Solved: Trigeminal Neuralgia Management

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Marva, a 66-year-old female, presents to the office. She has a history of Multiple Sclerosis, hypertension and CVA 2 years ago with no residuals. She explains why she is here today and points at the temporomandibular right side of her face and reports pain that can become intolerable at times. She says that it comes in waves, lasting a couple of moments, and it feels like electric shocks. She says it can be aggravated simply by touching, and that some of her ADL’s including brushing her teeth and eating have been impacted. Provide at least 3 possible differential diagnoses and justify your rationale for each differential. Develop a therapeutic plan from data that is provided from the clinical practice guideline.

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