What are the causes of neuropathy?

Question

Hello doctor,

I have been experiencing trigeminal neuropathy on the left side of my face for 13 years, with burning, tingling, and deep pain. It is managed with medication, but every time I have a chiropractic adjustment, it gets better. I am currently taking Amitriptyline medicine. I recently had a neck X-ray of my neck, and I wonder if there is anything that could explain the nerve pain. Can you see anything on the X-ray that could be causing neuropathy?

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Trigeminal neuropathy is a condition that causes burning, tingling, and deep pain in the face, often managed with medications such as Amitriptyline (a tricyclic antidepressant used for neuropathic pain).

The trigeminal nerve is the fifth cranial nerve and is primarily responsible for sensation in the face. It does not directly pass through the neck, but issues in the cervical spine (the neck region of the spine) can influence nerve pain indirectly.

Degeneration of the intervertebral discs can lead to changes that may impact nearby nerve roots and contribute to neuropathic pain (chronic pain due to nerve damage or dysfunction).
Cervical spondylosis (degenerative changes in the cervical spine) may press on nerve roots. A bulging or herniated disc in the cervical spine can compress nearby nerves, contributing to neuropathic symptoms.
Cervical foraminal stenosis, the narrowing of the foramina can lead to nerve compression and pain.
Misalignment of cervical vertebrae can put pressure on nerves.

You must get physically examined by a neurologist. MRI (magnetic resonance imaging) or CT scans (computed tomography scans)can provide more detailed information. Continue with Amitriptyline as prescribed. Engage in physical therapy focused on the neck and upper back to improve posture and reduce nerve compression. Stress can exacerbate neuropathic pain; meditation and yoga can be beneficial.

I hope I have answered your question.

Let me know if I can assist you further.

Regards.