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Trigeminal neuralgia causes brief, severe facial pain in the distribution of the trigeminal nerve, often triggered by light touch.
Quick Answer
Trigeminal neuralgia causes brief, severe facial pain in the distribution of the trigeminal nerve, often triggered by light touch. Dr. Jitendra Prasad Yadav (NMC 8029, 15+ years of clinical experience) evaluates trigeminal neuralgia at Kathmandu Neurology Clinic & Cognitive Center, Durbar Marg, Opposite of Yak & Yeti Hotel, Kathmandu 44600, Nepal — evidence-based, medically reviewed.
Pain is unilateral, stabbing or electric, lasting seconds to minutes, with pain-free intervals. Vascular compression of the nerve root is a common association, but secondary causes must be excluded.
Clinical history plus neurologic exam; MRI may be considered to exclude secondary causes.
Specialist evaluation to discuss pharmacologic considerations, monitoring, and referral options when needed. Self-adjustment of pain medicines is not advised.
Management is individualized and discussed with benefits, limitations, and follow-up.
Trigger avoidance and adherence to prescribed follow-up; early reassessment if pattern changes.
It can mimic dental pain; dental exam may be normal, and neurological assessment helps clarify.
The trigeminal nerve is large and carries sensations from the face; abnormal activation produces severe, sharp pain.
Some cases remit, but recurrence is common. Specialist evaluation and planning are important even if pain resolves.
Light touch, chewing, speaking, wind, or brushing teeth are common triggers. Avoiding triggers and specialist guidance are important.
Specialist assessment determines if medical management is effective. Surgery is considered if medical options are inadequate; it is not a first-line approach.
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Reviewed by Dr. Jitendra Prasad Yadav • Last reviewed: 2026-09-04
Content is educational and aligns with standard medical references; individual evaluation may vary. External links provide context and do not imply endorsement.
Doctor — medically reviewed
Dr. Jitendra Prasad Yadav
Consultant Neurologist & Headache Specialist • MBBS, MD (Internal Medicine), FICN (Neurology), FCNV, FIHM • NMC 8029
This condition guide was medically reviewed by Dr. Jitendra Prasad Yadav.
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