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Suggest Treatment For Severe Anxiety

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Posted on Sat, 16 Jul 2016
Question: Hi I think I have a pinched nerve on the left side of ,y temple, it's been this way for a couple of days it also has a tingle feeling as well, I've had a cat scan last April and nothing was found, I have been dealing with anxiety for a year, what should I do.
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Answered by Dr. Dariush Saghafi (55 minutes later)
Brief Answer:
Anatomically not possible to have a "pinched nerve in the temple area"

Detailed Answer:
Good evening and thank you for your question to our network.

If I'm understanding what your're describing it sounds as if there is either a sharp stabbing transient pain over one of the temples on your head. Or perhaps, it's more a continuous achy type of pain.....perhaps there is a throb to it? I don't know since you didn't say. But the bottom line is that there are NO NERVES anatomically to PINCH in the temples. The lay description of "pinched nerve" refers to an actual mechanical COMPRESSION of a nerve root which exits the spinal cord. The only places we really use the expression "pinched nerves" with any frequency or consistency is when people describe sharp, acute, stabbing, or possibly aching pains that are in the neck, mid back, and especially the lower back with a radiating, stabbing, or shooting quality.

You may be suffering from some local irritation or even a neuralgic component to the orbital branch nerves of Cranial Nerve V (The trigeminal nerve). I can't say whether this would be a trigeminal neuralgia, neuritis, or neuropathy without having more information but there would be little in the area of the temple to cause an actual compression or PINCHING of the twiglets of terminal branches in that area.

There could also be some isolated nutritional deficiencies causing these symptoms such as Vitamin B12 or D and that could be assessed by blood work.

A good cranial nerve examination should be done to be more precise about the possible causes and I would recommend that a neurologist perform it for the most detailed evaluation to get done. It wouldn't be unreasonable for the examining to order an MRI of the brain...possibly with gadolinium contrast depending upon more detailed history, background, and what they find upon examination.

If I've satisfactorily addressed your question could you do me the kindest of favors by CLOSING THIS QUERY and be sure to include some fine words of feedback on your opinion as to our transaction?

Again, many thanks for posing your question to our attention on this network and do not forget to recontact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others.

This query has utilized a total of 15 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.


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

Neurologist

Practicing since :1988

Answered : 2473 Questions

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Suggest Treatment For Severe Anxiety

Brief Answer: Anatomically not possible to have a "pinched nerve in the temple area" Detailed Answer: Good evening and thank you for your question to our network. If I'm understanding what your're describing it sounds as if there is either a sharp stabbing transient pain over one of the temples on your head. Or perhaps, it's more a continuous achy type of pain.....perhaps there is a throb to it? I don't know since you didn't say. But the bottom line is that there are NO NERVES anatomically to PINCH in the temples. The lay description of "pinched nerve" refers to an actual mechanical COMPRESSION of a nerve root which exits the spinal cord. The only places we really use the expression "pinched nerves" with any frequency or consistency is when people describe sharp, acute, stabbing, or possibly aching pains that are in the neck, mid back, and especially the lower back with a radiating, stabbing, or shooting quality. You may be suffering from some local irritation or even a neuralgic component to the orbital branch nerves of Cranial Nerve V (The trigeminal nerve). I can't say whether this would be a trigeminal neuralgia, neuritis, or neuropathy without having more information but there would be little in the area of the temple to cause an actual compression or PINCHING of the twiglets of terminal branches in that area. There could also be some isolated nutritional deficiencies causing these symptoms such as Vitamin B12 or D and that could be assessed by blood work. A good cranial nerve examination should be done to be more precise about the possible causes and I would recommend that a neurologist perform it for the most detailed evaluation to get done. It wouldn't be unreasonable for the examining to order an MRI of the brain...possibly with gadolinium contrast depending upon more detailed history, background, and what they find upon examination. If I've satisfactorily addressed your question could you do me the kindest of favors by CLOSING THIS QUERY and be sure to include some fine words of feedback on your opinion as to our transaction? Again, many thanks for posing your question to our attention on this network and do not forget to recontact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others. This query has utilized a total of 15 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.