A British doctor Ellie Cannon was approached by a patient who suffers from pain in the mouth, reminiscent of electric shocks. The dentist diagnosed him with trigeminal neuralgia, the therapist agreed with this, but did not offer any methods of treatment other than pregabalin.
Trigeminal neuralgia causes attacks of sudden severe facial pain, usually on one side of the face. Patients often compare it with electric shocks. Attacks of this pain, as a rule, are short-lived, they last from a few seconds to several minutes, but in severe cases it occurs up to 100 times a day. These attacks of pain can be provoked by touching, talking and even brushing your teeth. Needless to say, how much this condition reduces the quality of life.
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The pain is caused by problems with the trigeminal nerve, which runs from the temple around the eyes and forehead, sending signals to the jaw muscles. Some people have some underlying pathology, such as damage caused by problems with their teeth, blood vessels, or a tumor that is compressing a nerve. In others, the cause cannot be found, but this neuralgia itself is a serious disease, because of which patients often cannot eat normally, and therefore lose weight, suffer from depression, and even lose their jobs.
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Of course, doctors should not ignore this condition. Carbamazepine, originally developed for epilepsy, is licensed for the treatment of trigeminal neuralgia. If it does not work, or for some reason cannot be used, narrow specialists should be involved who will offer other drugs for epilepsy, as well as special neurological painkillers. You need to visit a neurologist or an algologist, that is, a specialist in the field of pain. (READ MORE) 
Ellie Cannon Health staff doctor- consultant for Mail on Sunday and Mailonline