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Facial Pain

What is tick delarue (spelling is probably so offf). And how can I manage the pain
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Avatar universal
Hello,
I have been a TRIGEMINAL NEURALGIA patient for 30 years now. It started when I was about 25 years old, initially as a tickle in my cheek area but evolved into a tremendous pain on the left cheek/upper jaw area (right above my eye tooth). I was lucky enough to get diagnosed quickly from a neurologist in the area.
There are 3 facial nerves (forehead, cheek & lower jaw) located on each side of the face. These 3 nerves enter the spinal cord at the top of the cranial near the atlas. In my case a blood vessel has wrapped around the 2nd facial nerve on the left side on the inside of the skull. As the two (nerve and blood vessel) rub against each other the nerve begins to "fray" which causes the facial pain.
Initially, the pain was managed with the use of Tegretol (carbamazephine). Eventually, the pain was beyond the ability to be managed with drugs, so I elected to have surgery (Trigeminal Decompression) which involves placing a spacer between the nerve and the blood vessel. That was 26 years ago.
The surgery eliminated probably about 99% of the pain. Now I only have rare bouts with TIC (Typically during allergy season when my sinus swell up) that are usually managed by Tegretol.
Today there is an alternate surgery available using a Gamma knife). It was not available in my day, but I would definitely consider it today were I in the same position.
Helpful - 0
535089 tn?1400673519
Hi opus88:

Tick De La Rue is also known as "Ice Pick Headaches". The question that jmullowney was asking was what Tick Delarue which is actually spelled Tick De La Rue meant.

The answer I provided concerned the information that was asked. The facial pain is definitely associated with Trigeminal Neuralgia. I think we have answered both symptom and term.

Thank's
Molly
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874521 tn?1424116797
hi again....I looked this up on MAYOCLINIC.COM its referred to as TRIGEMINAL NEURALGIA....it follows the branches of the trigeminal nerve...look at the site for more info.
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535089 tn?1400673519
Hello jmullowney and welcome to the Pain Forum.

The term for Tick Delarue is called " Ice Pick Headaches" and are quite painful. It is the onset of an extremely sharp pain located on the side of the head and leaves the person literally debilitated for the moment.

The person responsible for the term was a man by the name of  R.K. Lansche and was  a leading 1960s headache researcher who first defined the phenomenon in 1964. Since that time, the condition has been known by many different names. Its cause remains a mystery, and its treatments vary. The International Headache Society classifies these headaches as "primary stabbing headaches" because there is no identifiable cause underlying the pain.

Thankfully, ice pick headaches are not that common. Research suggests that only 2% of the population ever experience ice pick headaches and usually not until middle age. This type of headache rarely affects children and teenagers; one study found a mean onset age to be 47 years. According to textbook The Headaches, a comprehensive medical analysis of headache types and treatments, more women suffer from ice pick headaches than men.

It is not uncommon for a person who is suffering from these Headaches to have 50 or more episodes per day which can last for a 2-3 day period and in my opinion would make a person completely debilitated from onset to finish.

Have you been diagnosed with this disorder??

I hope that the information I provided helps you with your question. Please take care.

Mollyrae
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874521 tn?1424116797
hi....I don't know for sure how to spell it either? My mother suffered from this for years and had undergone 2 surgeries to kill the nerve with no success.
Its a facial neuralgia....similar to shingles, and in the same family as the chicken pox virus.
Very painful condition...similar to an extremely bad toothache with nerve involvement, years ago when I was doing alot of research to try to help my mom I found that this type of pain can be the hardest to bare. she had 2 sessions to burn the nerve root, however these were only successful for a short time...as nerves find a way to redirect(?)..and was an excruciating proceedure to under go...she said once she would rather die than do it again....this was 25 yrs ago maybe they are more humane now?
anyway after alot of research and doctors she found relief from anti-epileptic drugs such as DILATIN AND TEGRETOL....now there is also neurotin I have heard works equally as good....each one will work differently on each individual...dilatin worked best for her, it is trial and error.
good luck, who diagnosed you with this and did they not tell you abt these medications?
opus88
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356518 tn?1322263642
I have no idea sorry. Maybe someone else will. What are your symptoms?
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