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Frequently Asked Questions

Question: How would you describe the pain of TN?

Trigeminal Neuralgia Association
Answer: TN is an electric shock-like stabbing pain, unilateral during any on episode, sudden onset and termination. It is universally considered to be one of the most painful afflictions known to adult men and women.
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Question: What is TN?

Trigeminal Neuralgia Association
Answer: A disorder of the 5th cranial nerve. As the Trigeminal nerve exits the brainstem, it is compressed by a blood vessel as. The compression causes the lining of the nerve (the myelin sheath) to wear away. When the message travels down the nerve and reaches the demyelinated area, the message jumps to the next nerve, this is called cross talk. It is much like a chair setting on an electrical cord.
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Question: Some people say their trigeminal pain started soon after dental work. Can that cause TN?

Trigeminal Neuralgia Association
Answer: (Steven Graff-Radford, D.D.S. TN Alert, Fall 1995) Invasive dental procedures do not cause TN, but they often can be the triggering factor that will initiate TN pain in a patient who is already predisposed to it. Answer: (Steven Graff-Radford, D.D.S. TN Alert, Fall 1995) The reason it isn't constant is because the amount and location of demyelination (loss of the nerve's protection coatings) is only sufficient to sensitize the nerve cell bodies.
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Question: How many people have TN?

Trigeminal Neuralgia , TN, tic douloreaux, is the trigeminal...
Answer: We really do not know. A small survey done in the 60's indicated 5 in 100,000 people have TN. That was based on a study of how many people were hospitalized for TN. Most TN patients never go to the hospital. Based on the number attending TNA Support Groups the number is much higher.
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Trigeminal Neuralgia Association
Answer: We really do not know. A small survey done in the 60’s indicated 5 in 100,000 people have TN. That was based on a study of how many people were hospitalized for TN. Most TN patients never go to the hospital. Based on the number attending TNA Support Groups the number is much higher.
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Question: Are there any medical treatments for TN?

Trigeminal Neuralgia Association
Answer: Yes, it is treated with anticonvulsants. The most effective treatment is with carbamazepine. There are other medications that can be tried such as Dilantin, and most recently Carbatrol and Trileptal. If these medications become ineffective or the side effects intolerable, surgical treatment can be offered.
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Question: What's your view on the cause of TN?

Trigeminal Neuralgia Association
We believe TN results from hyper-excitability of the trigeminal nerve. After exceeding a certain threshold, the increased electrical impulses traveling through the trigeminal nerve activate pain regions in the brain. Trigeminal hyper-excitability is caused by injury to the myelin sheath that insulates the nerve fibers. When the myelin sheath is injured, electrical impulses are either activated, short circuited or reverberate, resulting in increased electrical traffic in the nerve.
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Question 7. Can I change employers while on a TN?

Immigration Lawyers - Hansen & Company
Answer: Yes. You will need approval of another TN application before you can start work with the second employer. We can do this for you either at the border---or if you have enough lead time---by mail. Here are some points that may help: quot;Ten days to get out of town": Once your employment terminates you have ten days to leave the country if you have not applied to change to another permit. The B-1/B-2 is a fine interim alternative. You can stay in the U.S.
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Should I renew a TN at the border or by mail?

FAQ Part I-Frequently Asked Questions: Canada to U.S. Immigr...
There are advantages to each approach. By comparing the number of entries on these two lists, you'll see my favorite approach of the two: You don't have to make a trip to the border. You can do everything from the comfort of your home/office. You don't have to take your family to the border. (Remember, your family needs to renew their TD's or L-2's before they expire, too.) With foresight, you can mail well ahead of the expiration date.
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A. Can I change employers while on a TN?

FAQ Part I-Frequently Asked Questions: Canada to U.S. Immigr...
ANSWER: Yes. You will need approval of another TN application before you can start work with the second employer.We can do this for you either at the border---or if you have enough lead time---by mail. Here are some points that may help: quot;Ten days to get out of town": Once your employment terminates you have ten days to leave the country if you have not applied to change to another permit. The B-1/B-2 is a fine interim alternative. You can stay in the U.S.
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Is there a future for a TN visa holder?

FAQ Part I-Frequently Asked Questions: Canada to U.S. Immigr...
ANSWER: There is no top limit on the number of years a person can be on temporary TN status. Nevertheless, I expect that some day INS will say "no more renewals. . .after all, this is a temporary visa." Review current developments regularly for any news on this.
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Question: I have never heard of TN, is it a relatively new disorder?

Trigeminal Neuralgia Association
Answer: TN was first described in medical literature as early as 1672. Some people know the disorder as Tic Douloureux. TN is often misdiagnosed as a toothache or TMJ. Many people go undiagnosed for years. Some people are diagnosed with classic TN when they have a neuropathic pain.
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Question: What are some of the disorders often misdiagnosed as Classic TN?

Trigeminal Neuralgia Association
Answer: Injury to the end of the Trigeminal nerve by some type of trauma, most often a dental procedure or a blow to the face. Post herpetic TN, better known as shingles, this facial pain occurs after a herpetic breakout. The pain of neuropathic pain is usually constant, but can fluctuate in intensity. The pain is usually described as burning, aching or tightness. Many times numbness is present.
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Question: Isn't there a test of some sort to tell if you've got TN?

Trigeminal Neuralgia , TN, tic douloreaux, is the trigeminal...
Answer: (TN ALERT, Fall 1994) No. This condition is diagnosed almost entirely by the patient's described symptoms and by ruling out other sources of facial pain that can be detected. Doctors typically order a magnetic resonance imaging (MRI) scan when TN is suspected, but that's done to check for multiple sclerosis or a tumor as a cause of the pain -- not as a way to "see" if anything is irritating the trigeminal nerve.
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Question 5. Can my spouse work if I'm on a TN or L-1?

Immigration Lawyers - Hansen & Company
Answer: First of all, you should note that the BCIS does not recognize common-law relationships. Therefore, if your spouse wishes to claim status, you will need to show proof of a legal marriage. If you are on a TN visa, your spouse will be eligible for a TD status (Dependant of TN) but will NOT be eligible to work unless he/she qualifies and applies for his/her own work visa.
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Question 6. Should I renew a TN at the border or by mail?

Immigration Lawyers - Hansen & Company
There are advantages to each approach. By comparing the number of entries on these two lists, you'll see my favorite approach of the two: You don't have to make a trip to the border. You can do everything from the comfort of your home/office. You don't have to take your family to the border. (Remember, your family needs to renew their TD's or L-2's before they expire, too.) With foresight, you can mail well ahead of the expiration date.
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Question 8. Will my Green Card application cause trouble when I renew my TN?

Immigration Lawyers - Hansen & Company
Thanks to the wonderful "doctrine of dual intent," you can have both the intent to remain in the U.S. on a temporary and permanent basis---at the same time. (Who said law isn't flexible!) Therefore there's no problem having a green card application pending while you are renewing your temporary TN status. The regulation for L-1's and H-1's state what you need to show if you are renewing your permit and have a permanent application pending.
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Back to Top Question 9. Is there a future for a TN visa holder?

Immigration Lawyers - Hansen & Company
Answer: There is no top limit on the number of years a person can be on temporary TN status. Nevertheless, I expect that some day US CIS will say "no more renewals. . .after all, this is a temporary visa. Answer: You can apply for permanent residence whenever you like. Because of long processing times, you should start assembling the paperwork ASAP.
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QUESTION: How is Ringmaster Rubbing Oil different from other pain relieving medications?

Ringmaster Rubbing Oil Frequently Asked Questions
ANSWER: Ringmaster Rubbing Oil is the world's only medicated peanut oil. Its very deep and quick penetrating ability, plus its unique, time-proven active ingredients can get deep into the muscle and into the blood stream faster than any rubbing oil known to man.
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Question: How is ThankGod Pain & Itch Cream beneficial to me?

Piles - Frequently Asked Questions
Answer: In case, anal discomfort, pain and itching tend to persist, you can use "ThankGod Pain & Itch Cream", which is meant to provide relief in such cases, soothe the skin and prevent infections in the affected area.
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What about pain?

FAQ's - Hip and Knee Center for Joint Replacment St. John De...
Thanks to advances in medication technology, we are able to keep you very comfortable after surgery. After surgery, any temporary discomfort does not compare to the pain of arthritis endured by most people in months and years before surgery. And because hip replacement patients are not “sick,” you will not be treated as such. You will wear casual clothing after surgery, not hospital gowns.
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Frequently Asked Questions
Back problems can be caused by an extraordinarily wide range of problems – some of them originating elsewhere in the body, but with pain being transmitted (referred) to areas of the back by the nervous system. Back pain is one of the most common reasons people seek medical attention. It is the symptom that prompts most patients who get chiropractic care. The majority of backache sufferers complain of pain in the lower back; the second most common site of discomfort is the base of the neck.
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Frequently Asked Questions
Life and pain are inseparable. Pain is the penalty for living: a toothache is the penalty for eating, and a heartache is the penalty for loving. How can we deal with so much pain? Here is my pain checklist:
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Hip Replacement Frequently Asked Questions: Answers your hip...
Thanks to advances in medication technology, we are able to keep you very comfortable after surgery. After surgery, any temporary discomfort does not compare to the pain endured by most people in the months and years before surgery. And because hip replacement patients are not "sick," you will not be treated as such. You will wear casual clothing after surgery, not hospital gowns. You'll also join other joint replacement patients for group lunches, television, and group physical therapy.
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Frequently Asked Questions About Pain
Pain is defined as an unpleasant experience resulting from actual or potential damage to tissues of the body. Most patients experience pain at sometime during their lives. Pain involves injury or disease of skin, bone, muscles, nerves, blood vessels, brain, or internal organs. Studies show that as many as 80% of patients with cancer have pain sometime during the course of their illness. Adequate pain control is possible more than 90% of the time using medications that can be taken by mouth.
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Will I have back pain again?

Non-Surgical Frequently Asked Questions
Approximately 50 percent of patients with one episode of back pain have another episode. Additional episodes of pain are also likely to improve with appropriate management.
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Is the pain everywhere?

aftershingles.com: Frequently asked questions
The pain is always where the shingles rash was. However, some people have pain in smaller regions where the rash was, and others have pain in an area slightly larger than the rash site.
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Frequently Asked Question: Can statins have something to do with my joint pain?

www.cardiofiles.net - Lipitor/statin Adverse Effects FAQ
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11707010&dopt=Abstract
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Question: Can a practitioner prescribe methadone for the treatment of pain?

DEA Diversion Control Program - General Questions & Answ...
Answer: Federal law and regulations do not restrict the prescribing, dispensing, or administering of any schedule II, III, IV, or V narcotic medication, including methadone, for the treatment of pain, if such treatment is deemed medically necessary by a practitioner acting in the usual course of professional practice.
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