What Causes Trigeminal Neuralgia to Flare Up?

Trigeminal neuralgia (TN) is often described as one of the most painful conditions a person can experience. This chronic pain disorder affects the trigeminal nerve, which is responsible for transmitting sensations from the face to the brain. For those with TN, even gentle stimuli like brushing your teeth, putting on make-up, or eating can trigger debilitating pain.  

If you are living with trigeminal neuralgia, understanding what causes flare-ups, learning how to manage symptoms, and exploring available treatment options is key to improving your quality of life.   

Common Triggers of Trigeminal Neuralgia

Learning to identify what triggers your trigeminal neuralgia can be the first step toward better managing this condition. TN flare-ups can be caused by various factors, many of which are unpredictable or vary from patient to patient. Common triggers include:  

  1. Touch and Physical Stimulation: Activities like applying make-up, shaving, brushing your teeth, or washing your face  
  2. Cold or Windy Weather: A sudden blast of cold air or strong wind against the face  
  3. Diet and Chewing: Eating or drinking extremely hot, cold, or spicy foods, or the act of chewing  
  4. Stress and Emotional Strain: Extended periods of stress and anxiety  
  5. Jaw Movement: Speaking for long periods or making large jaw motions, such as yawning  
  6. Dental Visits: Dental procedures, even non-invasive ones, can unintentionally cause a flare-up due to their closeness to the trigeminal nerve  
  7. Neurological Triggers: Conditions that interfere with nerve function, such as multiple sclerosis, can increase the frequency and severity of trigeminal neuralgia episodes  

Symptoms of a Trigeminal Neuralgia Flare-Up

A trigeminal neuralgia flare-up is characterized by sudden, severe, and shock-like pain on one side of the face. Understanding the symptoms can help patients recognize a TN episode early. Common symptoms include:  

  • Intense, shooting pain that affects one side of the face  
  • Episodes of pain that last seconds to minutes, but may happen one after another 
  • Pain triggered by routine activities, such as talking or eating  
  • A burning or aching sensation that may continue between attacks  

Diagnosis of Trigeminal Neuralgia

Diagnosing trigeminal neuralgia can be difficult. Symptoms often mimic other conditions such as migraines, dental issues or other neurological conditions, leading to delayed or misdiagnoses. A comprehensive evaluation from a neurology specialist is essential. A typical diagnostic process may include:  

  • Medical History Review: Discussing your symptoms, frequency, and triggers  
  • Neurological Examination: Assessing facial sensation and identifying potential nerve function abnormalities  
  • Imaging Tests: Advanced imaging like CT or MRI scans to detect pressure on the trigeminal nerve 

Overview of Treatment Options for Trigeminal Neuralgia

Living with trigeminal neuralgia can feel overwhelming, but a range of treatments are available to help manage your pain and improve your daily life.   

Medications 

Many trigeminal neuralgia patients find relief through prescription medications, which are often used as the first line of treatment. This usually involves medications designed to calm overactive nerve function including:  

  • Anticonvulsants: Traditionally used to treat seizures but can also stop the trigeminal nerve from sending pain signals  
  • Muscle relaxants: Help relax muscles and alleviate pain by targeting tightness and muscle spasms  

These medications can be very effective, but some patients may find the side effects intolerable, experience diminishing results over time or experience worsening symptoms.   

 Therapy  

Various forms of therapy, like physical and cognitive behavioral therapy, can be beneficial for patients experiencing a trigeminal neuralgia flare up. Physical therapy focuses on relieving muscle pain and tension that can worsen nerve pain. Cognitive behavioral therapy helps patients develop coping strategies for dealing with the emotional toll of chronic pain.  

Surgical Options:  

Gamma Knife Radiosurgery: For patients seeking a minimally invasive solution, this is a revolutionary option. This cutting-edge treatment uses focused radiation to target the source of nerve pain with minimal damage to surrounding tissue.   

Microvascular Decompression (MVD): This surgery requires an incision behind the ear and the removal of a small piece of skull to allow the surgeon to relieve pressure on the trigeminal nerve.   

Finding a Trigeminal Neuralgia Specialist in NJ

If you are in New Jersey or the surrounding tri-state area and suspect that you have trigeminal neuralgia, seeking a specialist is crucial. A TN specialist will have the expertise needed to differentiate TN from other conditions and guide you through treatment. At The Valley Gamma Knife Center, our experienced team focuses on effective and patient-centered care for TN.  

 Why Choose The Valley Gamma Knife Center?

Choosing the right treatment center is crucial for trigeminal neuralgia patients seeking effective relief. The Valley Gamma Knife Center in Bergen County, New Jersey stands out as a top choice for its advanced technology, comprehensive care, and exceptional doctors. At The Valley Gamma Knife Center, we specialize in delivering an experienced, multidisciplinary approach and advanced treatments for TN to help patients reclaim their lives.   

 Advanced Technology

Gamma Knife surgery is not only cutting edge, it is established as the gold standard in stereotactic radiosurgery, with over 50 years of evidence supporting its efficacy and safety. No other platform or device has this kind of track record.  

 Comprehensive Care

Patients at The Valley Gamma Knife Center benefit from a holistic approach to treatment, with supportive care from additional specialties within Valley Health System. This comprehensive care ensures all aspects of a patient’s health are considered.  

 Exceptional Doctors

The team at The Valley Gamma Knife Center is comprised of highly experienced doctors renowned for their expertise in minimally invasive surgery and treating trigeminal neuralgia. Their commitment to research and involvement in clinical studies keeps them abreast of the latest developments, ensuring their patients receive the best possible care. Additionally, their dedication to patient care is reflected in the numerous awards and recognitions they have received.  

 Take Control of Your Trigeminal Neuralgia Today

If you are experiencing trigeminal neuralgia flare-ups, you do not have to endure the pain in silence. By identifying potential triggers, working with experienced specialists and exploring advanced treatments, relief is within reach.  

At The Valley Gamma Knife Center, we are dedicated to guiding patients through every step of their TN treatment. Our team is here to help you regain control of your life with cutting-edge solutions tailored to your unique needs. Contact us today for a consultation with one of our trigeminal neuralgia experts and start your path to relief from TN pain.   

Picture of Anthony D’Ambrosio, M.D., M.B.A., F.A.A.N.S
Anthony D’Ambrosio, M.D., M.B.A., F.A.A.N.S
Dr. Anthony D’Ambrosio is a board-certified neurosurgeon that specializes in Neurosurgery, Stereotactic Radiosurgery, Gamma Knife Radiosurgery (GKRS) and more. He is the Director of Neurosurgery and Co-Director of the Gamma Knife Program at The Valley Hospital. Dr. D’Ambrosio is an expert in treating patients with trigeminal neuralgia, benign or malignant brain tumors, as well as many other neurological conditions.

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