Trigeminal Neuralgia
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Welcome Trigeminal Neuralgia Warriors
Welcome, we are sorry you are here and happy to meet you.
Trigeminal Neuralgia is a life changing diagnosis.
Empowering Warriors
Trigeminal neuralgia, also known as tic douloureux, sometimes is described as the most excruciating pain known to humanity. The pain typically involves the lower face and jaw, although sometimes it affects the area around the nose and above the eye. This intense, stabbing, electric shock-like pain is caused by irritation of the trigeminal nerve, which sends branches to the forehead, cheek and lower jaw.
Although trigeminal neuralgia cannot always be cured, there are treatments available to alleviate the debilitating pain. Normally, anticonvulsive medications are the first treatment choice. Surgery can be an effective option for those who become unresponsive to medications or for those who suffer serious side effects from the medications.
Your Team! - Go Team!
The first step in managing Trigeminal Neuralgia is to gain knowledge and assemble your core team.
Experience is, some of these core members will only be part of the team for a short time.
Your Family or General Practitioner Doctor
Your GP or Family Doctor is in charge of your health and wellness. They are the coordinator of your care. If you struggle to communicate with your Primary Doctor then consider changing Doctors. Struggling with communication with your primary team member is going to make healing a struggle.
Supporting Team
The supporting team members available to you will depend on your healthcare coverage. Multiple studies have shown that a multiple modality approach increases healing opportunities.
Ask your healthcare provider what is covered in your plan.
Say Yes!!
Even if you don’t believe a modality will help you. Say Yes!!
Additional tools are always good to have.

We’ve started you with a few key pieces. Our biggest goal is to bring you information that will support you in being your own advocate.
A few links to support your new journey.
What Should I know BEFORE I See the Doctor
Trigeminal Neuralgia | Chronic Pain
When it comes to a Chronic Pain Diagnosis I think we’ve all asked “Why me?”
What is the Trigeminal Nerve?
The three major branches of the trigeminal nerve—the ophthalmic nerve (V1), the maxillary nerve (V2) and the mandibular nerve (V3)—converge on the trigeminal ganglion (also called the semilunar ganglion or gasserian ganglion), located within Meckel’s cave and containing the cell bodies of incoming sensory-nerve fibers. The trigeminal ganglion is analogous to the dorsal root ganglia of the spinal cord, which contain the cell bodies of incoming sensory fibers from the rest of the body.
From the trigeminal ganglion a single, large sensory root enters the brainstem at the level of the pons. Immediately adjacent to the sensory root, a smaller motor root emerges from the pons at the same level. Motor fibers pass through the trigeminal ganglion without synapsing on their way to peripheral muscles, but their cell bodies are located in the nucleus of the fifth nerve, deep within the pons.
Dermatome distribution of the trigeminal nerve
The areas of cutaneous distribution (dermatomes) of the three sensory branches of the trigeminal nerve have sharp borders with relatively little overlap (unlike dermatomes in the rest of the body, which have considerable overlap). The injection of a local anesthetic, such as lidocaine, results in the complete loss of sensation from well-defined areas of the face and mouth. For example, teeth on one side of the jaw can be numbed by injecting the mandibular nerve. Occasionally, injury or disease processes may affect two (or all three) branches of the trigeminal nerve; in these cases, the involved branches may be termed:
- V1/V2 distribution – Referring to the ophthalmic and maxillary branches
- V2/V3 distribution – Referring to the maxillary and mandibular branches
- V1-V3 distribution – Referring to all three branches
Nerves on the left side of the jaw slightly outnumber the nerves on the right side of the jaw.
What Should I know BEFORE I See the Doctor

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ShelleyRae O’Connor
Health & Wellness Coach
Transformative Coaching
Health Coaching
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Health & Wellness Coaching – Specialties: Chronic Pain & Trigeminal Neuralgia | SOS Lifestyle
Dahlia Gardener
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Tel: 707.456.7863
Based in Sonoma County CA, available everywhere.
Contact ShelleyRae with any coaching questions:
ShelleyRae@PassionauLait.com
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Dahlia@PassionauLait.com
