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What Does Nerve Tightness Sensation And Stress Indicate?

Posted on Mon, 13 Apr 2015

Question: Trigeminal nerve tightness sensation right side. Will it resolve? Happened after night of heavy alcohol stress and tiredness. 6 months been like this

Answered by Dr. Sudhir Kumar (17 minutes later)

Brief Answer:
Spontaneous recovery is less likely

Detailed Answer:
Hi Ms XXXXXXX

Thank you for posting your query.

I have noted your symptoms and the lack of complete recovery even after six months.

Your symptoms are suggestive of facial nerve weakness with partial recovery. Tightness sensation commonly occur during the phase of recovery.

Most people recover within one month of weakness. About 20% people recover in longer periods of 6 months to 2 years. However, about 5% people may not recover completely.

In your case, complete improvement may not occur.

However, cosmetic or plastic surgery is a good option.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (1 minute later)

Do u know what the cause may be? Also does trigeminal neuropsthy cause swelling?

Basically after night of alcohol I woke up with the tightness sensation

Answered by Dr. Sudhir Kumar (4 minutes later)

Brief Answer:
Possibly related to alcohol and pressure.

Detailed Answer:
Thank you for getting back.

The cause of neuropathy is related to alcohol intake as well as pressure over the nerve while sleeping.

Swelling sensation is common after trigeminal and facial neuropathy.

Best wishes,

Dr Sudhir Kumar MD MD

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (1 minute later)

So whats the best way to get rid of the swelling? Also can this be due to a virus

Answered by Dr. Sudhir Kumar (4 minutes later)

Brief Answer:
Herpes virus can cause this

Detailed Answer:
Thank you for getting back.

Herpes virus can cause neuropathy of facial nerve.

Swelling would subside as the nerve recovers. In the initial period, steroids are used. At this stage, there is no role of steroids.

Vitamin supplements would help.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (4 minutes later)

So will i recover ? I cant deal with this i just want to look pretty again

Answered by Dr. Sudhir Kumar (3 minutes later)

Brief Answer:
Yes, you can look pretty again.

Detailed Answer:
Thank you for getting back.

Yes, you can recover and look pretty again.

However, you may require plastic surgery for that.

Can you upload a picture of your face (both sides) for more clarity?

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (1 minute later)

Hair up is before and hair down is after

Can I use botox

Answered by Dr. Sudhir Kumar (4 minutes later)

Brief Answer:
Botox would be useful.

Detailed Answer:
Thank you for getting back.

I have seen your photographs and agree that you were prettier before and it is possible to reach that stage again with treatment.

Botox injections should be the first option.

Plastic surgery should be done only if botox fails.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (13 minutes later)

It isn't Bell's palsy then

Answered by Dr. Sudhir Kumar (3 minutes later)

Brief Answer:
Bells palsy is also facial palsy.

Detailed Answer:
Bells palsy is also a type of facial palsy, originally described by Dr Bell.

Dr Sudhir Kumar MD DM

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (2 minutes later)

So do I have a Bell's palsy? Or is this due to compression? Or what I don't understand no doctor will be clear with me and is it safe to have botox or surgery done if I have this problem cos I don't want anything to go wrong

Answered by Dr. Sudhir Kumar (4 minutes later)

Brief Answer:
Cause can not be confirmed

Detailed Answer:
The cause- compression or Bells- can only be guessed and there is no way of confirming it.

Treatment does not depend on the cause now.

Botox or surgery will work in both Bells and compression.

Dr Sudhir Kumar MD DM

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (17 minutes later)

so what is this tightness sensation i am experiencing? trigeminal nerve? also what if the cosmetic surgery goes wrong? will i be able to lift the side which has drooped with botox or the other side?

Also does trigeminal neuropathy cause swelling or puffiness

Answered by Dr. Sudhir Kumar (6 hours later)

Brief Answer:
Tightness is seen with partial recovery.

Detailed Answer:
Thank you for getting back.

Tightness sensation is commonly seen with partial recovery of nerves.

You should feel that cosmetic surgery would go right and not wrong.

Botox would be given after examining the face. Whichever side has stiffer muscles, would receive botox.

Yes, puffiness or swelling is seen with neuropathy.

Best wishes,

Dr Sudhir Kumar MD DM

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (8 hours later)

What medication is the best to reduce puffiness? Will this tightness sensation recover

My neurologist said the tightness sensation in feeling is my trigeminal nerve.

Answered by Dr. Sudhir Kumar (2 hours later)

Brief Answer:
Yes, tightness will recover.

Detailed Answer:
Yes, tightness would reduce over time.

It is a sign of recovery from facial and trigeminal nerve palsy.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (1 hour later)

How long roughly? Have u seen any cases like mine where everything has recovered

Answered by Dr. Sudhir Kumar (2 hours later)

Brief Answer:
Variable recovery times.

Detailed Answer:
Thank you for getting back.

Recovery time varies in different people. In most people, recovery occurs in 6 months, however, in some, it may extend upto two years.

I have seen several people completely recovering too.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Sudhir Kumar (16 minutes later)

What if i dont ever recover

Answered by Dr. Sudhir Kumar (0 minute later)

Brief Answer:
Unlikely.

Detailed Answer:
It is unlikely that you would not recover.

In any case, please be positive.

Best wishes,

Dr Sudhir Kumar MD DM

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Sudhir Kumar (13 minutes later)

Also can neuropathy cause jelly like feeling in face and if so what medication gets rid of if

Answered by Dr. Sudhir Kumar (0 minute later)

Brief Answer:
Yes, some medications can help.

Detailed Answer:
Yes, jelly like feeling can occur with neuropathy.

Medications such as pregabalin or gabapentin may help in getting rid of that sensation.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Sudhir Kumar (30 minutes later)

can my bells palsy be so tiny because i can move my muscles perfectly. Also, can alcohol cause this like too much of it by itself.?

Answered by Dr. Sudhir Kumar (8 hours later)

Brief Answer:
Yes.

Detailed Answer:
Yes, Bells palsy can be tiny, and affect very little muscle movements.

Alcohol has toxic effects on nerves, as well as people may sleep off in awkward position, where nerves can get mechanically compressed.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Shanthi.E