Trigeminal Neuralgia Essay

Botox consists of injections of botulin toxin, a poison that paralyzes the muscles. Some side effects include eye drooping, headaches, reduced blinking, and nausea that could last up to a couple of months. The injection can also cause side effects including facial pain, swelling, redness, and bruising (Flynn). By paralyzing different facial muscles, Botox may temporarily leave a smoother, wrinkle-free appearance, leaving the patient more confident in their own skin. Botox has short-term side effects that include bruising, allergic reactions, or paralysis of the wrong muscle group. A research study found that Botox might dampen or interfere with the ability to experience emotion in certain situations as well. When the muscle becomes paralyzed, the patient is incapable of moving/flexing those certain muscles in their face causes them to show less emotion physically (Ranoux). This can lead to long-term effects like depression if one keeps up the injections in those facial areas to take away the wrinkles. While this is an extreme case of Botox, there are many incidents that include this kind of reaction and some even concluding with

The Suicide Disease, otherwise known as Trigeminal Neuralgia, is a neuropathic disorder that does not often emerge until after the age of fifty. Due to the lack of a cure and the random and inescapable searing pains in parts of the face, many patients opt for suicide. Trigeminal Neuralgia is one of the most painful neuropathic disorders known today. It attacks the trigeminal nerve, consisting of the fifth cranial pair: a minor motor root and a major sensory root (Leclercq, 2015, p. 994). The pain that a patient experiences stems from complications within the branches of this specific pair of nerves (Zakrzewska, 2015, p.1).

Based on the progress report dated 03/11/16, the patient presents with neck pain, causing sharp and pinching pain, rated as 2/10. Patient reports that she has been better since the facet nerve blocks. Symptom is alleviated by injections and medications, and exacerbated by

Patient was encouraged to continue with heat, followed by his home exercise program and ice. He will continue with his transcutaneous electrical nerve unit (TENS). Patient was given an ice pack to use, to reduce pain. He was given a 60 mg Toradol injection on this visit.

A 32 Y/O female present to the clinic with 2 week H/O stabbing jaw pain 8/10 with lightening-like sensation along the eye and over the forehead. No meds taken for relief, afebrile at home, no facial trauma or head injuries in past. Upon examination, you palpate crepitus in the TMJ area with opening and closing of mouth. The most

For the past couple of years, I have witnessed first hand the effects that trigeminal neuralgia does to the human body. My mother was diagnosed with trigeminal neuralgia in 2010. She was suffering from the pain of the condition for more than two years before she was correctly diagnosed at MD Anderson in Houston, Texas. My mother always explained her pain as worse than childbirth, and that is because she has had four children. It caused my mom to have multiple sleepless nights, an aching jaws, constant and excruciating pain, and in one extreme incident, her job locked while she was chewing causing her to choke and had to receive the Heimlich maneuver. Being that she said it was the worst pain in her life, my family knew it was something more than chronic migraines: which is what one of the doctors she saw in the Rio Grande Valley diagnosed her with.

Radiculopathy must be documented by physical examination and corroborated by imaging studies and/or electrodiagnostic testing. In addition, no more than two nerve root levels should be injected using transforaminal blocks, and no more than one interlaminar level should be injected at one session. The patient is s/p C5-C7 anterior

Per medical report by Dr. Dentico dated 10/15/13, the patient presented with continued pain in the neck. It was stated that she recently started acupuncture treatments and has already completed 12 sessions so far.

The main ar-gument of the article is that neuropathic pain is challenging to manage and is a signifi-cant burden on society. The authors highlight how intrathecal drug delivery can be an alternate intervention for neuropathic pain when other methods of treatment fail to re-lieve symptoms. The topics covered in the article are the various medications used to manage neuropathic pain such as opioids, alpha-2 adrenergic agonists, calcium channel blockers, gamma-aminobutyric acid agonists, local anaesthetics, and corticosteroids. Ev-idence shows that intrathecal opioids may provide long term benefits for neuropathic pain, with other medications such as baclofen, ziconotide, bupivacaine, clonidine also showing moderate evidence of effective management of neuropathic

12/16/15 Progress Report indicated that the patient wakes up with headaches. She mentioned headache in the frontal vertex or temporal occipital areas. She also feels imbalance. She denies bruxism and has no significant neck symptoms. She reported having some minor neck tightness. She was being treated with acupuncture 2 X per week and craniosacral therapy 2 X per week. She noted that she was able to read better in the past two weeks. She had difficulty scanning a written page in the past. She also mentioned that her insomnia has slightly improved since initiating these 2 therapies. Physical exam showed no palpable spasms in her cervical region over her muscles of mastication. Cervical range of motion: backward flexion 70 degrees and forward flexion 60 degrees. She was able to turn 60 degrees to each side. She is able to tilt 40 degrees to other side. Comments: Based on the absence of objective findings, she has reached a medical end result with no need for any further treatment. No additional treatment or diagnostic testing is

Trigeminal neuralgia (TN), is a “classical” facial pain syndrome produce secondary to herpes zoster virus “reactivation” that may become chronic and recurrent and is probably one of the most common causes of craniofacial pain. TN is usually characterized by unilateral pain. This pain follows the nerve sensory anatomical distribution (cranial nerve V, radiating to the mandibular or maxillary region in 30% of affected patients) and is commonly accompanied by a brief/transitory facial tic or spasm. TN produces attacks of stabbing unilateral craniofacial pain, most frequent on the right side. The number of episodes and vary from less than one attack per day to twelve or more every hour and up to hundreds every

12/01/15 Progress Report noted that the patient has cervical spine pain. Examination of the cervical spine revealed tenderness noted over the paraspinal and trapezius muscles. However, the exam revealed no discrete tender points or twitch responses on palpation over the neck. In addition, the latest report does not show any sensory or motor deficits. Furthermore, the PT reports available for review indicate that the therapy was done for bilateral hands and wrists. There is no documentation of the attempt of physical therapy of the cervical spine. There is no clear documentation of the failure of aggressive conservative treatment around the cervical spine. In addition, the request is for 15 injections and the guidelines do not support more than 3-4 injections per session. Therefore, the medical necessity of trigger point injections X 15 has not been substantiated. Recommend

Have you or your loved one ever suffered from a pinched nerve? It is a painful condition that requires immediate medical attention. You can get treatment from the best pinched nerve Phoenix Arizona specialist for the condition. Patients suffering from this condition experience numbness or decreased sensation in the area supplied by the nerve. Many times there is a feeling of a tingling, "pins and needles" or a sharp or burning pain which is aggravated by coughing or sneezing. The feeling of twitching in the affected area is likely. While some individuals express it as their foot or hand has "fallen asleep."

Visual fields full to confrontation except dilated right pupil due to previous surgery. Normal facial symmetry, sensation and movement. Tongue and uvula were midline. Decreased auditory acuity. Normal shoulder shrug.

To finish the discussion of the different types of headaches is an exploration of research associated with cervicogenic headaches. Classified as a secondary headache, cervicogenic headaches are defined as a disorder originating in the cervical region that develops in the head/face region. This includes involvement from any cervical musculature as well as bony, disc, or other soft tissue structures. Characteristic symptoms of cervicogenic headaches include unilateral pain without side-shift, elicitation of pain with external pressure over the ipsilateral upper neck, limited cervical range of motion, and the triggering of attacks by various awkward or sustained neck movements (Dunning et al., 2016). In regards to abnormal movements of the neck,