Elderly Patient with Severe Trigeminal Neuralgia Helped by ChiropracticThe Asian Pacific Chiropractic Journal published a case study in their third quarter 2025 issue that documented chiropractic helping an elderly woman who was suffering from severe trigeminal neuralgia.
According to the National Institute of Neurological Disorders and Stroke, "Trigeminal neuralgia (TN), also known as tic douloureux, is a type of chronic pain disorder that involves sudden attacks of severe facial pain. It affects the trigeminal nerve, or the fifth cranial nerve, which provides feeling and nerve signaling to parts of the head and face. Pain attacks typically last only a few seconds (but can last up to two minutes) and may occur over and over again several times a day."
This study notes that trigeminal neuralgia is rare and it is more common is women than men. People afflicted with the condition report a debilitating sudden severe electric shock like pain that can be triggered by normal daily activities such as talking, applying make-up, touching the face, or even a light breeze.
In this case, a 72-year-old woman presented herself for chiropractic care. The woman had been suffering with right sided facial pain for the past four years. The woman's history noted that her facial pain started as a toothache. She went to a general practitioner, who then referred her to a surgeon. The surgeon sent her for an MRI scan. As a result, the woman was given a diagnosis of trigeminal neuralgia.
The woman described the trigeminal neuralgia episodes as excruciating pain that would occur approximately every six months. She was prescribed medication to help with her condition. Her regular ongoing facial pain would occur when she touched her face, combed her hair, brushed her teeth, or while eating. These daily problems had a severe negative impact on the quality of her life. Additionally, the woman reported pain and stiffness in her left shoulder, neck pain, headaches, and the inability to sleep more than five hours per night. She was concerned about the amount of pain killers she was taking to avoid the pain.
An in-depth chiropractic examination including cervical x-rays were conducted. As a result of the examination, specific chiropractic care was started to address the spinal subluxations that were determined to be present. The woman was initially seen twice per week for her chiropractic care.
An update examination was conducted after 12 chiropractic visits. At that time, the woman reported a reduction in her facial pain, neck stiffness, and shoulder aches. At the woman's second update, she reported further reduction of her pain to the point where she was able to return to her daily chores. Her ability to return to normal activities represented a significant improvement in her quality of life. As her care continued, the study reports that she continued to improve until she was able to sleep normally, return to her career, and spend quality time with her family.
In summing up this case, the authors of the study commented, "Prior to engaging with Chiropractic care the patient had been under the care of ordinary medical practitioners and neurologists and had tried pharmacological interventions to no avail. Chiropractic care has been the first intervention to show marked, long term change for her symptoms, allowing her to return to her normal life."
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