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Does Neuropathy Cause Swelling On Face?

Posted on Tue, 21 Apr 2015

Question: Does neuropathy cause swellling and how can i get rid of it. Also how can i get rid of sinus pressure i had it for 6 months

Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Brief Answer:
Need more information

Detailed Answer:
Hello and Welcome

I appreciate your concern

I would like to have some more detail regarding your presenting complaint. Kindly answer the following to help you better.

What area/organ of the body are you experiencing the neuropathy and swelling in ? kindly specify the location.
Has this neuropathy/swelling started recently or has it been around for long ? kindly specify the time period.
What medications are you currently using, if any ?

wishing you best of health

thanks

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Right side of face trigeminal neuropathy

Answered by Dr. Dr. Muhammad Sareer Khalil (12 hours later)

Brief Answer:
sinusitis is more likely to be associated with swelling then T.Neuralgia

Detailed Answer:
Hello again,

Thanks for the clarification.

Both Trigeminal neuralgia and a unilateral frontal or maxillary sinusitis can mimic each others presentation. Swelling / inflammation is not usually associated with trigeminal neuralgia. The swelling can occur with acute frontal and maxillary sinusitis along with headache. I would initially suggest an ENT consult to advise an x ray or CT scan to look for any consolidation in the PNS ( Para Nasal Sinuses). If present , a course of antibiotics and decongestants can be prescribed. If no such cause is found then a neurological exam would be required and carbamazepine started if the condition is confirmed to be Trigeminal neuralgia, in consult with a neurologist.

wishing you best of health

thanks

Please consult your doctor before deciding on any further course of action.

Dr. M.S. Khalil

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

Follow up: Dr. Dr. Muhammad Sareer Khalil (2 days later)

Basically after a weekend of alcohol stress and tiredness I woke up to one sided facial tightness sensation. A neurologist said I may have compressed my nerve in my sleep. Is this possible? It's been almost 7 months and no change. I'm scared it will be permanent

Answered by Dr. Dr. Muhammad Sareer Khalil (42 minutes later)

Brief Answer:
Yes, its possible

Detailed Answer:
Hello again,

Yes, nerve compression can be a possibility especially with history of alcohol intake. During sleep we tend to change our position. If history of alcohol intake and passing out during the same episode upon a hard surface is there then there are strong chances of both vascular and nerve compression. The tightness sensation as explained in the previous answer could very well be related to the sinusitis. Before invasive testing is initiated , the common causes like sinusitis should be treated. Gabapentin or pregabalin along with B 12 supplementation can be advised for the tightness feeling that you mentioned, in consult with your doctor.

Wishing you best of health

thanks

Dr. Sareer Khalil

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Dr. Muhammad Sareer Khalil (1 hour later)

I slept in my bed though there wasn't anytnjng hard I slept on it was my pillow

Also will it revover

Answered by Dr. Dr. Muhammad Sareer Khalil (6 minutes later)

Brief Answer:
less likely , if the surface was a pillow

Detailed Answer:
Hello

If the surface was soft, such as a pillow then compression is less likely though lack of movement and persisting single position could still have contributed to some degree of compression. Most likely, it would recover. However for a more concrete answer a neurological exam should be more appropriate to look for normal symmetrical movement of the facial muscles and to detect any focal neurological finding.

Wishing you best of health

thanks

Dr. Sareer Khalil

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Muhammad Sareer Khalil (4 minutes later)

Does trigeminal neuroparhy cause puffiness ?

Answered by Dr. Dr. Muhammad Sareer Khalil (11 hours later)

Brief Answer:
Yes.

Detailed Answer:
Hello ,

Yes, untreated trigeminal neuralgia can lead to puffiness of the affected painful region due to the associated inflammation.

Let me know if you have any other query.

Thanks.

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

Follow up: Dr. Dr. Muhammad Sareer Khalil (1 hour later)

I have no pain though just constant tightness sensation

Answered by Dr. Dr. Muhammad Sareer Khalil (3 hours later)

Brief Answer:
parasthesia

Detailed Answer:
Hello ,

You described the feeling as a pressure sensation in the previous query. That along with tightness can hint to parasthesia that present as numbness , tingling and tightness feeling in the affected area. I would again say that the sinuses need to be ruled out for any infection before a neurologic cause is evaluated such as Multiple sclerosis or trigeminal neuralgia.

Let me know if you have any other query.

Thanks.

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

Follow up: Dr. Dr. Muhammad Sareer Khalil (28 minutes later)

I had a scan of sinuses and it was clear also can thr tightness sensation cause puffiness???

Answered by Dr. Dr. Muhammad Sareer Khalil (4 minutes later)

Brief Answer:
Scan upload, if possible

Detailed Answer:
Hi,

The tightness is a sign of an underlying disorder, it is not the disorder itself. For puffiness or swelling to be present there has to be some asymmetry with regards to the facial features.

Can you upload the scan , if appropriate, to have a better look at it.

Thanks

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

Follow up: Dr. Dr. Muhammad Sareer Khalil (31 minutes later)

Yes i have noticed assymetry of the right side. I will show u before n after pic but the right side u will see as the left side in pictures. Hair up before and hair down after. Also i dknt have the scan

Answered by Dr. Dr. Muhammad Sareer Khalil (38 minutes later)

Brief Answer:
Normal symmetry

Detailed Answer:
hi,

I couldn't find any significant asymmetry on the images you sent. There is no puffiness that is noticeable on these images. You can upload the scan report and/or images when they are made available to you to have a better idea. The tightness sensation could also be related to an anxiety issue and alcohol intake. If appropriate, could you elaborate if the above two issues could have had some association with your symptoms ?

Thanks

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

Follow up: Dr. Dr. Muhammad Sareer Khalil (16 minutes later)

My doctor said its trigeminal neuropathy. The pressure sensation goes into my tooth also can alvohol cause it? Or virus? Or sleeping funny?

Answered by Dr. Dr. Muhammad Sareer Khalil (35 minutes later)

Brief Answer:
Medication, if any

Detailed Answer:
Herpes zoster, nerve or vessel compression due to lack of change in position can be related to this condition. Alcohol intake can be related to such a neuropathy. Alcohol affects the nerves and I would suggest to quit alcohol intake to see for improvement. What medication are you currently taking at present ?

thanks

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

Follow up: Dr. Dr. Muhammad Sareer Khalil (12 minutes later)

I havent drank for 7 months and it hasnt changed. Im taking lyrica. If i slept same position all night when will it resolve?! Have u heard any cases of this where its resolved

Answered by Dr. Dr. Muhammad Sareer Khalil (28 minutes later)

Brief Answer:
Avoid sleeping on the same side for too long, Gabapentin better

Detailed Answer:
It is a wise decision to have given up alcohol. It is implicated in a number of pathological conditions besides this. Lyrica ( pregabalin) can help but based on my personal interaction with patients, Gabapentin would be a better choice. You may discuss this option with your doctor. The IHS classification puts your symptoms in category C i.e its atypical presentation of trigeminal neuralgia as you don't experience any facial pain or trigger associated with it. It takes at least 6 to 12 months for Trigeminal Neuralgia to resolve with medication. It may resolve spontaneously , too. If the symptoms persist while on two or more medication for 8 months or more then percutaneous procedures, surgical procedures and micro vascular decompression can be considered.No , you should refrain from sleeping in one constant position as it will be counterproductive.

Thanks

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Dr. Muhammad Sareer Khalil (25 minutes later)

So is it more likely due to compression rather than a virus? Or alcohol ?

Answered by Dr. Dr. Muhammad Sareer Khalil (12 minutes later)

Brief Answer:
compression , likely.

Detailed Answer:
Yes, compression could be more likely though alcohol could be involved in terms of passing out deeply. Post herpetic neuralgia would have been considered if herpez zoster infection was there preceding this episode.

Thanks.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj