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Trigeminal Neuralgia Omaha NE

I have a condition known as tic douloureux or trigeminal neuralgia. I have had this for over ten years and the attacks get worse and last longer as the years go by. I have been taking Tegretol (carbamazepine) for all these years; but the side effects don't make me feel very good. Do you have any suggestions? Read on for more information.

Elmwood Chiropractic Center
(402) 779-7089
6846 Pacific St # 103
Omaha, NE
Hours
Monday 9:00 AM - 6:00 PM
Tuesday 9:00 AM - 6:00 PM
Wednesday Closed
Thursday 9:00 AM - 6:00 PM
Friday Closed
Saturday Closed
Sunday Closed
Services
Applied Kinesiology, Auto Accidents, Chiropractic Neurology, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Decompression Therapy, Disc Herniation Treatment, Emergency Chiropractic Care, Flexion-Distraction Therapy, Holistic Chiropractic Care, Homeopathic Medicine, Massage Therapy, Orthogonal Chiropractic, Pain Management, Pediatric Chiropractic, Personal Injury, Physical Therapy

Peak Performance Chiropractic & Rehab
(402) 939-8432
15615 Pacific St
Omaha, NE
Hours
Monday 8:00 AM - 6:00 PM
Tuesday 9:00 AM - 7:00 PM
Wednesday 8:00 AM - 6:00 PM
Thursday 9:00 AM - 7:00 PM
Friday 8:00 AM - 3:00 PM
Saturday 9:00 AM - 12:00 PM
Sunday Closed
Services
Auto Accidents, Chiropractic Neurology, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Disc Herniation Treatment, Emergency Chiropractic Care, Flexion-Distraction Therapy, Holistic Chiropractic Care, Homeopathic Medicine, Pain Management, Pediatric Chiropractic, Personal Injury

Kim Yoo
(402) 345-0382
13906 Gold Cir #204
Omaha, NE
Gender
F
Speciality
Acupuncturist
General Information
Online Appt Scheduling: Yes
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided by:
Dr. Jacobs Chiropractic And Acupuncture
12010 Pacific St.
Omaha, NE
 
Omaha Integrative Care
(402) 934-1617
1812 N. 169th Plz
Omaha, NE
Specialty
Infertility
Gender
Female
Education
TCM
Professional Memberships
LAc

Benson Chiropractic Clinic
(402) 939-8827
5414 Nw Radial Hwy
Omaha, NE
Hours
Monday 8:00 AM - 12:00 PM
Tuesday Closed
Wednesday 8:00 AM - 12:00 PM
Thursday 8:00 AM - 12:00 PM
Friday 8:00 AM - 12:00 PM
Saturday 8:00 AM - 11:00 AM
Sunday Closed
Services
Auto Accidents, Chiropractic Treatment for Injuries, Chiropractors, Disc Herniation Treatment, Emergency Chiropractic Care, Pain Management, Pediatric Chiropractic, Personal Injury

Advanced ChiroCare
(712) 314-2395
7 North 6th st
Council Bluffs, IA
Hours
Monday 9:30 AM - 11:30 AM
Tuesday 2:45 PM - 6:00 PM
Wednesday 9:30 AM - 11:30 AM
Thursday 12:00 AM - 12:00 AM
Friday 9:30 AM - 11:30 AM
Saturday 12:00 AM - 12:00 AM
Sunday 12:00 AM - 12:00 AM
Services
Applied Kinesiology, Auto Accidents, Chiropractic Neurology, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Decompression Therapy, Disc Herniation Treatment, Emergency Chiropractic Care, Flexion-Distraction Therapy, Holistic Chiropractic Care, Homeopathic Medicine, Massage Therapy, Orthogonal Chiropractic, Pain Management, Pediatric Chiropractic, Personal Injury, Physical Therapy

Lorinda J. Sorensen
(402) 391-6714
7447 Farnam St.
Omaha, NE
 
Sheri L Millard
2871 S 168Th St
Omaha, NE
 
Hoomany Chiropractic
(402) 285-7072
1901 Cornhusker Dr. Ste 205
South Sioux City, NE
Hours
Monday 8:00 AM - 12:00 PM
Tuesday 8:00 AM - 12:00 PM
Wednesday 8:00 AM - 12:00 PM
Thursday 8:00 AM - 12:00 PM
Friday 12:00 PM - 12:00 PM
Saturday Closed
Sunday Closed
Services
Applied Kinesiology, Auto Accidents, Chiropractic Neurology, Chiropractic Treatment for Injuries, Chiropractors, Decompression Therapy, Disc Herniation Treatment, Emergency Chiropractic Care, Flexion-Distraction Therapy, Holistic Chiropractic Care, Homeopathic Medicine, Pain Management, Pediatric Chiropractic, Personal Injury, Physical Therapy

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Trigeminal Neuralgia

Trigeminal Neuralgia

05/20/2003 - Questions and Answers

By: Mark Castleden

Question

I have a condition known as tic douloureux or trigeminal neuralgia. I have had this for over ten years and the attacks get worse and last longer as the years go by. I have been taking Tegretol (carbamazepine) for all these years; but the side effects don't make me feel very good. Do you have any suggestions?

Answer

Trigeminal neuralgia, or tic douloureux, is a very painful and frustrating condition. This disorder involves the sensory part of the fifth cranial nerve (the trigeminal, or three-rooted, nerve). The trigeminal nerve collects sensations from the facial area. It has three branches. The ophthalmic branch serves the forehead, the maxillary branch the face from below the eyes to the lips, and the mandibular branch serves below the lips. A 'trigger point' can exist anywhere along the subdivisions of these major branches that will set off a painful episode. An example would be when one is chewing food and the nerve supplying the teeth is the trigger.

No one knows for sure the 'cause' of trigeminal neuralgia. A thorough diagnostic investigation should be done to rule out any possible cause within the cranial cavity (e.g. a tumor), so that a CT or MRI would certainly be warranted. Other, rare, causes may be an abnormal blood vessel in the brain, a stroke, a demyelinating nervous disease (e.g. multiple sclerosis), or a viral infection - especially after a herpes (shingles) attack, which usually involves the ophthalmic branch.

Treatment options include anticonvulsant medications, such as carbamazepine (Tegretol - the drug of choice) and phenytoin (Dilantin), and clonazepam. These drugs will give relief to many, but will fail in a significant number of patients. Muscle relaxants such as baclofen are also used to relax the 'tic' by working on the facial muscles. For cases non-responsive to medication, a surgical approach can be utilized that involves cutting the nerve roots (rhizotomy), ...

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