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Frequently Asked Questions

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Can you provide a list of medications prescribed for neuropathic facial pain with recommended dosages and side effects? Medical Treatment for Facial Pain, by Jeffrey Cohen, MD   I am looking for information on dental work, hygiene, and treatments for patients with mouth pain. Dental Care with Concomitant Neuropathic Orofacial Pain, by Henry A. Gremillion, […]

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Trigeminal Neuralgia Without Neurovascular Compression

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Kim J Burchiel, M.D.  Department of Neurological Surgery, Oregon Health & Science University, Portland, Oregon, United States Increasing evidence indicates that neurovascular compression (NVC) is not necessary for the development of trigeminal neuralgia (TN). A retrospective chart review of patients 18 years of age and older presenting between 2007 and 2017 to Oregon Health and […]

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Finding a Neurosurgical Trigeminal Neuralgia Specialist

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If you have facial pain, you may be suffering from trigeminal neuralgia. Trigeminal neuralgia is a facial pain condition that occurs spontaneously and is characterized by sharp, shock-like pain involving one side of the face. Other potential symptoms may include ear pain, teeth pain, hypersensitive face, or a numbing/burning sensation of one side of the […]

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A Summary of Research on Medical Marijuana for Neuropathic Facial Pain

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Literature reviews are important sources of information in evidence-based medicine (EBM). They highlight key findings, find contradictions in the published research, and provide an analysis of the approaches that researchers use. This literature review is a summary of research on the use of marijuana for relief of neuropathic facial pain. Medical marijuana is the whole, […]

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Starting a Support Group in Your Area

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Having been support group leader for the Orange County Trigeminal Neuralgia Association (OCTNA) for 10 years, I hope to encourage you to grow a support group in your community. OCTNA’s motto is, “If you don’t feel well, you need us. If you feel better, we need you!” Here are some tips to help get you […]

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Tips for Managing Chronic Pain in Primary Relationships

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Note: this is part 2 of a 2-part series on optimizing primary partner relationships in the context of chronic facial pain. Read part 1 here. Use Therapy If you have a history of childhood abuse or neglect, and you haven’t talked this out in therapy, you need to do this. It is not necessary for […]

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Optimizing Primary Partner Relationships in the Context of Chronic Facial Pain

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Pain is both a private experience and a social one. It is undeniably true that the patient has a private experience of pain that cannot be shared. However, the patient’s private experience of pain inevitably results in behavioral changes that others can see and this creates the patient’s social experience of pain. Once pain has […]

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Coming out of the Facial Pain Closet

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Being diagnosed with trigeminal neuralgia, or any chronic illness, is no easy pill to swallow. Receiving the diagnosis can be both scary but also oddly welcoming — getting validation of your pain can be a relief. One challenge that comes along with trigeminal neuralgia is figuring out how to tell people in your life about […]

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Debunking an Old Myth about TN

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To the best of our knowledge the description of trigeminal neuralgia as the suicide disease originated in the late 19th century. During this time general brain surgery incurred a mortality rate of 90% and was considered tantamount to suicide by many. It goes without saying that brain surgery for TN was crude and dangerous, with […]

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My Story With Facial Pain

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I remember it all started in 2006 with constant aching pain on my right eye. I was six months’ expectant with my second born child. It was aching constant pain, I took so much medication which did not help. Upon delivery the pain was still there, but not as much as it was when I […]

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