Trigeminal Neuralgia in North Carolina

Trigeminal neuralgia is a persistent pain disorder that affects the trigeminal nerve, which transmits sensations from your face to your brain. This condition causes intense, often debilitating pain triggered by minor facial stimuli, such as brushing your teeth or eating. Our board-certified neurosurgeons use their expert diagnostic skills and treatment strategies to help patients with trigeminal neuralgia at the Neurosciences & Spine Center.

Signs and Symptoms of Trigeminal Neuralgia

This condition typically affects one side of the face and is characterized by severe, sharp pain, often described as an “electric shock.” The pain can last for a few seconds or minutes and may be triggered by everyday activities or even a breeze.

It will usually affect regions connected to the trigeminal nerve, such as the jaw, cheek, and teeth. The pain may occur in episodes (with pain-free intervals), which might lead to anxiety about future attacks.

Causes of Trigeminal Neuralgia

Trigeminal neuralgia can result from several factors, including:

  • Aging
  • A swollen blood vessel
  • Multiple sclerosis or related conditions that damage the myelin sheath
  • Nerve compression from a tumor
  • Brain lesions or other irregularities

It predominantly affects women over 50, and certain triggers, such as facial movements, can worsen the condition.

Your Consultation

Diagnosing trigeminal neuralgia involves a comprehensive examination, including obtaining a detailed patient history and performing neurological assessments and/or reflex tests. Your doctor may also recommend imaging tests like an MRI or CT scan to rule out other potential causes.

Obtaining a correct diagnosis can be challenging because patients often mistake the pain for a dental problem, leading them to seek help from dentists. This can result in unnecessary dental procedures before finding out the actual cause.

Treatment Options for Trigeminal Neuralgia

The presence of trigeminal neuralgia doesn’t necessarily entail a life of pain, given the range of available treatment options. Medical professionals can typically manage it through medications, alternative therapies, injections, or surgery.

Surgical interventions encompass techniques like trigeminal nerve manipulation, tumor or blood vessel removal, and specialized options like microvascular decompression. Some less invasive surgical methods are suitable for select cases and can be performed on an outpatient basis.

The skilled surgeons at Neurosciences & Spine Center can help you navigate the optimal treatment path. Their expertise lies in the latest treatments and techniques, with a focus on diagnosing and treating brain, spine, and peripheral nerve disorders and diseases.

How Much Do Trigeminal Neuralgia Treatments Cost?

The cost of treating trigeminal neuralgia can vary significantly based on various factors, including the specific treatment(s) recommended, the severity of the condition, and your insurance coverage. Individual patient needs and the complexity of the treatment plan will also influence the overall price.

Contact Us For More Information

If you or your primary care provider believe you are experiencing symptoms of trigeminal neuralgia, our Neurosciences & Spine Center specialists may be able to help. Call 919-784-7550 or fill out our request form to arrange a consultation to explore your treatment options.

Next Day Appointments Available

The surgeons at Neurosciences & Spine Center can help you decide on the treatment that’s best for you. They specialize in minimally invasive spine surgery and are experienced in diagnosing and treating disc disorders and disease, using the newest techniques for relieving pain and returning you to an active lifestyle. To make an appointment at Neurosciences & Spine Center call 919-784-7550.

Patient Testimonials

Nat Lambeth
I am a former patient of Dr Koolevelt, hate he retired am of the opinion he is a great doctor. I had a very good result from my surgery last April. I have encountered a new problem. I called and got an appoint ment to see Daniel Ingram he to is great. He listen to my complaint(s), then examined me. He sent me for xrays, and gave me a recomended treatment plan. Within hours of having my xrays he called me back with the preliminary results. He said he would get me seen for an injection to rule out possible other issues. He is a warm friendly professional. Great bedside manner. You don't find medical professionals of his quality in every practice. UNCRex Neuroscience is lucky to have him.
Dennis Hlad
Everyone was pleasant & efficient. Daniel Ingram, PA went over the previous MRI showing me where the problem is. Then we discussed the options. He suggested if the symptoms changed to contact him.
Jill Schade
I have known Dr Koeleveld and his team over 19 years and due to the nature of my back history L5/S1. There is NO one else I would trust but Dr K, Dan, Judy and his wonderful team. I should have written this sooner as I am 2 years post fusion and doing wonderful. Their expertise, care and compassion is second to none.
Katy TwoJsMom
Amazing. Mom needed nerve ablation on the back. She has a pacemaker and these folks were wonderful.
Kristian Brock
Best experience I had even Surgery went great, Dr.Lacin knew exactly what needed to be done.
Catherine Raspet
When I had stenosis quite a while ago, he performed surgery,and I woke up with no pain. What an extreme relief.
Raymond Baule
Great job Dr. Buttram!
Whitney Moore
John A. Engler, MD was amazing! I've been having back pain for years (had surgery in 2011) and was good for awhile. However I started going to a pain management clinic 3 years ago when it started up again. After an incident that cause me to go the the ER I was referred to Dr. Engler. He was extremely nice and informative. He took the time to explain everything to me. Extremely satisfied with the care I received will update after everything is said and done.
Mary Roby
I am now pain free and well on my way to a full recovery thanks to Dr. Lacin. Both he and his staff are knowledgeable, compassionate, caring and professional. Dr. Lacin performed back surgery on me as well as my mom and we will both be forever grateful.
Jeff Wiblitzhouser
Dr. Lacin's skill and dedication gave me a new lease on life. As a designer and builder of custom homes and remodels, I depend on my ability to get in and out of houses, tight spaces, etc., and my back had gotten to the point where the pain was intolerable. I didn't hire Dr. Lacin to tell me what I wanted to hear, I hired him to help me regain functionality. Thank You Dr. Lacin and your staff!!
Joann
My primary care doctor referred me to Dr Engler for a second opinion. First, I would like to say I would highly recommend seeing Dr Engler. He was patient, very thorough, and really took the time listening to me when I explained the pain I been experiencing. I was so relieved when he immediately pinpointed the cause of my pain. Dr Engler not only told me my options, but he explained them in-dept to me, and answered all my questions. I was truly satisfied with my visit. I Couldn't have asked for a better doctor.
Sharon Greene
Superb care from Dr Lacin and staff. Dr Lacin repaired my cervical disc, and with each visit I felt as if my care was most important to him and he Treated me like I was his only patient. Great bedside manner and Excellent surgeon. Highly recommended!!!
Brooke Weisner
Dr. Buttram was amazing, he helped me recover from a severely herniated disc, which ultimately had to have surgery on. his staff is super sweet and friendly, I would recommend him to anyone who is having back pain.