About trigeminal neuralgia
The trigeminal nerve carries feeling from the face to the brain. In trigeminal neuralgia the nerve misfires, and everyday things such as chewing, brushing your teeth or a light breeze set off bursts of pain. The most common cause is a blood vessel pressing on the nerve near the brainstem. Less often it is linked to multiple sclerosis or a growth, which is why imaging is part of the medical workup.
The part of the brainstem that processes facial pain extends down to the level of the upper neck. There it also receives signals from the top joints and muscles of the neck. That overlap is the reason the upper neck is evaluated here.
Common symptoms
- Sudden, electric shock-like pain on one side of the face
- Attacks that last from a few seconds to a couple of minutes
- Pain set off by chewing, talking, brushing your teeth, a light touch or wind
- Pain in the cheek, jaw, teeth, gums or around the eye
- Pain-free gaps between attacks, at least early on
Common causes
- A blood vessel pressing on the nerve near the brainstem
- Multiple sclerosis
- A tumor or cyst pressing on the nerve, which is uncommon
- Injury to the nerve from surgery, dental work or a blow to the face
- In many cases, no cause is found
How we evaluate trigeminal neuralgia
We start with your history: what your neurologist has found, what imaging you have had and which medications you take. Bring your records if you can. The exam covers the neck and jaw and includes a neurological screen. When upper cervical care is being considered, X-rays are analyzed to measure the position of the atlas.
If you have facial pain that has not been diagnosed, we will refer you to a physician first.
Care that may be considered
- Upper cervical chiropractic: Evaluation of the atlas and axis, which sit beside the brainstem area that processes facial pain.
- Advanced Orthogonal: A light instrument adjustment behind the ear, with no twisting or cracking.
Recommendations depend on your exam. Not every option suits every patient, and results vary.
Who provides care
Dr. Heath Lambert, DC evaluates and directs care, and Dr. Anthony Cruz, DC also provides chiropractic care. Massage and stretching are provided by Kim Frey, LMT.
What happens at an appointment
Your first visit covers your history, an exam and a plan. See what to expect at your first appointment, and see our fees.
Where we see patients
We see patients in Tampa at 4017 Henderson Blvd. on Mondays, and in Brandon at 911 S Parsons Ave, Suite A, Monday through Thursday. Call (813) 655-2829 or request an appointment online.
Frequently asked questions
Can a chiropractor treat trigeminal neuralgia?
Chiropractic care does not treat the nerve condition itself. An upper cervical evaluation looks at whether the upper neck is adding to your symptoms. Research on this is limited, and results vary.
Should I stop my medication?
No. Do not change any medication without talking to the physician who prescribed it.
Will the adjustment set off an attack?
The Advanced Orthogonal adjustment is a light impulse behind the ear, not on the face. Tell your provider what triggers your pain.
Do I need a diagnosis first?
Yes. Facial pain should be diagnosed by a physician before you start care here.