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Trigeminal Nueralgia and Chiropractic Care: a case report

  Рет қаралды 7,770

Arete Chiropractic

Arete Chiropractic

5 жыл бұрын

Trigeminal Neuralgia and Chiropractic Care: A Case Report.
www.ncbi.nlm.n...
The paper above is a case report of a chiropractor who treated a patient who suffered from Trigeminal Neuralgia (TN) for 7 and ½ years. She treated off and on with the chiropractor for 18 months and while under care reported a decrease in overall symptoms and at times a near resolution of symptoms while she was following the Chiropractors treatment protocol. This patient was a female of 68 years in age and had reported to the Chiropractor that it was her last straw and that she was all out of options having treated with Acupuncture, Physical Therapy, pain medications, and anti-seizure medications for pain control. The sensation she was having ranged anywhere from electrical shocks on one side of her face to hot burning water, to bugs crawling across her skin. She did not obtain long term relief with any of these treatment options other than the chiropractic manipulation.. If you are experiencing Trigeminal Neuralgia Pain Chiropractic care may be able to help. An initial evaluation with a Chiropractor may be able to uncover some Upper Cervical problems that can contribute to or directly be causing Trigeminal Neuralgia. Call to set up an evaluation today.
Trigeminal Neuralgia (TN) has been termed the “Suicide Pain” as stated by the patient in this study it brings people to their knees by its sharp sudden severe brief stabbing recurrent pain in the distribution of the fifth cranial nerve. The prevalence (Risk of developing the problem) for TN is 1/1000 for men and 2/1000 for women. The Incidence of TN is 4/1000 for men and 6.5/1000 for women. TN is approximately twice as common in females as males. Primary care physicians will encounter TN 4 times in a 35-year career and chiropractors even less stated by this paper. Upper Cervical Chiropractors who specialize in correcting misalignment in the C1 and C2 vertebra tend to see it more than what was reported here because of selection bias. Patients that visit Upper Cervical Chiropractors often report more problems with their Upper Cervical Spine and therefore TN comes up more frequently. How is that you might say? Well… TN pain can be activated by a sensitization of the Trigeminal Nucleus found just behind the Temporomandibular Joint in the skull. The nucleus of the Trigmeninal nerve can get activated via the Trigeminocervical nucleus found in the Upper Cervical Spine which has a direct nerve connection to the spinal nerves that arise at C1, C2, and C3 in the Upper Cervical Spine. Upper Cervical Chiroprpactors gently assess and realign C1 and C2 under the skull to decrease the stimulus into the Trigeminocervical nucleus which fires up into the nerves in the face. If there has been trauma to the Upper Cervical spine via head and neck injuries or repetitive poor posturing from sitting at a desk for years it can be a contributing factor or a causative factor of TN. So if this sounds like you call an upper cervical specialist to be checked for Upper Cervical misalignment.
The treatment options for TN include Physical Therapy, medications like carbamazepine, gabapentin, pregabalin, and tricyclic antidepressants for pain. If these treatments don’t work to reduce the pain usually the next step is decompression or compression of the nerve via surgery, or radiofrequency ablation of the nerve by burning it. This paper showed good success when treatment was consistent with manual manipulation of the Upper Cervical spine. So why not try a specialist in the Upper Cervical spine. Call today.

Пікірлер: 21
@lyndasmith6809
@lyndasmith6809 2 ай бұрын
My Chiropractor saved my life. I had pain of 10-15 I also use Tramadole. At times the pain comes back at 2on scale of 10🙏🏻 Thank you
@Gerangideon
@Gerangideon 4 жыл бұрын
I would like to offer a bit of personal experience with Trigeminal Neuralgia. I was diagnosed 6 years ago with Classic TN1. I have what I describe has electric shocks. It is on my right side of my face, and travels from my ear to my bottom lip and they vary levels of intensity. I would like to suggest a couple of resources to try before you dive into the depths of Neurologist. Just know I am still seeing a Neurologist as well, have been the entire 6 years fighting this beast. On the advice of my Neurologist in 2017, I had the Gamma Knife, only for it to return this year. The two year process I was only shock free less than a year. Neurologist recently suggested MVD, which personally is a route I do not want to go. I started hunting for other alternatives. Recently I started seeing an Upper Cervical Chiropractor. I have been seeing him weekly now since 8/27/19 so far and things are changing for the better. It has been a slow process but my shocks are down to almost gone. It was found on my X-Ray, my C1 was out of place possibly from whiplash that occurred over 10 years ago. I would also suggest checking out videos here on KZfaq and see how your bite being off can affect Trigeminal Neuralgia as well. These two options are non invasive to your body. I wished I would have tried the Upper Cervical before doing Gamma Knife back in 2017 but that’s water under the bridge. Please know this is just my own personal experience and everyone has different causes for TN. I only offer this with the best intentions of alternative avenues to check into, in the hopes someone can find pain relief like I have. I am thankful I decided to give it a try.
@lourdesa1839
@lourdesa1839 3 жыл бұрын
I am also too now seeing an Upper Cervical Chiro. He has had amazing results for TN patients. Thank you for this conformation!
@Gerangideon
@Gerangideon 3 жыл бұрын
@@lourdesa1839 wishing you much success and a pain free life. TN is a horrible disease.
@ProgressiveChiropractic
@ProgressiveChiropractic 3 жыл бұрын
Thanks for sharing. You could changes peoples lives with your testimonial!
@kristinas5714
@kristinas5714 2 жыл бұрын
Go on the Facebook trigeminal neuralgia support group and share your story please
@88Leehom
@88Leehom Жыл бұрын
​@@lourdesa1839How many sessiond you had before you could get relieved? I underwent two treatments, nothing happened! For $130 a session, I expect to see some results.
@ProgressiveChiropractic
@ProgressiveChiropractic 3 жыл бұрын
Thanks for doing this, Doc!
@rubsydos
@rubsydos 3 жыл бұрын
i wish u were here in hongkong.u really matched my feelings what i have felt.u have more knowledge than other chiropractors whom i checked with may be 3/4 chiropractors..nobody found out what i meant .
@jade7587
@jade7587 4 жыл бұрын
This is helpful. Thank you 🙏
@DebbyAnita
@DebbyAnita 2 жыл бұрын
❤thank you for this video
@michaelpond813
@michaelpond813 2 жыл бұрын
Chro doctor help somewhat so give it a try.
@Rob_2002_NCAA_Champion
@Rob_2002_NCAA_Champion 5 ай бұрын
5:56
@kennethmoore3783
@kennethmoore3783 3 жыл бұрын
Ridiculous. Makes no sense. TRIGEMINAL NEURALGIA In trigeminal neuralgia, the most common of the neuralgias, the majority of cases involve lesions affecting the dorsal root entry zone without compromising the function of the nerve. In this region, myelin is generated by astrocytes, rather than Schwann cells, and is more vulnerable to compression than the nerve in its more peripheral course, suggesting susceptibility to ephaptic transmission with crossed modality activation, or allodynia, and hyperexcitability. In some cases, an underlying vascular loop can be identified on imaging or intraoperatively as a cause of compression. In other cases, bilateral vascular loops are incidentally identified in symptomatic patients or in up to 8% of asymptomatic patients who obtain imaging for other reasons, making it difficult to determine if the neuralgia is primary or secondary. The presence of bilateral symptoms and trigeminal sensory deficits may suggest symptomatic TN, although the absence of such features does not necessarily exclude an underlying structural or systemic disorder. Electromyogram (EMG) trigeminal reflex testing is sensitive and specific for identifying symptomatic TN and is a reasonable early diagnostic test. Additionally, all patients with TN symptomatology should undergo brain imaging to evaluate for secondary causes, as well as compressive vascular lesions (as in classical TN). Different MRI sequences have been used to optimize visualization of veins and arteries surrounding the trigeminal nerve. If standard T1-weighted MRI does not provide sufficient visualization of the trigeminal nerve, axial fast imaging employing steady-state acquisition (FIESTA) and three-dimensional (3D)-spoiled gradient echo (SPGR) multiplanar reconstruction sequences with and without contrast may be used. Standard MRI sequences can identify other secondary causes of TN including tumors and multiple sclerosis (MS) plaques, particularly in the cases of bilateral TN. Painful trigeminal neuropathy from demyelinating lesions can present with all the characteristics of classical TN and affects up to 5% of patients with MS.
@ProgressiveChiropractic
@ProgressiveChiropractic 3 жыл бұрын
@Kenneth Moore - You copied and pasted this out of Merritt's Neurology textbook. Did you actually watch the video? Do you have your own opinion on it? Are you actually a healthcare provider? Or are you just dismissing something that could change thousands of peoples lives because you're biased or have nothing better to do?
@kennethmoore3783
@kennethmoore3783 3 жыл бұрын
@@ProgressiveChiropractic BC NEUROLOGIST DIRECTOR OF UNIVERSITY HEAD PAIN CENTER And you are a chiropractor with NO clinical training in neurology.
@ProgressiveChiropractic
@ProgressiveChiropractic 3 жыл бұрын
@@kennethmoore3783 So you're just another narrow minded MD with an enormous ego who turns a blind eye to evidence(however small) that something besides what you learned in school could actually help people. Do you have your own opinion or do you like to just plagiarize text books as your own thoughts? Bottom line is you refuse to see the care we provide has actually helped people with T.N. One even gave his testimonial on this comment thread. I truly hope any patients reading your comments don't get deterred from trying Upper Cervical Chiropractic and getting potentially life changing/saving results. I wouldn't want that on my conscience.
@kennethmoore3783
@kennethmoore3783 3 жыл бұрын
@@ProgressiveChiropractic Complete rubbish. No scientific evidence.
@chrisbolducrowan5110
@chrisbolducrowan5110 3 жыл бұрын
@@kennethmoore3783 I love how you put your credentials in all caps. It’s also awesome that your argument was a cut and paste from someone else. I’m sorry doc, but you come off as a complete ego manic with no humility or discernment. I had been to several of your ilk for my own neurological issues. Nothing helped. No solutions outside incredibly invasive surgery. You what fixed it? Two chiropractors less than 2 years out of school. My experience was so profound that I quit my job at 34 to go back to school and become a chiropractor myself.
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