Trigeminal Neuralgia, Neck Impingement, Acupuncture & TCM Herbal Support in Chattanooga
August 11, 2026

August 11, 2026

Trigeminal Neuralgia, Neck Impingement, Acupuncture, and TCM Herbal Support

A Wellness Tree guide to facial nerve pain, the trigeminal nerve, upper neck irritation, and Traditional Chinese Medicine support


Trigeminal neuralgia is one of the most intense nerve pain conditions a person can experience. Many people describe it as a sudden, sharp, electric, stabbing, lightning-like pain that shoots through the face, jaw, cheek, teeth, forehead, or around the eye. It can come and go quickly, but the intensity can be overwhelming.


At The Wellness Tree in Chattanooga, TN, we look at trigeminal neuralgia from both a modern anatomical perspective and a Traditional Chinese Medicine perspective. The modern view helps us understand the trigeminal nerve, the brainstem, inflammation, and possible neck involvement. The TCM view helps us evaluate patterns such as Wind, Qi stagnation, Blood stagnation, channel blockage, and internal imbalance that may contribute to nerve sensitivity and pain.


What Nerve Is Involved in Trigeminal Neuralgia?

Trigeminal neuralgia involves the trigeminal nerve, also known as cranial nerve V. This is not a typical spinal nerve root like C5, C6, or C7. Instead, it is one of the major cranial nerves that supplies sensation to the face.


The trigeminal nerve has three major branches:


V1 – Ophthalmic branch
This affects the forehead, scalp, eye area, and upper part of the face.


V2 – Maxillary branch
This affects the cheek, upper jaw, upper teeth, side of the nose, and midface.


V3 – Mandibular branch
This affects the lower jaw, lower teeth, chin, and part of the ear/temple region.


Classical trigeminal neuralgia is often associated with irritation or compression near the trigeminal root entry zone, where the trigeminal nerve enters the brainstem. One commonly discussed cause is vascular compression, where a nearby blood vessel irritates the nerve. Medical references commonly describe trigeminal neuralgia as brief, severe, shock-like facial pain in the distribution of one or more branches of the trigeminal nerve.


Can a Neck Impingement Make Trigeminal Neuralgia Worse?

This is an important question.


A neck impingement is usually not considered the main cause of true classical trigeminal neuralgia. However, neck dysfunction can absolutely contribute to facial pain, headaches, jaw tension, nerve sensitivity, and trigeminal-like symptoms.


The upper neck, especially the C1, C2, and C3 region, communicates with trigeminal pain pathways through an area often called the trigeminocervical complex. This is one reason pain from the neck can refer into the head, temple, forehead, eye region, jaw, and face. Cervicogenic headache and occipital neuralgia are examples of conditions where upper cervical structures may refer pain into the head or face through shared nerve pathways.


In plain English: the trigeminal nerve and the upper neck “talk” to each other.


That means a person may have:

True trigeminal neuralgia made worse by neck tension

Upper cervical irritation mimicking trigeminal neuralgia

TMJ and neck tension feeding into facial nerve pain

Occipital neuralgia or cervicogenic headache mistaken for facial nerve pain

A combination of trigeminal, cervical, muscular, and inflammatory patterns

This is why we do not only look at the face. We also examine the neck, jaw, shoulders, posture, stress response, sleep, inflammation, and overall nervous system sensitivity.


Common Triggers for Trigeminal Neuralgia

People with trigeminal neuralgia may notice symptoms triggered by:

Chewing

Talking

Brushing teeth

Shaving

Touching the face

Cold wind

Stress

Jaw tension

Neck tightness

Dental work or dental irritation

Sinus pressure

Poor sleep

Inflammatory flares


From a TCM point of view, triggers like wind, cold, stress, stagnation, and internal deficiency can all play a role in how the nervous system responds.


The TCM View of Trigeminal Neuralgia

In Traditional Chinese Medicine, trigeminal neuralgia is often understood through the lens of channel obstruction and Wind-type pain.


Sharp, sudden, electric pain is often associated with Wind because Wind moves quickly, changes location, and can appear suddenly. Severe stabbing pain may suggest Blood stagnation or deep channel blockage. Burning pain may suggest Heat. Pain made worse by cold wind may suggest Wind-Cold invasion. Pain aggravated by stress may involve Liver Qi stagnation. Long-term recurring nerve pain may also involve deficiency patterns underneath the acute pain.


Common TCM patterns may include:


Wind attacking the channels
Sudden facial pain, sensitivity to wind, symptoms that come and go quickly.


Qi and Blood stagnation
Sharp, fixed, stabbing pain; chronic tension; pain that follows a channel pathway.


Liver Yang rising or Liver Fire
Facial pain with irritability, headaches, red eyes, high stress, or heat signs.


Phlegm and channel obstruction
Heaviness, numbness, chronic inflammation, or lingering nerve irritation.


Underlying deficiency
Long-term recurrence, fatigue, slower healing, sensitivity after stress or illness.


The goal of TCM care is not simply to chase the pain. The goal is to identify the pattern and support the body’s ability to regulate the nervous system, improve circulation, relax muscular guarding, and reduce irritation along the affected channels.


Acupuncture for Trigeminal Neuralgia and Facial Nerve Pain

Acupuncture may be used to support trigeminal neuralgia by calming the nervous system, improving local circulation, releasing neck and jaw tension, and helping regulate pain pathways. Research continues to explore acupuncture’s role in nerve-related pain conditions, and many patients seek acupuncture as part of an integrative approach alongside appropriate medical care.


At The Wellness Tree, treatment is customized. We do not use the same point prescription for every patient. The location of pain, the branch involved, the neck findings, the pulse, the tongue, and the overall TCM pattern all matter.


Important Acupuncture Points for Trigeminal Neuralgia

The following points may be considered depending on the presentation.


Local Face and Jaw Points


ST 2 – Si Bai
Often considered when pain affects the cheek, under-eye region, or maxillary branch area.


ST 3 – Ju Liao
Useful for cheek and midface patterns, especially along the Stomach channel.


ST 4 – Di Cang
Commonly used for facial asymmetry, mouth corner issues, facial pain, and channel flow around the mouth.


ST 6 – Jia Che
A major jaw point. Often considered when trigeminal symptoms involve the jaw, masseter tension, clenching, or lower facial pain.


ST 7 – Xia Guan

Important for TMJ, jaw pain, ear-region pain, and mandibular branch involvement.


SI 18 – Quan Liao
Often used for cheekbone and facial pain patterns.


GB 14 – Yang Bai
May be considered for forehead, eyebrow, and eye-region pain.


Taiyang – Extra Point
Frequently used for temple pain, headache, eye tension, and side-of-face discomfort.


Yintang – Extra Point
Often used to calm the nervous system and support frontal headache, stress, and facial tension patterns.


Distal Points for Face Pain and Channel Regulation


LI 4 – He Gu
One of the most important distal points for the face, mouth, jaw, and head. Traditionally known as a command point for the face and mouth. Avoid during pregnancy unless used by a properly trained clinician for appropriate indications.


ST 44 – Nei Ting
Often considered when facial pain has a heat component, especially along the Stomach channel affecting the cheek, jaw, teeth, or gums.


LV 3 – Tai Chong
Used when stress, Liver Qi stagnation, irritability, or tension patterns are involved.


GB 34 – Yang Ling Quan
Supports tendon and channel movement, useful when neck, jaw, and side-body tension are part of the pattern.


SJ 5 – Wai Guan
Often used for lateral head, ear, jaw, and Shaoyang channel involvement.


GB 41 – Zu Lin Qi
May be used for Shaoyang channel patterns affecting the side of the head, temple, and face.


Neck and Upper Cervical Points

Because the upper cervical region may influence trigeminal and facial pain pathways, we often evaluate points around the neck and suboccipital region.


GB 20 – Feng Chi
A major point for neck tension, occipital pain, headaches, dizziness patterns, and Wind-related conditions.


BL 10 – Tian Zhu
Often used for upper neck tension, occipital pain, and head/neck communication.


DU 16 – Feng Fu
May be considered in Wind and nervous system patterns when clinically appropriate.


SI 3 – Hou Xi
Often paired with the Du channel and used for neck, spine, and posterior head patterns.


BL 62 – Shen Mai
Commonly paired with SI 3 to influence the Du channel and neck/spine-related patterns.


Ashi points in the SCM, scalenes, suboccipitals, masseter, and temporalis

These are not classical “named” points but are extremely important clinically. Trigger points and muscular guarding in these areas can contribute to jaw pain, headache, and facial nerve irritation.


Master Tung Style Considerations

In some cases, Master Tung-style approaches may be considered, especially when using distal points to influence the face and head without over-treating painful local areas.


Examples may include:


Ling Gu and Da Bai
Frequently used in Tung-style acupuncture for face, head, neck, and pain patterns.


Ce San Li and Ce Xia San Li
Often considered for facial pain, jaw pain, and channel-related pain patterns.


San Cha San
May be considered for head, face, and sensory nerve-type presentations.

These points are selected based on pattern, pain location, palpation, and overall patient presentation.


Evergreen Symmetry and TCM Herbal Support

Evergreen’s Symmetry formula is a professional TCM herbal formula often used by licensed practitioners for Wind-type facial conditions and channel obstruction patterns. The formula listed on The Wellness Tree’s product page includes herbs such as Bai Fu Zi, Jiang Can, Quan Xie, Wu Gong, Yan Hu Suo, Chuan Xiong, Dang Gui, Fang Feng, Jing Jie, Bai Zhi, and Si Gua Luo.


From a TCM perspective, this type of formula strategy may be used to:

Dispel Wind from the channels

Support movement of Qi and Blood

Address sharp, sudden, spasmodic pain patterns

Support circulation through the face and head channels

Reduce channel obstruction from a traditional herbal perspective

Support nerve-related pain patterns when appropriate to the patient’s constitution

Several of the herbs in this category are traditionally used in formulas for Wind, spasm, pain, and channel blockage. However, herbal formulas should always be selected based on a proper TCM evaluation. They are not one-size-fits-all.


Important note: Evergreen Symmetry should be used under the guidance of a qualified practitioner, especially because some traditional formulas include strong herbs that may not be appropriate for every person, every medication, pregnancy, bleeding disorder, or complex health condition.


Why the Neck Must Be Evaluated

When someone comes in with facial nerve pain, it is easy to focus only on the face. But the face may only be one part of the story.


We often assess:

Upper cervical mobility

Suboccipital tension

SCM and scalene tightness

Jaw clenching and TMJ mechanics

Shoulder and upper trap tension

Posture and forward head position

Stress-related nervous system tension

Dental history

Sinus history

Sleep quality

Inflammatory patterns



A neck impingement, arthritis, disc irritation, or chronic muscular compression may not be the root cause of classical trigeminal neuralgia, but it can potentially keep the nervous system irritated. In some patients, releasing the neck and jaw can reduce the frequency, intensity, or trigger sensitivity of facial pain.


Integrative Care Matters

Trigeminal neuralgia should be taken seriously. If someone has new, severe, one-sided facial pain, neurological symptoms, numbness, weakness, vision changes, hearing changes, dizziness, rash, or worsening symptoms, medical evaluation is important. MRI or neurological evaluation may be recommended to rule out vascular compression, multiple sclerosis, tumors, shingles-related nerve pain, dental causes, or other conditions.


Acupuncture and TCM herbal medicine can be part of a supportive, integrative approach. They are not a replacement for emergency care, neurological evaluation, dental evaluation, or prescribed medications when those are needed.


The Wellness Tree Approach in Chattanooga

At The Wellness Tree Acupuncture & Wellness Clinic, we take a whole-person view of trigeminal neuralgia and facial nerve pain. We look at the trigeminal nerve, the neck, the jaw, the nervous system, and the TCM pattern behind the pain.


A treatment plan may include:

Acupuncture

Master Tung-style distal acupuncture

Gentle neck and jaw-focused point strategies

TCM herbal formulas such as Evergreen Symmetry when appropriate

Stress and nervous system support

Postural and lifestyle recommendations

Nutritional and supplement considerations when appropriate


Our goal is to support the body’s natural ability to regulate pain, calm nerve irritation, improve channel flow, and reduce the factors that may be aggravating the trigeminal system.


Final Thoughts

Trigeminal neuralgia is usually connected to the trigeminal nerve, cranial nerve V, rather than a typical cervical nerve root. But the neck can still matter. The upper cervical region and trigeminal system share important neurological connections, which means neck tension, upper cervical irritation, TMJ dysfunction, and postural stress may worsen or mimic trigeminal-type facial pain.


In TCM, this condition is often viewed as a combination of Wind, channel obstruction, Qi and Blood stagnation, and sometimes deeper constitutional imbalance. Acupuncture points for the face, jaw, neck, and distal channel pathways may be used to support relief. Evergreen Symmetry may also be considered when the pattern fits, especially in Wind and facial channel obstruction presentations.


For those in Chattanooga dealing with trigeminal neuralgia, facial nerve pain, jaw pain, or neck-related head and face pain, The Wellness Tree offers a thoughtful, integrative approach rooted in both modern anatomy and Traditional Chinese Medicine.


The Wellness Tree
Chattanooga, TN

423-877-3770
ChattanoogaWellnessTree.com


Yellow road sign reading “FLU SEASON AHEAD” in a field under a cloudy sky
August 11, 2026
As fall and winter approaches, there are ways to naturally prepare yourself for the flu season. The flu season typically starts in the fall and peaks in January or February but it can also begin as early as October. Groups more likely to experience complications include seniors (age 65 and older), children (especially those younger than 2), and people with chronic illness. Symptoms of the flu include fatigue, muscle aches, headaches, fever, cough, runny nose, nausea, vomiting, and diarrhea. The flu can halt and wreak havoc on your activities of daily living, therefore it may be wise to nurture a healthy immune system by decreasing your susceptibility to disease. Poor nutrition, inactivity, emotional stress, environmental toxins, and negative thought processes can your increase susceptibility. So here are some guidelines that I find particularly helpful: Rest If you feel symptoms beginning (like sore throat, headache, congestion, fever, etc.), take a day off if possible. Keep your bedroom cool and humid. If you are cold, add covers. If you are too warm, uncover or take a lukewarm bath. Consider investing in a humidifier or keep a dish of fresh water near your heat source. House plants can also be helpful alternative to purchasing a humidifier. The humid air is helpful in keeping mucous membranes moist. Create a Healing Space When feeling ill or under the weather, allow your bedroom to be the quietest yet cheerful place in the house. Let air flow freely into the bedroom, clearing any stuffiness or foul smell. Be sure to sleep on clean sheets and wear clean clothes. Drink Plenty of Fluids Drink large amounts of filtered water, herbal teas, broths and soups. Avoid fruit juices and sweetened beverages (like sodas), because the high sugar content will actually inhibit your immune cells from doing their job. If you do choose to drink fruit juices, dilute them with water (use equal parts). Try to avoid alcohol, coffee and black tea because these can depress the immune response as well. Onion Lotus To prevent a cold from affecting every family member or to help shorten the duration of a cold you may need to purify your living space. An onion is very helpful in clearing indoor air. Begin by taking one medium or large size onion. Make two cuts into the onion, crosswise. The onion should open up like a lotus flower. Put the onion on small dish and sit it in the room of the affected person. Crack the window just a bit for greater air circulation. Ideally, an onion should be placed in every room (i.e. the rooms with the most people traffic) of the house. Optimize Your Diet Eat mostly alkaline forming foods like vegetables, fruits, nuts, and seeds. If possible buy seasonally organic local farmed produce. Seasonal fruits for TN in late September include: apples, Asian pears, blackberries, cantaloupe, grapes, nectarines, pears, raspberries, watermelons. Seasonal vegetables for TN in late September include: arugula, green beans, snap beans, shell beans, beets, broccoli, Brussels sprouts, cabbage, carrots, celery, chard, chili pepper, cucumbers, eggplant, fennel, scallions, dark leafy vegetables (collards, kale, etc.), lima beans, okra, peas, peppers, potatoes, pumpkin, radicchio, radishes, shallots, summer squash, sweet potatoes, tomatoes, turnips, winter squash, and zucchini. Buy local, sustainably raised meats (including beef, chicken, lamb, pork) and dairy. Here are a few helpful resources: http://www.localharvest.org/ http://www.eatwild.com/products/tennessee.html http://www.eatwellguide.org/ Avoid processed foods, sweets, simple sugars, ice cream, cold drinks, and dairy products including yogurt, milk and cheese especially when feeling sick. Upon the onset of a cold or flu try following a light and warm diet like boiled or steamed vegetables and vegetable soup. Drink spice or herbal teas with a piece of crushed ginger to help warm your core. Immune boost soup loaded with garlic and onions can have an antimicrobial effect. See following recipe: Combine 2 cups of water, 1 small yellow onion, 3 garlic cloves, 1 inch fresh ginger root, 1 large lemon freshly squeezed, 2 tablespoon of unfiltered apple cider vinegar, 1 teaspoon honey (optional), with a pinch of cayenne pepper. Bring to a boil. Remove from heat and steep for 20 minutes. Add the juice of 1 freshly squeezed lemon and a pinch of cayenne. You can vary the recipe by adding chopped Reishi mushrooms or marrow bones. Avoid Foods to Which You Suspect You Are Allergic Repeated exposure to food allergens increases the toxic load on the body thereby compromising the immune response. In addition, these foods can cause asthma, eczema, arthritis, migraines, and other chronic conditions as well as susceptibility to acute infections. Contrast Shower If tolerable, contrast shower is a simple yet convenient way to stimulate your vitality. The idea behind contrast shower is to alternate between hot and cold water while you are showering, to tolerance. After your normal hot shower, gradually turn down the hot water until the shower is pleasantly cool and rinse your body for about 1 minute. Then switch the shower back hot to rewarm your body for 3-5 minutes. Repeat 3 times then end with cool. Dry yourself off quickly, rubbing briskly with towel to stimulate rewarming. Two key points to remember when doing contrast shower: first – the hot phase should always be longer than the cooler phase and second – always finish with cool water. The temperature contrast will help strengthen and normalize the nervous, circulatory, endocrine (hormonal), musculoskeletal and immune systems and is excellent for helping the body cope with physiological and psychological stress. However, contrast showering may be contraindicated for those with heart disease, asthma, diabetes, pregnancy, or Raynaud’s syndrome or phenomenon. Vitamins and Minerals Consider supplementing with zinc, vitamins C, vitamin A. Zinc plays an essential role in maintaining healthy immune function. Vitamin C can enhance the immune system’s ability to fight infections. In controlled trials Vitamin C has been shown to aid in the prevention of influenza, as well as shortening the duration and reducing the severity of infections already contracted. Vitamin A maintains the integrity of mucus membranes, which are at the front line of our defenses against viral, bacterial, and parasitic infections. “Airborne” may be helpful, but check the ingredients for possible dietary difficulties. Homeopathic First Line Treatment Use Boiron’s homeopathic “Oscillococcinum” upon the first sign of the cold or flu. This homeopathic remedy is mostly helpful if taken upon the onset of illness. Take a capful every 2-3 hours. Elder or Yarrow If you are feeling feverish, use Elder flower and Yarrow, tinctures or teas. Make a cup of tea from equal parts of the ground flowers, or add about 60 drops of the mixed tinctures into a cup of hot water. Drink just before or in a hot bath. It will help you sweat the illness out. If you are feeling other symptoms try elderberry syrup. The berries are very helpful for viral respiratory tract infections. Lemon juice and honey For a simple, daily cleanse mix half a cup of warm water with one teaspoon of lemon juice and drink daily, particularly in the morning before breakfast. Stress Reduction Try to find ways to minimize stress. Stress decreases the body’s ability to fight infections. Life is meant to be fulfilling and enjoyable. Yet it is so common in our culture to feel overwhelmed by life situations. If stress is a major part of your life and you feel you have no options, consult an emotional and/or occupational counselor. Living with an unpleasant situation can not only decrease your happiness, but can impair your overall health, contributing to conditions as serious as high blood pressure, heart disease, ulcers, etc. Conversely, laughter and enjoyment increase immunity as well as overall well- being. If you are needing more personalized or specific nutritional recommendations, please give us a call for a consultation.  Yours in Health, Tamara References Clinical Pearls. (2011). Retrieved September 15, 2015 from http://www.salmoncreekclinic.com/influenza.html. Clinton, C. (2015). Preparing yourself for Flu Season Naturally. Retrieved September 15, 2015 from http://www.naturopathic.org/content.asp?contentid=250. Hayes, K.W. Manual for Physical Agents, 4th ed. 1993. Norwalk, CT. Appleton & Lange. Pp. ix, 169. Lindlahr, H. and Poesnecker, G.E. Nature Cure 2000: Philosophy and Practice Based on the Unity of Disease and Cure. 1998. Quakertown, PA. Beverly Hall Corp. Pp. xxii, 360. Seasonal Flu. (2015). Retrieved September 15, 2015 from http://www.flu.gov/about_the_flu/seasonal/index.html. Seasonal Food Guide. (2015). Retrieved September 15, 2015 from http://www.sustainabletable.org/seasonalfoodguide/.
Portrait of a man in a pink shirt against a dark gray background
August 11, 2026
New Paragraph
Hand gripping a dumbbell on a gym floor, with another dumbbell beside it
August 11, 2026
Importance of exercise and weight training By GT Gangte It is 2012, The Age of Information and Gadgets. I am assuming most of us are somewhat aware of the benefits of proper exercise and proper nutrition. There is so much information and methods available for different segments of people, whether it be yoga, aerobics, weight training, martial arts and all the other forms of exercise and activities. Trainers, therapists, pundits, gurus, masters, coaches and the medical field would agree upon the positive effects of exercise/strength training. Some of the noted benefits include: *Best anti-aging defense and confidence booster *Increased strength and endurance building a leaner physique *Build bone density and fight osteoarthritis *Release of endorphins, serotonin, L-dopamine *Maintain mobility and flexibility *Help de-stress and fight inflammation in the body *The list goes on and on….Ok!! (You might be thinking….ok nothing enlightening, so far. What do I want to share?) Here goes! All of you, who have been exercising or in some way have kept active, are in for a wonderful affirmation. I was recently introduced to a book, “Younger Next Year.” The chapter and content that really lit my light bulb was, The Biology of Strength Training, specifically, the terms, C-6 and C-10. This Pearl of Wisdom for me has taken me to new heights in my approach to fitness and exercise. I smile and challenge myself to let it burn, baby burn, when I workout! *C is short for Cytokines….What is cytokines? *It’s the protein that controls inflammation *It is the messenger molecule that regulates every aspect of your biology. They virtually turn on and off all the metabolic pathways to each cell. *What is C-6 and C-10? *C-6 is the master chemical for inflammation (decay) *C-10 is the master chemical for growth and repair *How does C-6 and C-10 work? *C-6 is produced in both the muscle cell and bloodstream in response to exercise, and C-10 is produced in response to C-6. This is your body’s brilliant mechanism for coupling decay and growth! This is a massive simplification of the process but I hope you get the idea. Now that we have that background, let’s set the scenario. So the goal is to experience muscle soreness/adaptive micro-trauma which is critical to your growth and health. This is why you have to sweat when you do aerobic exercise; at low level demands, your endurance cells alternate too much to get fatigued. This is also why you have to push to the point of muscle fatigue with weights–to reach that burning feel….to release the C-10. (It’s like turning the afterburners on a jet.) Let it burn…Its only making you stronger physically and mentally. Lastly, strength training creates an intimate connection between your body and your brain. The neural impulses to create coordination and power, fire a trail through your neural circuits. Your brain can activate any combination of those motor units to perform specific movements. That’s what gives you the ability to lift, dance, jump, spin…! In conclusion; the next time you are exercising and feeling fatigued, or just not in the mood, just push yourself a few more reps, few more minutes…engage that C-10 to release. Psych yourself to visualize the flow of oxygen and energy throughout your body. Remind yourself…you are not only building a better physique and brain interaction, but a healthier and a younger body from the cellular level. Imagine it as remodeling each room of your house…by the time your project is done you have a new, better, stronger remodeled home! I hope this helps in putting a motivating perspective on something all of us have already been doing. Please take caution, evaluate where you are and progress accordingly! We want microscopic muscle trauma, good stress…not muscle injury. Have an awesome day…well, make it an awesome day! Live inspired! See it, Feel it, Be it!  Thankyou GT Gangte GT Fitness Studio
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