Managing Trigeminal Neuralgia: Tips for Relief After Surgery
Trigeminal neuralgia Hello, I underwent a surgical excision of an odontogenic tumor four months ago. After the surgery, I started experiencing neuropathic pain, which was diagnosed as trigeminal neuralgia by a neurologist. I continue to have pain upon waking, and now I only exper...
Dr. Jiang Junyi Reply:
Dear Ms. Anne, You mentioned that your neurologist diagnosed you with trigeminal neuralgia, and that you experience persistent pain upon waking and are often awakened by pain during sleep. Your symptoms are affecting your sleep quality, and I recommend considering medication for...[Read More] Managing Trigeminal Neuralgia: Tips for Relief After Surgery
Managing Perineal Nerve Pain: Tips for Relief and Treatment Options
Pudendal neuralgia Hello doctor, I have chronic prostatitis and went to a neurologist for trigeminal neuralgia. The doctor prescribed me Carbamazepine and Topiramate. Shortly after starting the medication, I developed perineal nerve pain, which has persisted for three months. Wha...
Dr. Jiang Junyi Reply:
Dear Mr. David, You mentioned that "chronic prostatitis... triggers my perineal neuralgia." It may be necessary to first consider pelvic nerve inflammation caused by prostatitis. When the dosage of Tamsulosin exceeds 200 mg, a small number of patients may experience se...[Read More] Managing Perineal Nerve Pain: Tips for Relief and Treatment Options
Managing Perineal Nerve Pain: Treatment Options and Recovery Insights
Pudendal neuralgia Hello, doctor. I have atypical trigeminal neuralgia, and my physician prescribed Lyrica, Topamax, and Depakote, but they haven't been very effective. After taking Depakote for a while, I developed perineal nerve pain due to my chronic prostatitis, which ha...
Dr. Huang Hongling Reply:
Hello: Pudendal neuralgia is not induced by a hernia. Additionally, the diagnosis of pudendal neuralgia must exclude other factors (such as prostatitis). Since you have a history of chronic prostatitis, it is recommended that you consult a urologist to rule out whether the pain i...[Read More] Managing Perineal Nerve Pain: Treatment Options and Recovery Insights
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
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
Understanding Eyebrow Bone Pain: Causes and When to Seek Help
Frontal bone pain In the past year or two, I have started experiencing pain in my brow bone, which I initially thought might be due to the use of electronic devices. As a result, I significantly reduced my usage of these devices for a while. I also visited the ophthalmology depar...
Dr. Cai Zongzhang Reply:
Hello, Ms. Chang: The pain occurring in the brow area may have other potential causes, including sinusitis or trigeminal neuralgia. If the ophthalmic examination shows no abnormalities, it is recommended to consult an otolaryngologist and a neurologist for further evaluation.[Read More] Understanding Eyebrow Bone Pain: Causes and When to Seek Help
Overcoming Insomnia: Tips for Managing Sleep Disruptions from Trigeminal Neuralgia
Insomnia and difficulty falling asleep? Doctor, I experienced severe pain from trigeminal neuralgia that kept me awake until around 4 AM one day. Since then, I haven't had a recurrence while awake, but I still suffer from insomnia. When I lie down, my mind races with thought...
Dr. Cai Zongzhang Reply:
Hello Wei-Feng: It is recommended to discuss with a physician who specializes in treating trigeminal neuralgia, as both issues can be addressed simultaneously.[Read More] Overcoming Insomnia: Tips for Managing Sleep Disruptions from Trigeminal Neuralgia
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
Understanding Right-Sided Head Pain: Possible Causes and Solutions
Only the right side of my head feels uncomfortable? Hello, doctor. For the past three days, I've been experiencing pain on the right side of my temple, teeth, ear, and back of my neck. The pain is intermittent and persistent. I have seen a dentist, but they said there is no ...
Dr. Jiang Junyi Reply:
Hello Mr. Lu: You mentioned that you are experiencing pain in your teeth, ears, and the back of your neck, which may suggest considering cervical myofascial pain. The myofascia around the cervical spine has small muscles that connect to the head, while the larger superficial musc...[Read More] Understanding Right-Sided Head Pain: Possible Causes and Solutions
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
Understanding Sudden Left-Sided Head Pain: Possible Causes and Concerns
Left-sided headache? Hello Doctor, I apologize for the interruption. I'm not sure if it's related to my late sleeping schedule a couple of days ago, but for the past two days, I've been experiencing sudden sharp pains on the left side of my head, like an electric s...
Dr. Cai Zongzhang Reply:
Hello Andy: Insufficient sleep can easily lead to headaches or trigeminal neuralgia. It is recommended to take appropriate rest, and if symptoms persist, please visit a neurology clinic.[Read More] Understanding Sudden Left-Sided Head Pain: Possible Causes and Concerns
Severe Morning Headaches: Understanding Nocturnal Pain and Its Causes
Severe headache on one side at a specific time during sleep? Since last week, I have been waking up in severe pain around five or six in the morning. The pain starts from my left temple and radiates to the entire left side of my face, lasting about five minutes before subsiding f...
Dr. Jiang Junyi Reply:
Dear Ms. Qianyu, You mentioned that "you are often awakened by severe pain around five or six in the morning, starting from the left temple." Your symptoms may suggest a consideration of sinus headache. Typically, there is a feeling of pressure or fullness around the e...[Read More] Severe Morning Headaches: Understanding Nocturnal Pain and Its Causes
Headaches Triggered by Strong Smells: Understanding the Connection
Headache and Taste Sensation Hello, doctor. After quitting smoking for a year or two, I have been experiencing headaches triggered by the smell of smoke or strong food aromas. The pain can be so intense that it only improves the next day after I wake up. For example, I have stron...
Dr. Jiang Junyi Reply:
Dear Ms. Jun, You mentioned that "smelling smoke or food odors can trigger headaches," which may warrant consideration of migraine issues. The diagnosis of migraine includes the following criteria: 5: Headaches occurring more than 5 times. 4: Headaches lasting more th...[Read More] Headaches Triggered by Strong Smells: Understanding the Connection
Understanding Trigeminal Neuralgia: Symptoms and Treatment Options
Trigeminal Neuralgia Hello, doctor: I have a dull, tingling pain in the back of my neck and on my cheeks. It feels sharp and sore. What should I do about trigeminal neuralgia?
Dr. Cai Zongzhang Reply:
Hello, Avi: The symptoms mentioned are indicative of neuropathic pain, which can have various causes. It is recommended that if the symptoms do not improve with adequate rest, you should visit a neurology outpatient clinic.[Read More] Understanding Trigeminal Neuralgia: Symptoms and Treatment Options
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