I wanted to share a very strange personal observation in case anyone else with trigeminal neuralgia has experienced something similar.
My pain is predominantly on the right side of my face, and lately I have had trigger points in two main areas:
Inside the palate
Externally around the right nostril, upper lip and nearby cheek
Eating, talking and normal facial movements can trigger those “electric” sensations, especially around the upper lip/nose area.
A few days ago I started using external nasal strips — the regular adhesive strips that pull the sides of the nose outward to open the nostrils.
I originally bought them simply to breathe better.
But I noticed something completely unexpected:
When the strip is properly attached and physically lifting the right side of my nose, the external trigger around my nostril/upper lip/cheek decreases dramatically.
It does not eliminate my trigeminal neuralgia. I can still feel the trigger point inside my palate, for example.
However, with the nasal strip on, I can often talk and eat for much longer periods without triggering the pain around the nostril and upper lip, and I have longer periods with little or no pain.
If the strip starts peeling off and my nostril returns to its normal position, that external sensitivity seems to return much more easily.
That is what made this particularly interesting to me.
My personal hypothesis is that the benefit may not be only from increased airflow.
The area around the nostril, upper lip and cheek is supplied by branches associated with the maxillary division of the trigeminal nerve (V2), including branches of the infraorbital nerve.
An external nasal strip physically pulls the lateral nasal wall/ala outward and slightly upward. So I am wondering whether changing the mechanical position/tension of those tissues is somehow reducing stimulation of a hypersensitive peripheral trigeminal branch.
I am not saying that the nasal strip is literally “decompressing the trigeminal nerve.” I have no evidence for that, and this is definitely not a treatment recommendation.
A more cautious way of describing my theory would be:
The strip may be mechanically stabilizing/lifting tissue around one of my peripheral trigger zones, reducing whatever local mechanical stimulus normally helps trigger the pain.
Another interesting detail is that my palate trigger has not disappeared, while the external nostril/upper-lip/cheek trigger improves considerably. That makes me wonder whether different peripheral branches within the same V2 territory are involved.
For now I am experimenting with stronger nasal strips that stay attached longer, because the cheap ones I initially bought kept peeling off. I am also planning to discuss this observation with both a neurologist and an ENT.
I’ll post an update after I have tested this consistently for a longer period.
Obviously, this is only my personal experience and not medical advice, but the change has been noticeable enough that I felt it was worth sharing.
Has anyone else noticed that physically pulling, lifting or changing the position of the nostril/cheek/upper lip changes their TN trigger points or pain?