Please help!

Hi all!

I woke up one morning about a month ago with the left side of my face numb. This was 2 days after my p.t. did some deep stretching where I felt sharp pulling in my face.

The numbness went away but left a strange sensation.

About a week later I woke up in the middle of the night with both my cheeks on fire. It only lasted about two minutes then dissapated.

Since then I have light burning/pins/needles/numb/sunburnt feeling all in my face. More so on my left side than right.

But I also have it in my scalp, neck, shoulders, back, and even had it a little bit in my thighs.

I now, in the past 2-3 days have what feels like an ear infection starting(I’m prone to them). It’s not painful, just a little uncomfortable.

I haven’t had any sharp, stabbing pains.

Can anyone please, please tell me if they have EVER heard of TN presenting like this?

My dr says she thinks it could be TN or MS.

Please help I’m so scared.

Thank you Gloria…
I haven’t had any searing pain yet except for that one night where my cheeks burned.

I keep telling myself that as long as I don’t have that, I shouldn’t have TN. But the truth is that I just don’t know. I find myself waiting for the pain to come. I feel like I’m already living in fear that I will have an attack. Since I don’t know what the shooting pain would feel like, I’m scared all the time.
I have no idea when I’m going to get into a neurologist and it’s driving me crazy.:frowning:

Is TN triggered by anxiety that you know of?

I just don’t know what to think.

Do you still function “normally”? ie; interact with family, work, etc. I have two small children and I’m so scared of what this could mean for the future.:frowning:

Any comments are welcome, thank you so much.

Thank you Gloria and Katie…

Gloria~Thank you. It is really easy to focus on the negative. I guess that everything I’ve read calls this the “suicide disease” and I just picture people curled up in bed, in agonizing pain, wanting it to end. It petrifies me. I keep trying to do the positive thinking…“I’m not in actual pain right now” sort of a thing. sigh Not knowing what is happening is the worst.
I actually thought of a mini stroke as well. I do have high blood pressure, and my brother had a stroke at 37, I’m 32. But when I woke up the numbness on the left side was my only symptom.

The burning/numb/odd sensation hasn’t left completely, ever. It is always there. This all started on 12/8/10 or so.

Katie~
Thank you. I was going to the physical therapist for what we think was a pinched nerve on my right side of my neck. Oddly enough, that is feeling so much better.
Has your dr started you on meds yet? Could you tell me if your symptoms started out slowly, like mine? Or did you have shooting pain from the beginning?

Thanks again! It’s nice to have somewhere to go for help!!

I find myself so scared to be home alone because I’m scared that I will have some sort of earth shattering pain and not be able to get help. At the same time, I’m scared to drive and be in public. The past few days I have sat at Starbucks while the kids are in school. It feels like somewhat of an in between and has helped a bit with the anxiety.

I still haven’t had any shooting pain. I have moments when the numbness/burning lessens.

I have noticed that when I start thinking about TN a lot, or feel the fear of it intensely, I feel the hot, burning sensation increase. Has anyone else experienced this?

The dr just did a number on me. She spent about 30 min talking about TN and then at the end said it could be anything…MS, a metabollic issue…even anxiety! I DO think that my anxiety makes it increase, but I don’t think I’m anxious 24/7. And I wasn’t anxious til AFTER this started.

I don’t know what to think. I just wish I could find out what’s happenning with me. I’m so tired of being scared all the time:(

Hi Tammy,

Reading your post is exactly how i feel. I have not yet had the REALLY bad pain that everyone talks off but i do have pain that hurts and scares me as in burning, pressure and sometimes little shocks.

Since this TN began (after a root canal i think) i have become very anxious and afraid of being left alone but also not wanting to be out in public for a long period of time. This has really had a bad impact on my relationship as i use to be very out going and independent. Now, i hate when my partner leaves to go somewhere as im always waiting on a major attack to happen.

Like many of us, my life has been turn upside down since this has happened me. For the last year i have been doing little and been mostly in the house due to fear. And the never knowing of when it might happen is awful.

However, just in the last few weeks i made a pact to myself to try and do something each day when i feel that i can (sometimes easier said than done). Just to try and gain some control in my life again.

Getting the right medication can help alot aswell. I tried Lyrica and tegretol which didnt help. Then i was on gapabentin which did nothing until i upped my dosage to 2700 mg. Even tho i do get pain sometimes, its not enough to keep me from doing everyday things.

I hope you can find some help soon. Take care

Una x

Hi Tam,

I love your question! I cant diagnose you, but can give some thoughts an anxiety and then TN.
Its so interested you mentioned anxiety. I have TN, and have had major anxiety and panic attacks through my life- the mind and body are so close in hand. One certainly effects the other. It sounds like you may be having panic attacks with anxiety. You may have had anxiety- but didn’t know it- it comes and goes. Do you notice this happens more around your period? Prozac and Ativan can help immensely (I’m no Dr, but thats what helped me). I think this, because the fear (anxiety) of it causes burning in the cheeks- total anxiety symptom- you know, how people who have stage fright get bright red, and sweaty? Do you ever feel like you are going to pass out or get sick? Do you get cold sweats and find it hard to breath and get faint with ringing in the ears? Panic Attacks happen at any time from something that may have happend a long time ago. If you feel this coming on- put cold water on your face, head and neck and drink cold water, and sit on the floor. It will pass. You will not be injured or die from it!

It sounds like a great idea to see a therapist- I’m huge on this- because its so important to keep your mental health strong. If you are suffering from anything, emotional coping is the most important thing to focus on. What I’m trying to say in my codine effected mind- is, it certainly won’t hurt to see a therapist.

Of course, also, see a neurologist. That is very important to do to rule out or confirm a neurological condition. Diagnosis TN is tough and scary. I wouldn’t assume you have it, until the Neurologist tells you you do.

I was just diagnosed with TN in July, and am learning as I go. I dont know of a TNr who doesn’t have shooting/ electric pain. Most people have it on one side of the face (Its clear where the pain stops). My pain starts at my ear, shoots across the cheeks, into my gums and jaw, and sometimes into my eye and temple. Triggers are hard or gummy foods, breezes, yelling, laying down on my left side of my face, and sometimes, I dont know what triggered it. I am just know figuring out how to explain this to my doctors.

I just found this site that explain pain levels: http://www.tipna.org/info/documents/ComparativePainScale.htm

Also thoroughly read through the TNA site- Its the king of research for TN and Facial Pain: http://www.fpa-support.org/

These are good adjectives to use- what would you say yours are? How long do they last?
I thought I had burning pain- but now know its actually many sharp pains firing one after the other.

Constant – fixed, unchanging
Intermittent – coming and going at intervals
Sharp – causing intense distress, piercing
Dull – lacking intensity
Cramping – sudden, painful contraction of muscle
Superficial – on the surface
Deep – extending far down, within or outward
Aching – dull, persistent pain
Throbbing – to pulsate or pound with abnormal force
Crushing – to grind or pound with abnormal force
Localized – to fix or confine
Radiating – spread out and around from a center of injury
Stabbing – quick thrust sensation
Burning – feeling “on fire”

Draw a picture of a face and body- and put red marks where the severe pain is, orange where less pain is, etc. and draw lines from the marks to a note explaining what the pain is. This chart: will help you define the pain.
Some cool ways to see if you have TN are- TN doesn’t occur when you sleep. (Medical Mystery). Also, if your neurologist gives you an anticonvulsant, and it helps, then thats a big clue to TN.
An MRI will rule out MS or a tumor- very unlikely to have that.

When you have an hour to yourself- watch this AMAZING video of neuropathic pain- http://vimeo.com/10284243

Also, this is great- a diagnostic questionare: https://neurosurgery.ohsu.edu/tgn.php

I dont have an answer for you- but I hope the resources help! Good luck with seeing the dr’s asap!
Everything will be a-o-k.

Una~
I’m so sorry you are going through this. I haven’t been diagnosed but I completely understand your fears.

Sara B~

I’m sorry it took me so long to get back to you…
Wow, thank you so much for all the info. I am going to watch that video as soon as I get a chance!

I think mine is constant but it’s weird cause it’s not “painful”. It’s irritating, and scary. But 99% of the time it’s not painful.

I do have anxiety…I have since August 10. I had a 2nd trimester loss, and have had issues w/depression since then. I didn’t start having major anxiety til I thought something was wrong with me though(TN or MS).

The sensation on my skin is there 24.7 but then I have noticed that it gets more intense when I get really anxious. I honestly don’t think it’s just anxiety, but the anxiety is exasserbating something else physically happening.


I saw my physical therapist yesterday. She said that she doesn’t think that I have TN because I’m not in horrible pain. That the few patients she has seen in her 20 year practice with TN are miserable, and can barely look at her because the pain is so bad.

She did say that she thinks my Trigeminal Nerve is being irritated though.

The weird thing is that this didn’t start until after she did some deep stretching to my neck/shoulder area. I wonder, if it’s just “irritated” how long it will/can take to heal.

Has anyone heard of this happening?

Hi Tam,

Sara gave some pretty good information about diagnosing TN. One of them is trying a seizure drug like tegretol. My pain almost disappeared within a couple of hours after trying it. I had to increase it but then was pain free. Another clue is not having pain while sleeping. But I would have pain almost immediately upon waking. And as far as anxiety, when I was at my worst, the anxiety of having another attack was always there. I was scared to drive at night or early mornings (the worst times). I was scared I would have a major attack at work or in front of my friends while we were out and I would embarrass them. And the anxiety of brushing my teeth or washing my face or putting on makeup was there until I had surgery. Just don’t give up. Try other meds if the one you are using isn’t working. Make sure you communicate well with your neuro. And I also suggest and MRI and a visit to the surgeon just so you will know your options. But first you need a diagnosis because it sounds like the doctor isn’t sure. But many of us work and there are usually periods of remission or periods of good pain relief. But then there are some who are unable to work because of the pain. Each case is different and each person experiences different levels of pain at different times. Keep us posted on your diagnosis/tests/meds and how you are feeling…

Liz