Trigeminal nerve, Neurology FAQ

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Understanding Headache Relief: When to Use Painkillers Safely

Medications for Headaches I have been experiencing occasional headaches that are not very severe and usually resolve after a good night's sleep. They typically occur in the late afternoon, with a tight pain in the brow and forehead, sometimes triggered by premenstrual sympto...


Dr. Jiang Junyi Reply:
Dear Ms. Nana, You mentioned experiencing tight pain in the brow bone and forehead, sometimes occurring premenstrually, due to lack of sleep, or prolonged exposure to air conditioning, along with soreness in your shoulders and neck. You also asked if there is a limit to the use ...

[Read More] Understanding Headache Relief: When to Use Painkillers Safely


Understanding Trigeminal Neuralgia: Causes and Sleep Disruptions

Pain issues, thank you? Hello, doctor. I would like to ask why I wake up with trigeminal neuralgia just before fully waking up. It seems that the pain from the trigeminal nerve wakes me up first. What could be the reason for this? I started experiencing this after having a bone s...


Dr. Cai Zongzhang Reply:
Hello: Trigeminal neuralgia that lasts longer than 6 months is classified as chronic pain, which is difficult to cure. Medications can be used to help control and reduce the intensity and frequency of the pain.

[Read More] Understanding Trigeminal Neuralgia: Causes and Sleep Disruptions


Understanding Trigeminal Neuralgia After Dental Surgery: Causes and Insights

Trigeminal neuralgia Hello, doctor. After undergoing surgery on March 1st to contour the alveolar bone of my upper left first molar (tooth #17), I started experiencing trigeminal neuralgia. The pain has persisted since the surgery, and it begins as soon as I wake up. I consulted ...


Dr. Chen Weida Reply:
Hello Anne! Thank you for your inquiry regarding trigeminal neuralgia. The typical cause of trigeminal neuralgia is often due to vascular compression of the trigeminal nerve at the brainstem root entry zone. Since the symptoms can resemble dental pain, it is essential to have an ...

[Read More] Understanding Trigeminal Neuralgia After Dental Surgery: Causes and Insights


Facial Numbness When Touching Left Side: What Could It Mean?

Touching the face can cause numbness? Hello, doctor. I have noticed that when I touch my left cheek or left ear, I experience a tingling sensation in my face, while touching my right cheek does not produce this sensation. This has been ongoing for quite some time. I would like to...


Dr. Cai Zongzhang Reply:
Hello: The above symptoms are suggestive of trigeminal nerve inflammation. It is recommended to visit a neurology outpatient clinic.

[Read More] Facial Numbness When Touching Left Side: What Could It Mean?


Understanding Neurological Symptoms: When to Seek Further Medical Help

Numbness in the head, facial numbness, and finger twitching, etc? Hello Dr. Tsai, a year and a half ago I experienced chest numbness, chin pain, pain in my left shoulder and left arm, and soreness in my left fingers and wrist. Subsequently, I developed numbness on the right side ...


Dr. Cai Zongzhang Reply:
Hello: Insufficient sleep can also trigger multiple neuropathic pain, making it harder to fall asleep and creating a vicious cycle. It is recommended to first improve sleep, which may also alleviate pain symptoms. Magnetic resonance imaging (MRI) has ruled out structural diseases...

[Read More] Understanding Neurological Symptoms: When to Seek Further Medical Help


Facial Swelling, Headaches, and Nausea: Understanding Neurological Symptoms

Facial issues, headaches, dizziness, and nausea? Hello, doctor. This week, I've started experiencing some strange symptoms. Initially, my left cheek felt heavy and reddened, but I didn't think much of it. This week, my left cheek has begun to swell, although the redness...


Dr. Jiang Junyi Reply:
Dear Miss Wang, You mentioned that "the area of heat extends from the left temple down to the lower part of the face near the ear, feeling warm and stuffy." The area of heat you described primarily corresponds to the distribution of the mandibular branch of the trigemi...

[Read More] Facial Swelling, Headaches, and Nausea: Understanding Neurological Symptoms


Understanding Lingual Numbness and Jaw Pain: A Neurological Perspective

Numbness at the base of the tongue and pain in the lower jaw? Hello Doctor, about three days ago I woke up with pain in the right lower jaw (around the area of the second/first molar). When I press on my cheek, it hurts slightly. I have also been experiencing persistent numbness ...


Dr. Jiang Junyi Reply:
Dear Ms. Si, You mentioned that "the right side of my tongue root has been numb continuously, and sometimes the right corner of my mouth also feels numb." Your symptoms may suggest the possibility of trigeminal neuralgia affecting the mandibular branch of the trigemina...

[Read More] Understanding Lingual Numbness and Jaw Pain: A Neurological Perspective


Understanding Trigeminal Neuralgia: Insights from TMJ Disorders

Temporomandibular joint disorder causing trigeminal neuralgia? Hello, my symptoms began four years ago when I bit down on a hard object, resulting in a sudden electric shock-like pain in the left side of my face. Over the past few years, I have consulted with neurosurgeons, denti...


Dr. Jiang Junyi Reply:
Dear Mr. Kenny, You mentioned "trigeminal neuralgia." The cause of trigeminal neuralgia is primarily due to abnormal transmission of sensory signals by the trigeminal nerve. Approximately 80% of cases are caused by vascular compression of the trigeminal nerve at its en...

[Read More] Understanding Trigeminal Neuralgia: Insights from TMJ Disorders


Managing Ear Pain and Sensitivity: Understanding Neurological Triggers

Sharp pain in the inner ear, with surrounding muscle tension, and a desire to dig in? Whenever I feel anxious or hear loud noises, I experience a sharp, stabbing pain in my ears, along with a sensation of foreign objects. I have an urge to dig in my ears, but I can't find an...


Dr. Jiang Junyi Reply:
Dear Mr. Hong, You mentioned that the symptoms of "foreign body sensation in the ear" may need to consider neurogenic pruritus. This primarily involves the nerves of the ear, specifically the vagus nerve and the trigeminal nerve, both of which are closely related to th...

[Read More] Managing Ear Pain and Sensitivity: Understanding Neurological Triggers


Feeling Saliva on Your Face Without Actual Drooling: Possible Causes

Sometimes there is a sensation of drooling on the face, but when I touch it, it feels dry? Hello doctor, since last week I have frequently felt a sensation of drooling on my face. Sometimes it feels like saliva is flowing from the corner of my mouth down to my chin, but when I to...


Dr. Wu Mukhan Reply:
Hello, your symptoms may be related to a trigeminal nerve issue. If the symptoms do not improve, it is advisable to visit a hospital's neurology department for further evaluation.

[Read More] Feeling Saliva on Your Face Without Actual Drooling: Possible Causes


Is Your Facial Pain Trigeminal Neuralgia? Understanding the Symptoms

It feels like trigeminal neuralgia? The painful area is located on the left cheek, approximately around the focal point between the eyes and nose, and the region opposite the ear near the zygomatic bone. The pain feels dull and achy. I have braces and frequently undergo X-rays, s...


Dr. Jiang Junyi Reply:
Dear Ms. Liu, You mentioned that you feel a dull pain near the focal point between your eyes and nose, as well as in the area of the cheekbone opposite your ears. This distribution of pain is associated with abnormalities of the second branch of the trigeminal nerve (maxillary b...

[Read More] Is Your Facial Pain Trigeminal Neuralgia? Understanding the Symptoms


Can Botox Help with Non-Facial Nerve Pain Like Gingival Neuralgia?

Non-facial neuralgia issues Hello, I would like to inquire if it is possible to receive Botox injections for non-facial neuralgia (gingival neuralgia).


Dr. Cai Zongzhang Reply:
Hello, Ms. Tsai: Tooth root pain may be related to trigeminal nerve disorders. It is recommended to visit a neurology outpatient clinic.

[Read More] Can Botox Help with Non-Facial Nerve Pain Like Gingival Neuralgia?


Understanding Facial Numbness: Insights for Ankylosing Spondylitis Patients

Frequent facial numbness? I was diagnosed with ankylosing spondylitis (AS) this May. In addition to the pain associated with AS, I have been experiencing persistent numbness on the right side of my face and right lip, along with occasional numbness in my right ear. This numbness ...


Dr. Jiang Junyi Reply:
Dear Ms. Lee, You mentioned that "cervical disc herniation can affect facial numbness," specifically regarding high cervical nerve root compression at the levels of C1 to C3. Since the nerves pass through the trigeminal nerve nucleus, this may be related to the persist...

[Read More] Understanding Facial Numbness: Insights for Ankylosing Spondylitis Patients


Trigeminal Neuralgia After Root Canal Treatment: What to Know

Trigeminal neuralgia after root canal treatment? In mid-June 2023, after undergoing root canal treatment on the lower right second molar, the tooth pain subsided. On August 14, I proceeded to the crown fabrication stage. During this time, I mentioned to the dentist that I occasio...


Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, tooth pain may also be one of the symptoms of trigeminal neuralgia. Please complete dental treatment and confirm that there are no dental diseases; if pain persists, you may visit a neurology clinic for further evaluation.

[Read More] Trigeminal Neuralgia After Root Canal Treatment: What to Know


Should I See a Dentist or Neurologist for Jaw and Ear Pain?

Which department should I see? Hello Doctor, I have noticed swelling and pain in the gums around my right lower wisdom tooth for the past two days. Additionally, I am experiencing irregular sharp pain in the area of the right ear where the trigeminal nerve is located (each episod...


Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I recommend first visiting a dentist to assess your dental condition. If the dentist finds no issues, then you can see a neurologist. Thank you.

[Read More] Should I See a Dentist or Neurologist for Jaw and Ear Pain?


Head Pain When Swallowing: Understanding Neurological Symptoms

Swallowing saliva causes headaches? In late June, after I sneezed forcefully, I experienced a sharp pain at the top right of my head. Initially, I had headaches when swallowing, but that subsided. However, I still occasionally feel pain when swallowing saliva, although eating foo...


Dr. Jiang Junyi Reply:
Hello Mr. Wu: You mentioned that "swallowing saliva causes headaches." Your symptoms may suggest the possibility of high cervical nerve root compression, specifically at the levels of C1 to C3. This is because the nerves pass through the trigeminal nerve nucleus. These ...

[Read More] Head Pain When Swallowing: Understanding Neurological Symptoms


Understanding Facial Pain: When to See a Neurologist

My cheeks feel a bit strange? Hello, doctor: I am experiencing intermittent pain in the muscles of both my upper and lower cheeks, along with pain in my cheekbones. There is also a tingling, prickling sensation, and itching. The pain persists even with pressure, and my cheeks fee...


Dr. Wu Mukhan Reply:
Hello! Based on your description, your symptoms, including facial numbness, tingling, and abnormal sensations, may be related to a trigeminal nerve issue. It is recommended that you visit a hospital's neurology department for evaluation and to determine if further testing is...

[Read More] Understanding Facial Pain: When to See a Neurologist


Understanding Head and Tooth Pain: When to Seek Neurological Help

Head and tooth pain? Hello Doctor, I am a 23-year-old female. I have been experiencing pain in my head and teeth for a week. The headache is located on the left side, above the ear, extending to the top of the head. Accompanying symptoms include sharp pain in the lower left teeth...


Dr. Jiang Junyi Reply:
Hello Ms. Zhyn, You mentioned that "the location of the trigeminal nerve sometimes feels like being scratched by something, with a sharp pain similar to an electric shock lasting for a second; sometimes it occurs continuously, and other times with longer intervals. However,...

[Read More] Understanding Head and Tooth Pain: When to Seek Neurological Help


Understanding Facial Numbness and Tingling: Possible Causes and Concerns

Numbness in the face and hands? Hello, doctor. I have a slight tingling sensation around my right cheek and right ear. Two years ago, it was around my ear, and now it’s on my cheek. I can feel a soft, movable lump about one centimeter on my right cheek. Visually, the nasolabial f...


Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned several issues. Clinically, we should first address the acute problems. The "slight tingling sensation around the right cheek and right ear... a soft, movable lump" may indicate potential compression of the trigeminal nerve, specifically the ...

[Read More] Understanding Facial Numbness and Tingling: Possible Causes and Concerns


Post-Radiation Facial Numbness After Trigeminal Neuroma Treatment: What to Do?

Facial numbness after radiation therapy for trigeminal nerve tumor? After undergoing radiation therapy for a trigeminal nerve tumor, will facial numbness improve two months later? I have consulted my doctor and have been taking vitamin B for three months, but there has been no si...


Dr. Cai Zongzhang Reply:
Hello: The function of the trigeminal nerve is to control the sensory functions of the face. After treatment for trigeminal neuralgia, it is difficult to avoid residual facial numbness; however, this symptom is not life-threatening and can be managed with ongoing treatment in the...

[Read More] Post-Radiation Facial Numbness After Trigeminal Neuroma Treatment: What to Do?


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