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A MyMSTeam Member asked a question ๐Ÿ’ญ
Philadelphia Area, PA
January 29
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A MyMSTeam Member

Hello @A MyMSTeam Member Itโ€™s a difficult pain to describe. I have a lot of nerve pain in different body places, but trigeminal neuralgia is one of the most intense, excruciating pains. The only way I can describe it is that itโ€™s like an intense, prolonged electric shock that starts in one spot (near my right ear) and then gradually spreads across my face. For me it was also a pulsating pain so it would gradually ease and then a couple of minutes later would pulse again. It has me rocking and sobbing. I have not had a flare for a few years now (๐Ÿคž๐Ÿป) but I have freezing cold, painful sensations across my face which the neurologist said is due to the previous attacks. Do bear in mind this is just my experience, others may have a different experience. Hope this is helpful. ๐Ÿ’œ

January 31
MyMSTeam

Do you experience trigeminal neuralgia?

Yes, many people with MS experience trigeminal neuralgia (TN). Between 4 percent and 6 percent of people with MS are diagnosed with TN, making it 400 times more common in the MS population than in the general population.

More than 41,000 MyMSTeam members report experiencing pain or Show Full Answer

Do you experience trigeminal neuralgia?

Yes, many people with MS experience trigeminal neuralgia (TN). Between 4 percent and 6 percent of people with MS are diagnosed with TN, making it 400 times more common in the MS population than in the general population.

More than 41,000 MyMSTeam members report experiencing pain or numbness related to their MS, and many specifically mention dealing with TN.

What does it feel like?

A MyMSTeam member described it as "truly the worst pain I have ever experienced. It feels like I have a major earache and cavities in all the teeth on the left side of my mouth."

Other members describe it as:
* An electrical shock to the face
* Shooting pain into the jaw, cheek, or forehead
* Short, recurring bouts of extreme pain
* A burning or stabbing sensation

The pain can be triggered by everyday activities like brushing teeth, eating, drinking, or even touching your face.

Why does it happen with MS?

In MS, TN is most often connected to demyelination, which can cause lesions to form on or near the trigeminal nerve. These lesions can be seen on MRI scans in about 63 percent of people with both TN and MS.

Treatment options available:

Your neurologist can help you find the right treatment, which may include:
* Medications like carbamazepine (Tegretol), gabapentin (Neurontin), or pregabalin (Lyrica)
* Topical pain relievers
* Surgical procedures in severe cases
* Talk therapy to help manage chronic pain

A MyMSTeam member shared success: "What helps me is Tegretol." Another said, "Trileptal has helped me."

You're not alone in dealing with this challenging symptom.

January 29
A MyMSTeam Member

And stress of course! ๐Ÿ’œ

February 1
A MyMSTeam Member

When it flares, carbomazepine. When itโ€™s calmer Gabapentin helps. I also use warm compresses, I wear soft, fleece snoods pulled up over my face outdoors. I avoid triggers which for me are: small drop in temperatures, cool breeze will trigger it; overdoing it; lack of sleep and believe it or not talking and listening on the telephone! ๐Ÿ’œ

February 1
A MyMSTeam Member

How are u managing the pain

February 1

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