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Trigeminal neuralgia, also known as ‘tic douloureux’ is a chronic pain condition affecting the trigeminal (5th) cranial nerve in the head.
Although affecting anyone, it typically affects women over the age of 50 years old. The trigeminal nerve is one of the 12 cranial nerves, attached to the brain and is responsible for the sensation from the upper, middle, and lower portions of the face.
Trigeminal neuralgia is characterised by a sudden and severe stabbing pain typically felt on one side of the jaw or cheek. Pain from trigeminal neuralgia is characterised as either:
1. Type I or classic, and
2. Type II or atypical.
Type I pain is defined as having definite periods of remission whereas Type II pain does not.
It is thought that trigeminal neuralgia is caused by a blood vessel pressing on the nerve causing compression damage over time.
Regular western medical first line treatment of trigeminal neuralgia is with a kind of medication called carbamazepine, that theoretically decreases the ability of the trigeminal nerve to fire nerve impulses that cause facial pain. Other prescription medications which have been tried include muscle relaxants. In more severe cases, if the side effects of the medication become too much to tolerate or does not improve pain, other invasive options can include temporarily inactivating the trigeminal nerve, radiation therapy and surgical procedures5. However as with all medical procedures there are a percentage of patients who may not respond to these forms of treatments, and there may be side effects from these.
Professor Yoland Lim Health Care has a range of multi-modality management options which are tailored for each individual. This may include Fong Yang therapy and JUVEFACE skin management.
 Better Health Channel (2015, January) Neuralgia betterhealth.vic.gov.au/health/conditionsandtreatments/neuralgia#lp-h-2
 Brain Foundation Australia. Trigeminal Neuralgia brainfoundation.org.au/disorders/trigeminal-neuralgia/
 AANS. Trigeminal Neuralgia aans.org/Patients/Neurosurgical-Conditions-and-Treatments/Trigeminal-Neuralgia
 Health Direct (2018, June) Trigeminal neuralgia healthdirect.gov.au/trigeminal-neuralgia
 Harvard Medical School (2017, May) Trigeminal Neuralgia (Tic Douloureux) health.harvard.edu/a_to_z/trigeminal-neuralgia-tic-douloureux-a-to-z
There are 3 fundamental adult human instincts:
2) Intimacy, and
Good sleep is important for restoring physical and mental health. When one is not sleeping well, it can impact a lot of other aspects of one's life.
Sleeping disorders may be a sign that the body's normal sleep wake cycle rhythms are not functioning properly. According to the Chinese Yellow Emperor classic of Internal Medicine, an "imbalance of energy flow can upset the brain". This in turn can cause sleep disorders. These may result in an inability to have a sound, restful sleep, or an inability to 'switch off' resulting in sleeplessness. Symptoms of sleep deprivation include:
The body’s circadian rhythm (internal clock) regulates when and how we sleep depending on our exposure to light. When the day turns into night, your brain releases hormones to make you sleepy. In the morning, exposure to daylight suppresses these hormones and releases brain chemicals to keep you awake.
We should be aiming for at least 7 hours of sleep per night. Sleep deprivation is common in western society, with the average adult sleeping for only six or seven hours each night.
Studies show that sleep may be disturbed from :
There are many common conditions that can affect a person’s sleep. These include:
Professor Yoland Lim Health Care's sleep management may include advice regarding:
Professor Yoland Lim's famous mantra fittingly applies to sleep issues. Some people misleadingly seek out medications, and other vices trying to cope with lack of sleep by using:
Holistic approach Insomnia is often caused by stress and worry. Our medical approach is to work in conjunction with fellow medical practitioners and specialists with a general medical holistic patient centered approach to help co-ordinate and integrate care, including wellbeing, stress, and mental health in addition to acupuncture Management may involve guided meditation and relaxation with binaural therapy. Relaxation 'Si Ba Si' exercises may also be advised.