We use cookies to so our web site can function correctly. By Clicking "OK" or by clicking into any content on this site, you agree to allow cookies to be placed. To find out more visit the cookies section of our privacy policy.

Privacy Statement

A cookie is a small file which asks permission to be placed on your computer's hard drive. Once you agree, the file is added and the cookie helps analyse web traffic or lets you know when you visit a particular site. Cookies allow web applications to respond to you as an individual. The web application can tailor its operations to your needs, likes and dislikes by gathering and remembering information about your preferences.

We use traffic log cookies to identify which pages are being used. This helps us analyse data about web page traffic and improve our website in order to tailor it to customer needs. We only use this information for statistical analysis purposes.

Overall, cookies help us provide you with a better website, by enabling us to monitor which pages you find useful and which you do not. A cookie in no way gives us access to your computer or any information about you, other than the data you choose to share with us.

Cookie group mandatory

(Req)
These cookies are necessary for the website to function and cannot be switched off in our systems. They are usually only set in response to actions made by you which amount to a request for services, such as setting your privacy preferences, logging in or filling in forms.
You can set your browser to block or alert you about these cookies, but some parts of the site will not then work. These cookies do not store any personally identifiable information.

These cookies are required

Functional

These cookies allow us to adtertise our products to you and allow us to pass this information on to our trusted third parties so that they can advertise our products to you on our behalf
All information these cookies collect is aggregated and therefore anonymous. No personal inforation is shared to third parties. Any personal information collected while using our website could be used for direct marketing from HCA only

Marketing

These cookies allow us to advertise our products to you and allow us to pass this information on to our trusted third parties so that they can advertise our products to you on our behalf
All information these cookies collect is aggregated and therefore anonymous. No personal inforation is shared to third parties. Any personal information collected while using our website could be used for direct marketing from HCA only

Performance Cookies

These cookies allow us to know which pages are the most and least popular and see how visitors move around the site.  All information collect is annonomas unless you provide personal information to us.
If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance.

Trigeminal neuralgia

An uncommon form of facial pain which typically gives rise to severe, intermittent, sharp pain, often described as ‘stabbing’ or ‘electric-shocks’.

About trigeminal neuralgia

Trigeminal neuralgia is a severe and sudden type of facial pain. It's believed to be caused by an artery or vein compressing your trigeminal nerve (the nerve that gives feeling to the face). Other causes include tumours compressing the nerve, and multiple sclerosis which causes loss of the ‘insulation’ around nerve fibres.

There are two trigeminal nerves, one for each side of the face. They are each formed of three branches which give feeling to the forehead, cheek and jaw respectively. Those diagnosed with neuralgia experience pain only on one side of the face, usually in the cheek and/or jaw, with fewer patients suffering pain in the forehead and eye.

The neuralgic pain is not constant, but comes in waves or spasms, sometimes lasting for minutes at a time before easing off. In between attacks the victim is normally pain-free
but fearful of talking, eating or otherwise triggering the next spasm.These attacks can lead to anxiety as well as actual pain. To help this, we offer a range of treatment options to improve your condition.

Need to know

  • Symptoms of Trigeminal neuralgia icon plus

    The main symptom of trigeminal neuralgia is a severe, sharp-shooting pain in your jaw, teeth and gums. In some cases, the pain may also be felt in the forehead or eye. These attacks can be very intense and occur regularly. Actions or movement that can trigger these symptoms include:

    - talking
    - smiling/laughing
    - chewing/swallowing
    - brushing your teeth
    - touching your face
    - washing your face

     
  • Diagnosis icon plus

    The severe pain you may feel from trigeminal neuralgia will help your consultant make a diagnosis. From their discussion with you, they will then likely undertake an MRI scan, to give a clear image of the trigeminal nerves. An MRI scan can help your consultant to identify any abnormality around the nerve, particularly the proximity of an artery or the presence of a benign tumour in contact with the nerve.
  • Potential treatment options icon plus

    Medication: The mainstay of treatment is medical, using a range of drugs which have been found to give either complete or partial relief. This may include anticonvulsant medication to block the pain transmission in the nerve. Your doctor can talk to you about the variety of medication available. 

    Surgery: If medication fails to control the pain, or the side effects are too great, there are surgical options including:

    • Injections under general anaesthetic:  A needle passed through the cheek and skull base into the trigeminal nerve using x-ray guidance
    • Cryotherapy: Freezing of the the nerves, using a probe cooled by liquid nitrogen, as they emerge from the skull to supply the face. This procedure is normally performed by Oral surgeons. The pain is often relieved for a period, but usually recurs as the nerves recover from the damage.
    • Microvascular decompression surgery:The most effective form of treatment. This is an operation to move an artery away from the trigeminal nerve. Although we are not certain that vascular compression causes neuralgia, the operation has a high chance of relieving pain long-term.
    • Gamma Knife radiosurgery, where a high dose of radiation is delivered to the trigeminal nerve by a radiation beam which targets the nerve and damage the trigeminal nerve pain fibres.
Consultant with patient

Our doctors

Most people will be referred to a medical neurologist, usually by their GP but sometimes by their dentist. Sometimes a referral will be made directly to a pain relief clinic or to a
neurosurgeon.


Diagnosis is made on the basis of the symptoms and pattern of attacks; as yet there are no tests which can confirm the medical opinion.

Our neurological facilities

From complex surgery to straightforward procedures, we provide exceptional neurological care across our network of hospitals, outpatient centres and specialist clinics.

Request an appointment

We're happy to help you make an appointment with one of our experienced consultants.

This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.
back to top