Conditions
Overview
Precision in diagnosis. Clarity in treatment.
Trigeminal neuralgia is one of the most severe pain conditions known in medicine. The episodes are sudden, electric shock-like, and can be triggered by the most ordinary activities such as eating, speaking, or a light touch to the face.
At Painacea, trigeminal neuralgia treatment is built around identifying the exact source of nerve pain and treating it with targeted, minimally invasive solutions designed for long-term control, not temporary relief.
Painacea is defined by:
About
Compression of the trigeminal nerve, most often by a nearby blood vessel
Damage to the myelin sheath surrounding the nerve
Nerve changes associated with multiple sclerosis
Pressure from a tumour or cyst in rare cases
Idiopathic causes where no structural abnormality is identified
Sudden, electric shock-like pain on one side of the face: characteristic of a classic migraine attack
Constant burning or aching alongside sharp episodes: seen in atypical or mixed presentations
Pain triggered by touch, chewing, or speaking: points directly to trigeminal nerve involvement
Pain in the cheek, jaw, teeth, gums, or lips: reflects the specific branch of the nerve affected
Causes
Trigeminal neuralgia causes are most commonly structural, though neurological and secondary factors can also be responsible. When the underlying cause goes unaddressed, episodes tend to become more frequent and longer over time.
Common causes and triggers include:
Symptoms
Trigeminal neuralgia symptoms are distinct and recognisable once the pattern is understood. Identifying that pattern is the first step towards accurate diagnosis and effective treatment.
Common symptoms include:
Pain that is consistently triggered by light touch or routine facial movements and does not respond to standard pain relief warrants specialist evaluation.
Treatment
Why Choose Us
Care is centred on identifying the source of pain and delivering targeted, effective solutions.
17+ years of experience in pain medicine and anesthesiology
Specialist in minimally invasive, image-guided interventions
Strong focus on precise diagnosis before treatment
Expertise in managing complex spine, nerve, and pain conditions
International training across USA, Europe, and South Korea
Academic leadership as Professor and Fellowship Mentor
FAQs
A chronic neurological condition causing sudden, severe, electric shock-like facial pain on one side of the face, triggered by everyday activities such as eating or light touch. It is considered one of the most painful conditions in medicine.
The most common cause is blood vessel compression of the trigeminal nerve near the brain stem. Other causes include multiple sclerosis, tumours, and nerve injury. In some cases no structural cause is found.
Treatment begins with anticonvulsant medication. When medication is insufficient, nerve blocks, radiofrequency ablation, and other minimally invasive procedures are considered. Surgery, particularly microvascular decompression, is an option for suitable candidates.
No. Many patients achieve adequate relief through medication or minimally invasive procedures. Surgery is considered when other treatments have failed or imaging confirms a structural cause unlikely to respond to non-surgical options.
Through clinical history, neurological assessment, and imaging. A specialist evaluation is essential as the condition is frequently confused with dental or jaw pain in the early stages.
A consultation can help determine appropriate next steps based on your condition.
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