metimes the pain is very severe in the eye-ball.
2. Supramaxillary Neuralgia.--In this the pain is along the infraorbital
(nerve beneath the eye) nerve, and there is a marked tender point at the
opening in the bone (infraorbital foramen) beneath the eye. A
toothache-like pain in the upper teeth is common in this variety.
3. Inframaxillary (lower maxillary) Neuralgia.--This is characterized by a
scattered (diffused) pain along the inferior dental (teeth) branch, and
extends from the temporal (side forehead) region over the side of the face
to the chin, with pain in the lower teeth and side of the tongue. The pain
in this nerve may come on without any special cause, or it may come after
excitement of a physical or mental nature. Disorders of nutrition occur.
The circulation is interfered with and the face, at first pale, becomes
red. Eruptions may appear along the course of the nerve, while salivation
and "running" (lachrymation) of the eyes are often prominent symptoms.
Spasms of muscles of the face (tic doloureux) may accompany the paroxysms
and this is the most terrible form of nerve pain. The attacks may be mild
or very severe and sometimes sudden. This is a terrible disease,
especially when it has existed for some time. A person with severe pain in
the face should always attend to it immediately, before it becomes
chronic.
Treatment.--It is directed towards removing the cause, if possible.
Chronic cases are difficult to cure. The patient should be careful not to
take cold, keep strong and healthy by regular hours for sleep, good
sufficient clothing. The general health must be improved. These directions
apply to all kinds of neuralgia.
INTERCOSTAL NEURALGIA.--A neuralgia of one or more of the intercostal
nerves. These nerves run in a groove in the lower edge of the ribs.
Causes.--It may develop without any special cause. It comes in anemia,
after exposure to cold, from affection of the vertebrae, ribs, spinal
cord, or from the pressure of tumors, or aneurism of the aorta. This is
next in importance to neuralgia of the fifth nerve, and occurs more often
in women and very common in those who have hysteria. It is more common on
the left side and mostly in the nerves situated from the fifth to the
ninth intercostal space. If it is located in the nerves distributed to the
mammary glands it gives rise to neuralgia of the mammary gland. The flying
darts of pain in the chest (pleurodynia) are to be regarded as neura
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