neuralgia (TN -- tic douloureux) is a disorder
of the fifth cranial (trigeminal) nerve that causes
episodes of intense, stabbing, electric shock-like
pain in the areas of the face where the branches
of the nerve are distributed - lips, eyes, nose,
scalp, forehead, upper jaw, and lower jaw. The
disorder most often affects one side of the face,
but some patients experience pain at different
times on both sides. TN is considered to be one
of the most painful afflictions known to medical
IUCCA UPPER CERVICAL CARE RELATES TO TRIGEMINAL
have determined that TN pain originates from damage
not only to the Trigeminal nerve in the face but
also from damage to the central Trigeminal system
in the upper spinal cord and the ponto-medullary
levels in the brainstem.1-5
to the head and neck (concussive trauma to the
head, neck, or upper back) that results in injury
to nerve pathways in the spinal cord and brain
stem has been shown in medical literature to be
a possible cause of TN.5-15
Following the trauma, facial pain can be triggered
immediately or can take months or years to develop.
purpose of IUCCA upper cervical chiropractic care
is to reverse the trauma-induced upper neck injury;
thereby reducing irritation to the nerves in the
brain stem and spinal cord that can trigger TN.
While many TN sufferers recall specific traumas
such as head injuries, auto accidents or falls,
some do not. An upper cervical examination utilizing
Radiography and Digital
Infrared Imaging is
necessary in each individual's case to assess
whether an upper cervical injury is present and
whether benefit from IUCCA upper cervical care
can be achieved.
Neuralgia (TN) Case Studies
Gao S, Wang Y, Wang Z. Assessment of trigeminal
somatosensory evoked potentials in burning mouth
syndrome. Chin J Dent Res 2000 May; 3(1): 40-6.
2. Ren K, Dubner R. Central nervous system plasticity
and persistent pain. J Orofac Pain 1999 Summer;
13(3): 155-63; discussion 164-71.
3. Sessle BJ. Neural mechanisms and pathways in
craniofacial pain. Can J Neurol Sci 1999 Nov;
26 Suppl 3:S7-11.
4. Jaaskelainen SK, Forssell H, Tenovuo O. Electrophysiological
testing of the trigeminofacial system: aid in
the diagnosis of atypical facial pain. Pain 1999
Mar; 80(1-2): 191-200.
5. Knibestol M, Hildingsson C, Toolanen G. Trigeminal
sensory impairment after soft-tissue injury of
the cervical spine. A quantitative evaluation
of cutaneous thresholds for vibration and temperature.
Acta Neurol Scand 1990 Oct; 82(4): 271-6.
6. Fuchs P. On the treatment of posttraumatic
neuritis and neuralgia in the jaw region. Fortschr
Kiefer Gesichtschir 1967; 12: 41-5.
7. Paillas JE, Pellet W, Rakotobe A. Post-traumatic
facial algia. Rev Otoneuroophtalmol 1970 Jan-Feb;
8. Szabo G, Hoffman J. Posttraumatic trigeminal
neuralgia. Fogorv Sz 1973 Sep; 66(9): 268-71.
9. Gregg JM. Post-traumatic trigeminal neuralgia:
response to physiologic, surgical and pharmacologic
10. Moritz M, Niederdellmann H, Dammer R. Involvement
of the Trigeminal nerve in fractures of the face.
Rev Stomatol Chir maxillofac 1995; 96(1): 46-9.
11. Canavan D, Graff-Radford SB, Gratt BM. Traumatic
dysesthesia of the Trigeminal nerve. J Orofac
Pain 1994 Fall; 8(4): 391-6.
12. Nappi G, Facchinetti F, Bono G. Plasma opioid
levels in post-traumatic chronic headache and
Trigeminal neuralgia: maintained response to acupuncture.
Headache 1982 Nov; 22(6): 276-9.
13. Woda A, Pionchon P. A unified concept of idiopathic
orofacial pain: pathophysiologic features. J Orofac
Pain 2000 Summer; 14(3): 196-212.
14. McGlone R, Morton RJ, Sloan JP. Trigeminal
pain due to whiplash injury. Injury 1988 Sep;
15. Rozenfel'd LG, Timofeev AA, Borisenko ON.
Thermographic diagnosis of diseases of the maxillofacial
area. Stommatologiia 1989 Jan-Feb; 68(1): 54-8.
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