Medical History
The first step in diagnosing trigeminal neuralgia is for a doctor to take a thorough medical history. During this process, the doctor will ask questions about the patient's medical history, including any past medical problems, current medications, and any family history of neurological disorders. The doctor will also ask questions about the patient's symptoms, such as when the pain started, how often it occurs, and how severe it is.
Physical Exam
The doctor will also perform a physical examination. This may include tests such as a neurological exam, in which the doctor tests the patient's reflexes, vision, and other sensory functions. A doctor may also order imaging tests such as an MRI or CT scan to rule out other conditions.
Blood Tests
In some cases, a doctor may order blood tests to rule out other conditions that may be causing the patient's symptoms. These may include tests to check for diabetes, thyroid problems, or other conditions that could cause facial pain.
Diagnosis
Once all of the tests have been completed, the doctor can make a diagnosis of trigeminal neuralgia. In some cases, they may refer the patient to a specialist for further evaluation. Treatment options may include medications, nerve block injections, or even surgery.