The trigeminal nerve (the fifth cranial nerve) is responsible for sensation in the face and certain motor functions such as biting and chewing. It is the largest of all the nerves arising from our brain (cranial nerves)
Trigeminal neuralgia (TN or TGN), also known asFothergill’s disease is a neuropathy, a disorder characterized by episodes of intense pain in the face, originating from the trigeminal nerve. It has been described as one of the most painful conditions known to man.
Signs & symptoms
This disorder is characterized by episodes of intense facial pain that last from a few seconds to several minutes or hours. The episodes of intense pain may occur in paroxysms. To describe the pain sensation, patients may describe a trigger area on the face so sensitive that touching or even air currents can trigger an episode; however, in many patients the pain is generated spontaneously without any apparent stimulation.
Trigeminal neuralgia affects lifestyle as it can be triggered by common activities such as eating, talking, shaving and brushing teeth. Windy climates, high pitched sounds, loud noises such as concerts or crowds, chewing, and talking can aggravate the condition in many patients. The patients often experience the pain during the attacks asstabbing, electric-shock like, burning, pressing, crushing, exploding or shooting pain that becomes intractable.
Case of trigeminal neuralgia treated at the other song
A 47-year old male patient was offered consultation at ‘the other song’ by Dr. Pratik Desai on the 17th October, 2013. The MRI report dated 22nd Jan 2010 showed avascular loop at the exiting zone of the right trigeminal nerve with loss of CSF (cerebrospinal fluid) space between the nerve and the loop.
Patient complained of right facial pain which wasparoxysmal in nature along with watering from the eyes. The pain increased on talking, exposure to cold air, riding on a vehicle, while eating, shaving or brushing his teeth. The intensity of pain was so high that the patient could not bear to even touch his moustache. He described the pain as an ‘electric spark’. He felt as though the part was pulled or caught by something. The condition not only hampered his day-to-day living but also caused lot of anger and irritation. The patient was advised surgery and he was extremely scared to undergo one. He was on a medicine named Tegratol to help reduce the pain.
The case taking process revealed that the saddest incidence of his life was the demise of his mother, who loved and took care of the whole family. He was reserved by nature and a family oriented man. He worked for the railways as a gateman and his work involved opening and closing the tracks for the trains. He was not inclined to take up added responsibilities and was contented with his current profile as it does not involve much exertion.
On the basis of our case-taking and the patient’s history a homoeopathic remedy which covered all the important symptoms of the patient was prescribed.
Follow up – 17th June, 2014
The pain had disappeared since 4 months. He was able to perform his daily chores like brushing, washing face, shaving, eating and talking without any difficulty. The patient did not have to undergo any kind or surgery. He was happy and content like earlier, his anger and irritation having resolved with the disappearance of pain. He felt at ease and slept well. Overall, he felt 90% better. Tablet Tegratol was also discontinued.
The MRI investigation, given below dated – 4th June, 2014, also confirmed his improvement.
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