Trigeminal Neuralgia

What is

Trigeminal neuralgia is a disease that causes a very intense pain that manifests itself in the form of an electric shock on one side of the face. It is produced by the affectation and compression of one of the nerves in charge of transmitting the sensations of the face to the brain, the trigeminal nerve. This nerve has three branches through which it innervates the different parts of the face:

The ophthalmic branch that picks up the sensitivity of the eye region.
The maxillary branch that picks up sensation from the midface and cheek.
The mandibular branch that picks up the sensitivity of the mandible.

Causes

The causes of this pain may be the malformation of a vessel, the existence of a tumor that compresses the nerve in its path or diseases such as multiple sclerosis.

Symptoms

Characteristics of trigeminal neuralgia pain:

Episodes of intense, stabbing pain in the form of electric shock.
Areas of pain: cheeks, jaw, teeth, gums, lips, eyes and forehead.
They may be accompanied by very limiting facial spasms.
It usually presents on one side of the face (unilateral).
It can be triggered spontaneously or provoked by common everyday gestures.
The attacks are transient and last from a few seconds to minutes.
The pain usually does not occur at night.

The manifestation of this pain occurs after small typical daily acts such as touching the face, smiling, brushing the teeth or shaving. Mild stimulation can trigger this intense pain that usually lasts for seconds but tends to recur many times during the day for the duration of the crisis.

Approach protocol

Diagnosis and assessment

A correct medical evaluation by means of a good anamnesis and physical examination will be necessary. The multidisciplinary vision is essential for a comprehensive, personalized approach, focused on achieving a prolonged relief of pain depending on the phase in which it is found.

Tests if necessary

Brain CT or MRI.

Treatment

Drugs for pain relief
Interventional treatments
Physiotherapy: methodology based on knowledge and clinical reasoning in which we combine a series of techniques and treatments both manual therapy and invasive techniques, always associated or complementing them with cutting-edge technology that allows us to accelerate the recovery process. Among other high-tech devices include Magnetolith, SIS, focal shock waves, Indiba, among others. This therapeutic combination allows us to activate the patient early to begin with a routine and a process of specific therapeutic exercises that allow us to enhance and strengthen the lost functional patterns.
Maintenance: establish adequate recovery guidelines.

Here begins your life without pain

Book appointment

elena casado gomez

Paula y Silvia buenisimas recepcionistas, super amables y atentas!! :)

Carlos Luzón

FRANCISCO DUCA Y SU EQUIPO SON LOS MEJORES QUE ME HAN TRATADO

Marc Guerrero

Muy buena experiencia, buen doctor

Janira Arnedo

Juan Carlos

Llegué con el hombro derecho bastante mal.
Tenía rotura parcial del tendón, bursitis y capsulitis. Llevaba meses casi sin dormir.
Gracias a ellos he pasado por 3 pequeñas intervenciones ambulatorias de quirófano y se me ha quitado el dolor.
Con el trabajo fantástico del personal de fisioterapia, a día de hoy he recuperado casi la totalidad del movimiento del hombro.
Mi agradecimiento a todo el personal que me ha tratado con toda la profesionalidad y el buen hacer de su profesión.
Muchas gracias.

Víctor de Minteguia Crespo

Miriam Diaz

Excelente trato

Oscar

Increíble como estaba de dolores desde que me levantaba y como estoy ahora después de una filtración. Encantado y muchísimas gracias a mivi y al dc. Duca!! Espectacular!!