neuralgia…

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central nervous system, nerve pain, postherpetic neuralgia, neuralgia is pain that follows the path of specific nerves, neuralgia, varied, chemical irritation, inflammation, trauma, surgery, compression by nearby structures, instance, tumors, infections, all lead to neuralgia, in many cases, unidentifiable, neuralgia, common in elderly persons, occur at any age, trigeminal neuralgia, most common form of neuralgia, affects the main sensory nerve, the face, trigeminal nerve, "trigeminal" literally means "three origins", referring, division, the nerve into 3 branches, condition involves sudden, short attacks of severe pain on the side, the face, along the area supplied by the trigeminal nerve on that side, pain attacks severe enough to cause a facial grimace, is classically referred to, a painful tic, tic douloureux, cause of trigeminal neuralgia, blood vessel, small tumor pressing on the nerve, disorders multiple sclerosis, an inflammatory disease affecting the brain, spinal cord, certain forms of arthritis, diabetes, high blood sugar, cause trigeminal neuralgia, a cause is not always identified, certain movements chewing, talking, swallowing, touching an area, the face, trigger a spasm of excruciating pain, a related but rather uncommon neuralgia affects the glosso-pharyngeal nerve, provides sensation, throat, symptoms of this neuralgia, short, shock-like episodes of pain located, in the throat, neuralgia, occur after infections shingles, varicella-zoster virus, a type of herpesvirus, neuralgia produces a constant burning pain, shingles rash has healed, pain is worsened by movement of, contact, the affected area, postherpetic neuralgia debilitating long after signs, the original herpes infection have disappeared, infectious diseases, neuralgia, syphilis, lyme disease, diabetes is another common cause of neuralgia, very common medical problem affects 1 out of every 20 americans, adulthood, diabetes damages the tiny arteries that supply circulation, nerves, resulting in nerve fiber malfunction, nerve loss, diabetes, produce any neuralgia, trigeminal neuralgia, carpal tunnel syndrome, pain, numbness, the hand, wrist, meralgia paresthetica, numbness, pain, in the thigh, due to damage, lateral femoral cutaneous nerve, strict control of blood sugar, prevent diabetic nerve damage, accelerate recovery in patients who, develop neuralgia, medical conditions that associated, neuralgias, chronic renal insufficiency, porphyria, a hereditary disease, the body cannot rid of certain substances produced, normal breakdown of blood, certain drugs, cause this problem, pain located anywhere, near the surface, same location, each episode, sharp, stabbing pain, constant, burning pain, pain, along the path of a specific nerve, impaired function, affected body part, due to pain, muscle weakness, due to concomitant motor nerve damage, increased sensitivity, the skin, numbness, the affected skin area, feeling similar to a local anesthetic novacaine shot, touch, pressure is interpreted, pain, movement, painful, neurologic examination shows tenderness occurring, along a nerve tract, trigeminal neuralgia, causes, pain, along the second, third nerve divisions, lower face, jaw, rarely involves, first nerve division, temple, forehead, signs of altered nerve function often encountered, loss of deep tendon reflexes, local loss of muscle bulk, local lack of sweating, sweating is regulated by nerve function, abnormal skin sensation, specific trigger points, areas where a slight touch triggers pain, a dental examination, rule out dental disorders, facial pain, presence of other symptoms, redness, swelling, indicate disorders causing the pain, infections, bone fractures, rheumatoid arthritis, disorders, no tests, specific, neuralgia, tests, rule out other causes, the pain, a nerve conduction study, electromyography, ncs/emg, examines the electrical activity of nerves, confirm the diagnosis, first part, ncs, involves giving small electric shocks to skin areas overlaying specific nerve paths, physician then determines whether the conduction of electricity is delayed, blocked, the particular nerve that was tested, second part, emg, involves, careful insertion of a very fine needle, skin, is attached to an electric probe, measure of electrical activity, the sampled muscle at rest, motion indirectly provides useful clues regarding nerve function, the procedure sounds rather unpleasant, most patients, able to tolerate it, little discomfort, a number of other laboratory tests doctors use, the cause of neuralgia, blood tests to check blood sugar, kidney function, routinely used, diagnosis is not clear, tests helpful, particularly whenever there is suspicion of an underlying medical problem, arthritis, syphilis, vitamin deficiencies, less common disorders, multiple sclerosis is suspected, diagnosis, confirmed, an imaging test, the brain mri, a lumbar puncture, spinal tap, confirm the diagnosis of multiple sclerosis, nerve disorders, involves inserting a needle, lower back to reach a spot, the subarachnoid space, is filled, cerebrospinal fluid, csf, analysis of this fluid, evidence of inflammation, helping to establish the correct diagnosis, treatment of neuralgia is aimed at reversing, controlling the cause, the nerve problem, providing pain relief, depending on the cause, location, severity, the pain, factors, the neuralgia is never identified, improve spontaneously, disappear, surgical removal of tumors, surgical separation, the nerve from blood vessels, structures that compress it, mild over-the-counter analgesics aspirin, acetaminophen, ibuprofen helpful, mild pain, narcotic analgesics codeine needed, short time to control severe pain, traditional pain-killers, have disappointing results, medications work in different parts, the nervous system, provide better symptom control, instance, antiseizure medications carbamazepine, gabapentin, lamotrigine, phenytoin helpful, pain associated, trigeminal neuralgia, most common adverse effects of antiseizure drugs, drowsiness, tremor, incoordination, antidepressant medications, amitryptiline, to control pain topical, local, application of creams containing capsaicin, help to control pain, treatments, nerve blocks, local injections of anesthetic agents, surgical procedures to decrease sensitivity, the nerve, procedures involve the ablation, surgical destruction, the affected nerve using different methods, local radiofrequency, heat, thermocoagulation, balloon compression, injection of chemicals, glycerolysis, unfortunately, not guarantee improvement, cause sensory loss, abnormal sensory phenomena, another strategy sometimes used, resilient cases of neuralgia, motor cortex stimulation, mcs, consists of surgically placing an electrode over the sensory cortex, the brain, electrode is hooked to a pulse generator pocketed under the skin, such surgical procedures, tried only, more conservative approaches have failed, postherpetic neuralgia, injections of anesthetics, steroids, potent anti-inflammatory drugs, subarachnoid space, a spinal tap, provide pain relief, trigeminal, glosso-pharyngeal neuralgias, a procedure, microvascular decompression, symptom improvement, surgical procedure consists of removing any possible compression exerted by neighboring blood vessels over the affected nerve, physical therapy helpful, types of neuralgia, postherpetic neuralgia, treatment of shingles, antiviral medication, decrease the incidence of postherpetic neuralgia, most neuralgias, not life-threatening, not indicate other life-threatening disorders, pain, severe, incapacitating, severe pain, sure, a pain specialist so that all options, explored, most neuralgias, respond to treatment, attacks of pain, episodic, occurring in intervals, alternating, relatively pain-free periods of time, attacks, become more frequent, patients, they age, unnecessary dental procedures, prior to diagnosis of neuralgia, disability, pain, complications of surgery, side effects of medications, control pain, the specific medication, symptoms of neuralgia, prolonged, unrelieved by over-the-counter analgesics, a pain specialist, severe pain, treatment of associated disorders diabetes, renal insufficiency, prevent development of some neuralgias.