Trigeminal Neuralgia has been called one of the most painful conditions a person can experience. Fortunately, it is not very common. It occurs primarily in individuals age 50 and older, although it has been known to exist in younger people including children. The condition is associated with frequent stabs of lightning-like pain that shoots through one side of the face. In some cases, the attacks are spontaneous, while in other instances, they can be triggered by mild stimulation to the facial area, including brushing your teeth, shaving, putting on makeup or even talking. Initially, the attack may be short and mild, but as the condition progresses, attacks often become longer and more frequent. Individuals with neuralgia may experience periods of remission that can last days to even years. However, without medical treatment, the pain usually returns. There are a variety of treatment options available that can effectively manage the condition, either with medications or surgery.