Mon–Fri 8AM–5PM · Telehealth Available
VerityMD Neurology accepts new patient referrals by fax: (916) 244-3875
Neurology Evaluation for Electric Shock-Like Facial Pain and Complex Facial Pain Syndromes
Facial pain can be severe and disruptive. Trigeminal neuralgia often causes brief, electric shock-like pain triggered by talking, chewing, brushing teeth, touching the face, or cold air.
VerityMD Neurology evaluates facial pain to help determine whether symptoms are consistent with trigeminal neuralgia, migraine-related facial pain, neuropathic pain, dental or sinus contributors, medication effects, or another neurological condition.
Symptoms We Evaluate
Electric shock-like facial pain
Pain triggered by chewing, talking, brushing teeth, touching the face, or cold air
One-sided facial pain
Burning or stabbing facial pain
Facial numbness or tingling
Jaw, cheek, forehead, or eye-region pain
Facial pain not responding to usual treatment
Conditions We Help Evaluate or Manage
Trigeminal neuralgia
Atypical facial pain
Neuropathic facial pain
Post-herpetic neuralgia
Migraine-associated facial pain
Glossopharyngeal neuralgia when clinically suspected
Medication-resistant facial pain requiring specialist review
Services and How They Help
Neurology Consultation for Facial Pain
The evaluation reviews pain location, triggers, duration, associated symptoms, neurological exam, dental/sinus history, prior imaging, and medication response.
How this helps:
Clarifies whether symptoms fit trigeminal neuralgia or another condition
Identifies red flags
Guides imaging and treatment planning
Medication Review and Treatment Planning
Facial pain treatments may involve anti-seizure medications or other pain-modulating treatments that require monitoring.
How this helps:
Reviews efficacy and side effects
Identifies interactions
Supports individualized dosing and safety planning
MRI and Advanced Treatment Review
Some facial pain syndromes require MRI review or discussion of procedural options.
How this helps:
Looks for structural causes when appropriate
Supports referral coordination when needed
Clarifies whether Botox may be a selected option in medication-resistant cases
When Facial Pain & Trigeminal Neuralgia May Be Helpful
Electric shock-like facial pain
Facial pain triggered by touch, chewing, brushing teeth, or cold air
Medication side effects or incomplete relief
Facial numbness or atypical features
Need for MRI or advanced treatment discussion
What to Bring or Have the Referring Office Send
Referral from PCP, specialist, or referring provider
Medication list, including over-the-counter medications and supplements
Relevant office notes, hospital records, imaging reports, labs, and prior neurological testing if available
Brain MRI reports if available
Dental or ENT evaluation if relevant
List of prior facial pain medications and side effects
Important Note
This page is for patient education and does not replace individualized medical advice. Testing and treatment decisions should be based on the patient’s history, examination, records, medications, insurance requirements, and clinical judgment.
Emergency Symptoms
Call 911 or go to the nearest emergency department for:
Sudden weakness, facial droop, trouble speaking, or new vision loss
Severe sudden headache or rapidly worsening neurological symptoms
Loss of consciousness, seizure, chest pain, or severe shortness of breath
New inability to walk or sudden severe dizziness with stroke-like symptoms
New Patient Referrals
VerityMD Neurology accepts new patient referrals by fax from the patient’s primary care physician, specialist, or referring provider’s office. To ensure accurate triage, insurance verification, and appropriate scheduling, referrals should be sent directly from the referring provider’s office.
Patients who would like to be seen at VerityMD Neurology should contact their PCP, specialist, or referring provider and ask them to fax a neurology referral with relevant clinical notes, insurance information, medication list, imaging reports, lab results, and prior neurology records if available.
We accept the following insurance
Client Stories
What Our Patients Say
My husband and I are very impressed with the care and professionalism of Dr. Mittal and his staff. Dr. Mittal took time to listen to us - to ask us questions - and to clearly explain the diagnosis and his treatment recommendations. We feel very fortunate - and relieved - to have this neurologist as a member of our care team.
Dr. Manoj Mittal thoroughly understands the complexities of my condition (involving my brain, neck, and nerves) and developed a comprehensive action plan. During my follow-up visit, he carefully assessed my progress to ensure I was staying on track. I had been neglecting a few aspects of my treatment, but he guided me back on course. My treatment involves a team of specialists, multiple surgeries, and personal effort, and I’m truly satisfied with the plan. For the first time in nearly a decade, I feel genuinely hopeful. Thank you, Dr. Manoj Mittal. A+
I was concerned about issues and I called their office. My appointment was not until January and after hearing my concerns, the staff had me scheduled on a Monday, which happens to be two days from when I called voicing my concerns. Nice job.
Dr. Manoj Mittal is an excellent neurologist. He listens carefully, explains everything clearly, and truly cares about his patients. My mom is under his care, and we are very grateful for his expertise and compassion. Highly recommend!
Saw Dr. Mittal and during the first visit he was able to order a few tests that helped diagnose my issue. During the appointment he spent a good amount of time with me and made me feel heard. He was then able to see me again on short notice to help direct me towards next steps, I am very grateful to him.
My 1st appointment with Dr. Mittal, was such a pleasure & surprise. The staff & Dr. Mittal were kind & not in such a hurry. The Dr. took a half hour with me, thoroughly explaining his thoughts & what was to come. Impressed is not a strong enough adjective! Thank you for being a true Doctor who cares.
VerityMD Neurology offers expert neurological care for Sacramento, Carmichael, Folsom, and surrounding communities under the guidance of board-certified neurologist Dr. Manoj Mittal.
Quick Links
Services
Contact
Phone: (916) 500-4989
Fax Referral: (916) 244-3875
Office Hours
Mon-Fri: 8:00 AM–12:00 PM and 1:00 PM–5:00 PM
Closed for lunch: 12:00 PM–1:00 PM
Sat–Sun: Closed
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