Trigeminal Neuralgia: Symptoms, Causes, and Alternative Treatments

Trigeminal Neuralgia treatment

Have you ever experienced sharp, electric shock-like pain in your face that seems to come out of nowhere? You might be dealing with trigeminal neuralgia!

Trigeminal neuralgia is a chronic pain disorder that affects the trigeminal nerve, responsible for sensation in your face. This condition is often described as one of the most excruciating types of nerve pain, with sudden, intense episodes that can disrupt your daily life and leave you feeling frustrated and helpless. 

Trigeminal neuralgia doesn’t just affect your body-  it impacts your emotions, relationships, and your quality of life. In a study on psychiatric disorders and trigeminal neuralgia, Dr. Tung-Han Wu from Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan found that “Trigeminal neuralgia might increase the risk of subsequent newly diagnosed depressive disorder, anxiety disorder, and sleep disorder.”

The good news is that relief is possible naturally, at the Bay Clinic of Chiropractic in Panama City, Florida. We can support and guide you to a life without pain!

In this article,  we will explore everything you need to know about trigeminal neuralgia, from its symptoms and triggers to the latest alternative treatments for Trigeminal Neuralgia that may offer hope.

You’ll learn about therapies like functional neurology, chiropractic care, supplements, and dietary changes that can help calm the trigeminal nerve, along with stress management techniques and herbal remedies that support natural healing

Whether you’re seeking a natural approach to pain relief or curious about innovative treatments, this article will provide you with the knowledge and tools to take control of your health and rediscover life without chronic pain.

Keep reading to learn more.

What Is Trigeminal Neuralgia?

Trigeminal Nerve illustration

Trigeminal Neuralgia (TN), also known as tic douloureux, is a chronic pain disorder affecting the trigeminal nerve. 

The trigeminal nerve carries sensory information from the face to the brain. It is marked by sudden, severe facial pain, often described as an electric shock or stabbing sensation. This condition can significantly impact daily life, as pain episodes may be triggered by simple actions such as speaking, chewing, or even touching the face. 

In a study on TN, Dr. Erika Ivanna Araya from the Federal University of Parana, Curitiba, Brazil, states “Spontaneous remission of TN pain attacks can occur unexpectedly, which contributes to the uncertain natural history of the disease.”

Trigeminal Neuralgia is a rare disorder, diagnosed in fewer than 200,000 cases annually in the US. It is more prevalent in women over 50, though it can affect people of any age. 

Types of Trigeminal Neuralgia

Trigeminal neuralgia is classified into different types based on the nature and presentation of pain: 

  • Type 1 (Classic Trigeminal Neuralgia): Sudden, intense,  electric shock-like pain in the face. Episodes last from a few seconds to a few minutes, often occurring in clusters over hours or days. The pain can be induced by light stimulation, such as brushing teeth, smiling, or feeling the wind on the face.
  • Type 2 (Atypical Trigeminal Neuralgia): Constant, aching, or burning pain, often less sharp but more persistent than Type 1. Pain is ongoing unless dependent on specific triggers. Often harder to diagnose due to its overlapping symptoms with other chronic disorders like MS, dental problems, or migraines. 
  • Bilateral Trigeminal Neuralgia: Both sides of the face are affected, though this is extremely rare. The bilateral nature can complicate diagnosis and treatment. 

What Are The Symptoms of Trigeminal Neuralgia?

symptoms of trigeminal neuralgia

Trigeminal neuralgia symptoms often manifest as sudden, severe episodes of pain that can disrupt daily activities. These symptoms can vary in intensity and frequency but common patterns include:

  • Fascial Pain: Trigeminal neuralgia causes sharp, electric shock-like pain, triggered by everyday activities such as touching the face, chewing, or speaking. Pain episodes are brief but recurrent, sometimes lasting seconds to minutes, and may involve facial spasms. The pain typically affects one side of the face, often in areas like the cheeks, jaw, and teeth, and can worsen over time.

Trigeminal Neuralgia Triggers

Various everyday activities or stimuli can trigger trigeminal neuralgia episodes. Understanding these triggers can help you minimize the exposure and find ways to manage trigeminal neuralgia. 

Research by Dr. Giorgio Lambru from the Guy’s and St Thomas’ Hospitals NHS Trust, London, UK states “Light tactile stimulation is the most potent trigger and, conversely, painful and thermal stimulation seems ineffective at eliciting pain in TN.”

Common triggers include:

  • Brushing teeth
  • Shaving
  • Applying makeup
  • Eating or drinking
  • Touching or washing your face
  • Smiling
  • Laughing
  • Speaking
  • Light breeze, air conditioning, or exposure to cold air

What Causes Trigeminal Neuralgia?

The exact cause of trigeminal neuralgia is unknown but researchers believe that the excruciating pain occurs when the trigeminal nerve function is disturbed. Trigeminal neuralgia can be caused by compression, irritation, or damage to the trigeminal nerve, most commonly at the root. 

The causes of trigeminal neuralgia can be categorized into three classifications:

  • Classical Trigeminal Neuralgia: Often caused by compression of the trigeminal nerve by a blood vessel, such as an artery or vein, at the base of the brain, leading to nerve irritation and pain. 
  • Secondary Trigeminal Neuralgia: Associated with underlying conditions such as multiple sclerosis, tumors, or facial trauma that damage, compress, or irritate the nerve. 
  • Idiopathic Trigeminal Neuralgia: In cases where no identifiable costs can be determined. 

Who Is Likely To Get Trigeminal Neuralgia?

Certain factors increase the risk of developing trigeminal neuralgia:

  • Age and Gender: Most common in women over 50 years old. Research by Dr. Gianfranco De Stefano from the Sapienza University of Rome, Italy shows “The incidence of TN increases with age and is higher among the female than the male sex.”
  • Underlying Conditions: Conditions such as multiple sclerosis, stroke, facial trauma, or a tumor.
  • Family History: Although not typically hereditary, a genetic predisposition may exist. 
  • Environmental Factors: Stress, physical trauma, or certain medical conditions can exacerbate symptoms or make an individual more prone to developing the condition.

Alternative Treatments for Trigeminal Neuralgia

Alternative treatments for trigeminal neuralgia offer a natural and often less invasive approach compared to conventional therapies like medication or surgery

At the Bay Clinic of Chiropractic, we use natural techniques with a personalized approach to treat the root causes of trigeminal neuralgia such as nerve irritation, compression, or inflammation. This holistic approach will provide effective and lasting relief. Our expert team is dedicated to guiding and supporting you through the process that will help you lead a pain-free life. 

In the section below, we explore natural treatments for trigeminal neuralgia. 

Functional Neurology

Functional neurology is a holistic approach that focuses on improving the overall performance and balance of the nervous system. By identifying imbalances or dysfunctions in neural pathways, functional neurologists aim to optimize brain and nerve communication which is crucial for treating the root causes of trigeminal neuralgia. 

The Bay Clinic of Chiropractic in Panama City, Florida, is a leader in functional neurology treatments. Dr. Tony Salamay, is an expert in chiropractic functional neurology, with extensive experience helping patients achieve long-term relief. 

He uses personalized therapies to restore proper nerve function and targets underlying issues like inflammation or spinal misalignments that may irritate the nerve. This improves neural communication, reducing nerve irritation and pain.

To schedule a consultation with Dr. Tony Salamay, contact the Bay Clinic of Chiropractic at (850) 785-9372 or info@thebaydoctor.com.

Chiropractic Care

Chiropractic care is a hands-on treatment focused on correcting misalignments in the spine and nervous system influencing the trigeminal nerve function. Chiropractors help align the spine to reduce the pressure on nerves and inflammation. This can help lessen the pain caused by Trigeminal Neuralgia (TN).

Dr. Tony Salamay is an experienced Chiropractor with years of experience helping patients just like you achieve lasting pain relief naturally. 

Here are 3 chiropractic techniques he uses on patients with Trigeminal Neuralgia:

Upper Cervical Adjustments

The upper cervical adjustment is a specialized form of chiropractic care that focuses on aligning the upper cervical spine, particularly the Atlas (C1) and axis (C2) vertebrae, located near the base of the skull. Misalignments in this area can affect the trigeminal nerve and exacerbate trigeminal neuralgia symptoms.

Upper cervical adjustments help by relieving pressure on the trigeminal nerve by restoring proper alignment, enhancing blood flow, and reducing inflammation in the affected area. Additionally, this technique promotes natural healing by improving overall nerve function. 

PEMF Therapy

Pulsed Electromagnetic Field (PEMF) therapy uses electromagnetic waves to stimulate cellular repair and reduce inflammation. This non-invasive treatment targets damaged nerve tissues and promotes healing, making it an effective option for trigeminal neuralgia relief. 

PEMF therapy helps TN by reducing nerve irritation and inflammation. Additionally, it improves circulation and allows nutrients to reach damaged tissues, promoting healing. This is a safe, drug-free method to manage chronic pain and intense nerve pain episodes. 

Cold Laser Therapy

Cold laser therapy, also known as low-level laser therapy (LLLT), uses light energy to stimulate tissue repair and reduce inflammation. This treatment is particularly effective for chronic pain disorders like trigeminal neuralgia.

It stimulates cellular regeneration, promotes healing, reduces pain and inflammation in and around the trigeminal nerve, and offers a targeted, non-invasive solution for managing TN symptoms. 

Dietary Adjustments

Dietary adjustments are a crucial part of trigeminal neuralgia treatment. Incorporating anti-inflammatory and nutrient-dense foods into your diet can help support nerve function and reduce trigeminal nerve irritation. 

Some foods can worsen inflammation or act as triggers for TN pain. Avoiding those foods can help reduce the frequency and intensity of flare-ups. 

The best way to improve your diet for trigeminal neuralgia is to go to a professional who will make a personalized nutrition plan. Dr. Tony Salamay from the Clinic of Chiropractic is an excellent Nutritionist who will guide and support you through a comprehensive, personalized treatment plan tailored to your needs. 

Here are our recommendations for foods to eat and foods to avoid for trigeminal neuralgia:

foods that help with trigeminal neuralgia

Foods to Eat for Trigeminal Neuralgia

  • Leafy Greens: Spinach, kale, and Swiss chard are high in magnesium and antioxidants which help calm nerve pain.
  • Fatty Fish: Salmon, mackerel, and sardines are rich in omega-3 fatty acids which reduce inflammation and support nerve health.
  • Berries: Blueberries, strawberries, and raspberries are packed with antioxidants that protect nerves from oxidative stress.
  • Nuts and Seeds: Almonds, walnuts, flaxseeds, and chia seeds provide magnesium and healthy fats to nourish healthy nerves.
  • Whole Grains (if tolerated): Brown rice, quinoa, and oats stabilize blood sugar levels, preventing potential triggers for nerve pain.

Foods to Avoid for Trigeminal Neuralgia

  • Refined Sugars: Found in candy, pastries, and sugar drinks, refined sugars can spike inflammation and exacerbate nerve pain. 
  • Processed Foods: Chips, frozen meals, and fast food contain additives and unhealthy fats that may irritate nerves and cause inflammation
  • Caffeine: Coffee, tea, and energy drinks can overstimulate the nervous system, potentially triggering pain episodes. 
  • Alcohol: Known to inflame nerves and increase pain sensitivity. 
  • Nightshade Vegetables: Some individuals may find tomatoes, potatoes, and peppers aggravate their symptoms, though this varies from person to person. 

Below is the visual that show’s foods to avoid if you have Trigeminal Neuralgia.

foods to avoid for trigeminal neuralgia

Supplements

Supplements can provide essential nutrients that are difficult to obtain in sufficient amounts from diet alone. The right supplements can enhance nerve health, reduce inflammation, and support overall wellness for individuals with trigeminal neuralgia. 

To get the best effect of supplements and the correct doses for you, we advise you to consult with a functional medicine practitioner or doctor. 

Here are three supplements we may use for treating trigeminal neuralgia:

Vitamin B12

Vitamin B12 is a water-soluble vitamin essential for maintaining healthy nerve function. It supports the myelin sheath, the protective layer around nerves. Damage to this sheath can worsen nerve pain and initiate trigeminal neuralgia episodes.

You can naturally find vitamin B12 in animal-based foods like eggs, fish, and poultry. Vitamin B12 is found in multivitamins or mineral supplements that usually contain 5 to 25 mcg. However, higher doses may be needed for deficiencies. 

Magnesium

Magnesium is a vital mineral that plays a role in nerve and muscle relaxation. It helps reduce nerve hyperexcitability, potentially easing trigeminal neuralgia pain

You can find it naturally in leafy greens, nuts, seeds, bananas, and avocados. The recommended daily dose is 200 to 400 mg, depending on your age and gender. 

Omega-3 Fatty Acids

Omega-3 fatty acids are essential fats with anti-inflammatory properties. They reduce inflammation around the trigeminal nerve and improve nerve cell health

You can find Omega 3s in fatty fish like salmon and mackerel,  flaxseed, chia seeds, and walnuts. The daily dose ranges from 1000 to 3000 mg, depending on individual needs.

In the graphic below you can see the supplements and herbal remedies for Trigeminal Neuralgia.

best supplements and herbal remedies for trigeminal neuralgia

Herbal Remedies

Herbal remedies offer natural, therapeutic options for managing trigeminal neuralgia (TN). They work to reduce inflammation, improve nerve health, and alleviate pain. Well not a substitute for medical treatment, these herbs can complement conventional therapy and provide relief from TN symptoms. 

Capsaicin

Capsaicin, derived from chili peppers, is a natural compound known for its pain-relieving properties

It is the active compound in chili peppers that gives them their spicy heat. Capsaicin blocks pain signals by depleting substance P,  a chemical involved in transmitting pain sensations to the brain. This desensitizes the nerve endings, reducing their ability to send pain signals. 

Topical creams containing capsaicin can be applied to the affected area to reduce nerve pain. Always test on a small area and consult with a Healthcare practitioner for proper use. 

Rosemary

Rosemary is a versatile herb with anti-inflammatory and antioxidant properties. It may help reduce inflammation and improve circulation, supporting overall nerve health and easing trigeminal neuralgia symptoms.

You can drink rosemary tea, use it in cooking, or apply diluted rosemary oil to the affected area for mild pain relief. 

St. John’s Wort

St. John’s Wort is a flowering plant widely used for its nerve-soothing and relaxing properties. It contains hypericin,  which acts as a natural pain reliever and helps repair damaged nerves. It also supports emotional well-being and mild depression which is beneficial for managing chronic pain. 

You can take St. John’s Wort in supplement form or apply it topically as an infused oil. Consult a healthcare provider for appropriate dosing. 

Acupressure

Acupressure is a traditional Chinese therapy that involves applying pressure to specific points of the body to promote healing and relieve pain. This stimulates energy flow and promotes natural healing. 

Acupressure can stimulate nerve pathways, reduce facial tension, and improve blood flow, helping to ease trigeminal neuralgia pain. Seek guidance from a professional for the best results. 

At the Bay Clinic of Chiropractic, Dr. Tony Salamay uses acupressure combined with other therapies to treat trigeminal neuralgia and balance the body and mind. 

Stress Management

Stress management is crucial for treating chronic pain conditions like trigeminal neuralgia, as stress often exacerbates symptoms. Managing stress can help reduce the frequency and intensity of pain episodes by calming the nervous system and lowering inflammation. 

Incorporating relaxation techniques into your daily routine can improve overall well-being and provide relief. Stress management lowers cortisol levels, promotes relaxation, and enhances overall quality of life by calming the nervous system. 

Here are three ways to manage stress: 

Meditation

Meditation involves focusing your mind to achieve a state of calm and relaxation. For those who suffer from trigeminal neuralgia, it helps reduce stress and pain perception. Meditation helps lower stress hormones and calms overactive nerves. You can practice guided or mindfulness meditation for 10 to 20 minutes daily. 

Deep Breathing

Deep breathing exercises activate the parasympathetic nervous system which helps the body relax. This reduces muscle tension and promotes relaxation. You can try to breathe deeply for five to ten minutes during stressful moments or pain episodes. 

Yoga 

Yoga combines physical postures, breathing, and mindfulness to enhance overall well-being. It improves circulation, reduces tension in facial muscles, and lowers stress levels. You can try gentle yoga poses focusing on relaxation, like Child’s pose or Cat-Cow stretch. 

Frequently Asked Questions

Who Treats Trigeminal Neuralgia?

Trigeminal neuralgia is treated by neurologists, pain specialists, chiropractors, and functional neurologists. Functional neurology and chiropractic care offer natural, non-invasive options for treating trigeminal neuralgia. These alternative therapies can also complement conventional treatments.

Is Trigeminal Neuralgia Hereditary?

Trigeminal neuralgia is not usually hereditary. However, a family history of nerve disorders or genetic predispositions may slightly increase the risk of developing trigeminal neuralgia. 

Can Trigeminal Neuralgia Cause Headaches?

Yes, trigeminal neuralgia can cause headaches. Headaches are common when the pain radiates from the affected nerve branches to the temple, forehead, or scalp.

Can Trigeminal Neuralgia Cause Ear Pain?

Yes, trigeminal neuralgia can cause ear pain because the trigeminal nerve carries sensory signals from the face and ear areas. This ear pain is often sharp or stabbing and may accompany facial pain during a trigeminal neuralgia episode. 

Conclusion

Trigeminal neuralgia can significantly impact your quality of life. By understanding the condition, its symptoms, triggers, and alternative treatment options, you can take proactive steps toward relief. From functional neurology to dietary adjustments, innovative therapies like PEMF and cold laser therapy, and stress management techniques, there are many ways to alleviate the pain and regain control over your life.

At the Bay Clinic of Chiropractic, Dr. Tony Salamay and his team offer holistic solutions to managing conditions like trigeminal neuralgia. With expertise in functional neurology, chiropractic care, and advanced therapies, they are committed to helping you achieve lasting relief naturally and effectively.

Take the first step toward a pain-free life. Contact the Bay Clinic of Chiropractic at (850) 785-9372 or info@thebaydoctor.com today to schedule a consultation and explore customized treatments tailored to your unique needs. Your path to pain relief and wellness starts here. 

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Picture of Dr.Tony Salamay

Dr.Tony Salamay

Dr. Tony Salamay is a board-certified chiropractor and functional medicine practitioner specializing in root-cause solutions for autoimmune, digestive, hormonal, and chronic pain conditions. Through a holistic approach that blends chiropractic care, nutrition, and functional lab analysis, he helps patients restore long-term health naturally.

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