁾

Bouts of pain caused by TN leave the person completely incapacitated and out of control of his or her own life. Hence, addressing this dreadful disease with therapies besides the conventional mode of medicines such as Carbamazepine, Baclofen or surgical procedures such as Gamma Knife, Microvascular decompression (MVD), Rhizotomy, etc. is of extreme importance.

Individual results may vary from individual to individual.

Individual results may vary from individual to individual.

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Author’s Bio: Dr. Khyati Dave has a B.H.M.S degree from Maharashtra University of Health Sciences, Mumbai. She has been practicing Homeopathy for over seven years and is an author. She also holds a certified Degree in Nutrition and Health Education, and offers diet recommendations to her patients.