Neuralgia

Christopher Hobbs:

“Neuralgia is burning pain that follows the course of a nerve or nerves. Trigeminal neuralgia, or tic douloureux is the most common form of neuralgia. The cause is occasionally a blood vessel or small tumor pressing on the trigeminal nerve, which travels along the temple and forehead to the lower face and jaw. It affects mostly women, usually those older than 50 years. Another common cause of neuralgia, called postherpetic neuralgia, is caused by the herpes virus, as in the disease shingles. The neuralgia can be debilitating long after signs of the original herpes infection have disappeared. Neuralgia can also occur after injury to an area and may involve any area of the body. Neuralgia due to injury is rare, however.”

Neuralgia refers to sharp, stabbing pain along a nerve, caused by irritation or damage. Common causes include:

1. Nerve Compression or Irritation: Conditions like herniated discs, bone spurs, or tumors can compress nerves.
2. Infections: Viruses like herpes zoster (shingles) can inflame nerves, leading to postherpetic neuralgia.
3. Chronic Conditions: Diabetes (diabetic neuropathy) or multiple sclerosis can damage nerves over time.
4. Trauma: Injuries, surgeries, or nerve entrapment can lead to nerve damage.
5. Nutritional Deficiencies: Lack of B vitamins can impair nerve function.
6. Toxins: Exposure to certain chemicals or medications can damage nerves.
7. Idiopathic Causes: Sometimes, the exact cause is unknown, as in trigeminal neuralgia.

When to Seek Professional Help

You should seek professional help if:

• The pain is severe, persistent, or worsening over time.
• It is associated with other symptoms like muscle weakness, numbness, or vision changes.
• You have a history of chronic conditions like diabetes, shingles, or autoimmune diseases.
• Over-the-counter treatments and home remedies provide no relief.
• There are signs of infection (e.g., swelling, redness, or fever).
• The pain is interfering significantly with daily activities or sleep.