They feel pain even during easy tasks such as brushing their teeth and applying makeup.

Tic douloreux, also known as trigeminal neuralgia, is the pain caused by the effect of the nerves that carry the sensations in our face to our brain. People with this problem suffer from chronic facial pain. People feel pain even in easy tasks such as brushing their teeth and applying makeup.

In the first stage of the disease, people experience short and mild attacks of pain. However, in certain cases, the disease progresses. And this progress causes pain attacks to be experienced more frequently and intensely. It is more common in women than in men and is frequently encountered in people over the age of 50.

It can cause pain in benign or malignant tumors pressing on the trigeminal nerves.

With this disease, the functions of the trigeminal nerves that carry the sensations in the face to the brain are disrupted. The problem encountered is between the trigeminal nerve located at the base of the brain of the normal blood vessel. Pressure is applied to the nerve during contact and false signals are sent.

Trigeminal neuralgia may occur with aging. In some cases, the myelin sheath protecting the nerves may have been damaged, which causes pain. It can also cause pain in a benign or malignant tumor that compresses the trigeminal nerves.

Although it varies from person to person, triggers that occur in the face area such as wind breeze, external brushing, smiling, eating, talking, making up, shaving, washing the face cause pain.

In the radiofrequency method, the nerve transmission in the area that causes pain is disabled.

Signs and symptoms of trigeminal neuralgia vary from person to person, and the resulting pain is varied. These types of pain can be observed as follows;

• Pain occurs in a single point of the face or on the contrary, it is felt in a wide area. Pain may occur in the cheeks, jaw, teeth, gums, lips, or less commonly the eyes and forehead.
• It can affect one side of the face or it can occur on both sides, although it is rare.
• Pain attacks may last for a few seconds or may occur in the form of seizures.
• It may feel like an electric shock.
• There may be certain times when pain is felt depending on various factors.
• There may be spontaneous pain or attacks triggered after interaction with the face, such as touching the face, chewing, brushing teeth or talking.

Usually, the diagnosis is based on the person’s disease history. It is very important for the person to describe the pain correctly. After the history of the disease, the specialist physician will be able to determine the type of pain and the causes causing the pain. The specialist physician can use various tests to make sure of the diagnosis and to determine the root cause of the disease.

The first method preferred in the treatment of trigeminal neuralgia is drug therapy. In some cases, no additional treatment is required, except for medications. However, the drug may not work as a result of long-term medication use.

In such cases, radiofrequency treatment may be preferred. In the radiofrequency method, the nerve transmission in the area that causes pain is disabled. Long-term and permanent results can be obtained without damaging the area.




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