Non-Typical Trigeminal Neuralgia: (Neck)

Trigeminal neuralgia is a condition that affects the trigeminal nerve, which carries sensation from the face to the brain. In its classic form, it causes sudden, sharp, “electric shock” pains in the face that come and go in short bursts. Non-typical trigeminal neuralgia is a variation of this condition where the pain pattern is different and often harder to recognize.

With non-typical trigeminal neuralgia, the pain is usually more constant and less sudden than in the classic type. Patients often describe it as a dull, aching, throbbing, or burning pain in the face rather than sharp shocks. The discomfort may last for minutes, hours, or even be present all day. Because the symptoms overlap with other facial pain conditions, it can sometimes take longer to get an accurate diagnosis.

The pain may still be triggered or worsened by everyday activities like chewing, talking, brushing teeth, or even light touch to the face. However, instead of quick bursts of pain, people with the non-typical form often experience a lingering, more widespread discomfort. The condition most often affects one side of the face, involving areas such as the jaw, cheek, or around the eye.

Non-typical trigeminal neuralgia can be challenging because it doesn’t always respond as well to the same treatments used for the classic type. While not life-threatening, it can significantly impact quality of life, making daily activities uncomfortable or exhausting. Recognizing the difference is important so that patients receive the most appropriate care.