Trigeminal neuralgia - Toothache
Trigeminal neuralgia (TN) is a disorder of the trigeminal nerve and is a form of neuropathic pain. The trigeminal nerves are located on either side of the face, between brow and jaw. TN causes episodes of intense, stabbing or excruciating pain in the areas of the face where the 3 major branches of the nerve are distributed.
The attacks of pain are episodic and intermittent:
- They may last seconds but be repeated one after the other
- They may come and go
- They may last for days, weeks, or months - followed by remission
TN is associated with a variety of conditions, e.g.
- It can be caused by a blood vessel pressing on the trigeminal nerve
- Symptoms can occur in people with deterioration of the trigeminal nerve’s outer coating
- Injury to the nerve can sometimes occur after sinus or oral surgery, stroke or facial trauma
- Symptoms of TN may be caused by nerve compression
A toothache is a pain in or around a tooth that may be caused by tooth decay, abscessed tooth, tooth fracture or infected gums. See your dentist as soon as possible about your toothache if:
- You have a toothache that lasts longer than 1 or 2 days
- Your toothache is severe
- You have a fever or earache
ActivBody TENS therapy
After a diagnosis of trigeminal neuralgia, your pain management plan will include several methods of pain relief and should offer drug-free options as well as medication.
Analgesia may be used as a short term pain relief mechanism when you first get a toothache, while you await your dental appointment.
If the cause of your headache is stress related, then TENS therapy may be of assistance. You can place pads on your face, brow, bottom of neck, shoulders, cervical spine or wrists.
ActivBody is the TENS machine we suggest for chronic or acute pain of the face or jaw
ActivBody electrotherapy can be used everyday - outside the clinic - for drug-free, on-demand pain relief, relaxation and circulation.
- RELIEVE mode:
- Fast and lasting pain relief (modulated low and high frequency TENS; continuous, comfortable intensity)
- Circulation and reduced stiffness (modulated low to medium frequency ECS; continuous, low intensity)
- BLOCK mode:
- Fast acting pain relief (modulated high frequency TENS for pain gating effect)
- Release of serotonin, if applied for long enough
- RELAX mode
- Lasting pain relief (modulated low frequency TENS for release of beta-endorphins)
- Relaxation (modulated low frequency TENS for release of beta-endorphins)
- Circulation (modulated low to medium frequency ECS; continuous, low intensity)
Pad placement - face or jaw pain
Settings for Mode, Intensity, Time and Repeat frequency
Everyone has a different level of skin resistance; therefore we cannot specify an exact intensity setting for you. Simply choose a level of intensity where you can feel the stimulation but ensure it is below a level of discomfort. See the table below for examples.
The body should definitely not twitch or spasm. So long as you avoid muscle contraction, you cannot overdose.
|Acute pain||BLOCK||Medium||30 minutes||as required|
|Chronic pain||RELIEVE||Low to medium||Minimum 60 minutes||as required|
|Nagging pain||RELIEVE||Low||Overnight||as required|
|Relaxation||RELAX||Low||Minimum 2 hours||as required|
|Circulation||RELAX or RELIEVE||Low||60 minutes||when practical|