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I just received a referral for a 78 year old Gentleman with Trigenimal nerualgia. I have not seen one of these in the clinic in quite some time. Does anyone have thoughts on treatment options? Thanks for your help.
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Go for as good and specific of a symptom location as possible as well as getting as good of a description of symptom behavior. I've on rare occaision had patients with symptoms on the side of the face that were referred from the neck but in medical notes was referred as trigeminal neuralgia, as the neck moved better, the symptoms went down. But an elderly person and the neck always comes with it, good exercise considerations and flags to consider. As far as treating real trigeminal neuralgia, sorry, haven't had a specific case for that. Good luck.
:), can't help thinking about wearing a hat that is too snug, or sidesleeping and maybe having the knuckles/hand close to a point of trigeminal hyperactivity. Must be those Vikings getting to the postseason and Favre on the team to get people to dust off their hats :).
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It is unlikely that conservative care plays a role in a true case of this. The problem of neural sensitzation actually seems to be linked to vascular abnormalites within the foramen that the nerve travelsm in. The solution is a neurosurgical consult with someone specializing in the condition .
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