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Neuralgiain Gilbert, AZ

Treatment Options

The exact treatment for your pain depends on what type of neuralgia you have. Some common treatment options are:

  • Blood sugar monitoring for diabetes-related neuralgia
  • Medications: antidepressants, anticonvulsants, antispasmodic agents, short-term narcotic painkillers, topical creams containing capsaicin, botox injections
  • Nerve block
  • Physical therapy
  • Surgery to help alleviate pressure on the affected nerve

If you’re over 50 years old, the Centers for Disease Control and Prevention (CDC) recommends getting a Shingrix vaccine to prevent shingles. This vaccine can also help prevent postherpetic neuralgia.


Some common symptoms of all types of neuralgia include aching, muscular atrophy, involuntary muscle weakness and twitching, numbness, and tingling sensations.

Trigeminal neuralgia

  • Pain when touching your face, chewing, speaking, or brushing your teeth
  • Constant aching or burning feeling that evolves into spasm-like pain in your face
  • Pain in areas such as the cheek, jaw, teeth, gums, lips, eyes, or forehead
  • Pain on one side of the face that can be localized to one spot or

Postherpetic Neuralgia

The symptoms of this type of neuralgia are generally relegated to the area where your shingles outbreak first occurred. The symptoms include:

  • Pain lasting three months or longer after your shingles rash healed
  • Burning, sharp, jabbing, deep, aching pain where your shingles rash was
  • Sensitivity to light touch
  • Itchiness and numbness

Glossopharyngeal Neuralgia

  • Sharp, stabbing pain in the back of the throat, tongue, tonsils, and middle ear
  • Pain while swallowing, drinking cold liquids, sneezing, coughing, talking, or clearing your throat

Occipital neuralgia

  • Headache or dull, throbbing pain localized to the back of the head

Diagnostic Tests

Before you visit your doctor, try to keep a journal of your symptoms, their frequency, and severity because your doctor will ask about these. If you noticed any triggers for pain, write those down too, but your doctor can help you further identify triggers.

Make sure you bring a list of any medications, vitamins, or other supplements with their dosages and how often you take them to the appointment. Your medical professional will perform a physical exam and may send you to a variety of specialists to help further identify the cause of your pain and rule out other conditions. If your doctor suspects you have trigeminal neuralgia, they may send you to a dentist to make sure your facial pain is not a dental issue. Your doctor may order the following tests:


  • Postherpetic Neuralgia: occurs as a complication of shingles and can happen anywhere on the body and is usually isolated to one side of the body
  • Trigeminal: pain associated with the trigeminal nerve, which is the nerve responsible for facial sensations and motor functions, such as biting and chewing
  • Glossopharyngeal: pain in the glossopharyngeal nerve, which is located in the neck and throat area
  • Occipital: irritation of an occipital nerve at the back of your head which causes headaches


Trigeminal neuralgia is most common in people who are 50 years or older and affects women more than men.

The Pain Experts of Arizona was founded to bring the highest level of care in a state-of-the-art setting that emphasizes the belief of treating our patients with the same respect, compassion, and dedication we would treat our own friends and family.

Contact our office to schedule an appointment and let us help you get back on your way to an active life without the limitations of chronic pain. From our Phoenix office, The Pain Experts of Arizona, serves pain management patients in Gilbert, Chandler, Mesa, Queen Creek, and the entire Phoenix area.