As I write this, I have sciatica. I am struggling to walk due to a trapped nerve and I can’t straighten up properly. It is extremely painful. If people could see me right now, they would instantly know that I am in pain. As my regular readers know, I live with a few painful conditions. One of them is trigeminal neuralgia which is also extremely painful but, unlike sciatica, it’s invisible. Nobody can see my facial pain. They can’t see my hot, aching cheek. Nor can the see the electrical current that’s running through my teeth. They can’t see that the corner of my eye is burning. Unless I tell people, nobody knows that my face is painful.
Learn more about Trigeminal Neuralgia
I know that if people saw me just now while I try to hobble around my house, they would be saying things like, “Oh, you’re in agony”, and “Can I do anything to help you?” simply because they can see how much this sciatica is affecting me. I don’t look for sympathy, but because people can see my pain, that’s how they react.
People don’t tend to have that reaction if they can’t see the condition. So many people live with invisible illnesses and they need that same level of empathy and compassion. But, instead, they’re often met with questioning looks when they try to explain how they are feeling. They are often judged on their capabilities. They encounter scepticism and criticism more than empathy and compassion. “You don’t look sick – you look fine, so you must be fine” is a common attitude.
I really wish that would change.

Trigeminal Neuralgia Is Painful and Invisible
Trigeminal neuralgia is extremely painful. People tend not to know about it unless they suffer from it or know someone who does. Often, that includes doctors and dentists. I have written about my own long road to getting a diagnosis many times. Doctors and dentists didn’t recognise my pain for about twenty years. But my story is not unique. Since I first started working on awareness, I have spoken with so many people who have been in the same position.
Since trigeminal neuralgia is a painful invisible illness, people who live with it often find that they don’t get empathy or compassion. If people knew more about it, perhaps that could change. That’s why we need more awareness.
Awareness Is So Important
I don’t have the power to cure trigeminal neuralgia. Nor do I have the power to find better treatments. I’ll leave that to the experts. But I can try to raise awareness which will hopefully bring more understanding and empathy.
I write posts on my blog and on my Facebook awareness page to try to help other people understand the condition more. But, this month, I decided to make a video to try to explain what it’s like in more detail. I wanted to make trigeminal neuralgia visible so that people can see what I, and many others, feel.
You can also watch and share this video from the following social media sites:
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Some people might look at those two minutes in my video and think I look fairly healthy and composed. Some might think that it only took a few minutes to make. Hmmm….how wrong they would be. Some people might think that I didn’t look as though I had any pain. But that’s the exact point of the video. No matter how someone looks, they could be living with an invisible condition. They could be living with pain or symptoms that nobody can see.
It probably took me at least two weeks to make a two-minute video.
I have a relatively small window during the day when I feel ‘able’ enough to do something like this. And even then, I had to redo it so many times because I kept making mistakes or slurring my words as though I’d had a few too many drinks. (I blame my meds for that!) And I kept forgetting what I was saying halfway through the recording. (Meds, again!) Writing is easier than speaking! It was very frustrating but sometimes I can be stubborn and was determined to do it.
Since making it, several trigeminal neuralgia sufferers have contacted me to tell me the video shows exactly what their pain is like. I’m not happy that so many people live with this pain but I am happy that they think I have been able to demonstrate how their pain feels. I hope it helps non-TN sufferers to understand more.
This Video Doesn’t Show Everything
It doesn’t show the fatigue, the brain fog, the memory problems or the mental health problems associated with having trigeminal neuralgia or any other chronic health condition.
Nor does it show the loneliness, the guilt, the anger or the frustration.
Living with any type of chronic illness can bring so many other issues and most of them are also invisible.
This week is Invisible Illness Awareness Week
I’ve written about invisible illnesses in the past and I think all my posts have a fairly common theme – treat people kindly.
Supporting Someone Who Has an Invisible Illness
Nobody knows what someone else is living with. How people look explains nothing about their health or their lives. Nobody knows if they have an extremely painful condition like trigeminal neuralgia. Nobody knows if they are living with fibromyalgia, stomach issues or a mental health problem.
I hope my video might give a little insight into life with trigeminal neuralgia. Hopefully, it might serve as a reminder to see beyond how someone looks. And hopefully, people might find more empathy, compassion and kindness.

Hello
, I am trying to help my sister Pam to find a diagnosis. I saw your name on the Facial Pain FB site. She was treated like a piece of dirt at so many places. The most recent at the University of FL Gainesville, after losing their business from hurricane Ian on top of all her pain. The Neurologist said it is not a Neuro problem??? Any advice greatly appreciated. Thank you, Susan
Hi Susan, thank you for commenting and for trying to get help for your sister. It sounds like she’s having a horrendous time right now – I’m so sorry that the hurricaine has affected her so badly.
It can be difficult to get facial pain diagnosed correctly sometimes. It shouldn’t be like that. It’s one of the reasons I try to push for awareness. If she has trigeminal neuralgia, it most certainly is a neuro issue. There are other nerve conditions which can cause facial pain too, as well as other disorders such as TMJD. She really needs to see someone who’ll be able to diagnose her properly. Once she has a diagnosis, it can be easier to treat.
I’d suggest that she looks at the Facial Pain Association website in the USA. This is their website – https://www.facepain.org/ Once there, she could click on “Find Support”. There is a list there of doctors for each state. Those doctors are normally experts in facial pain. You could also contact the Facial Pain Association for more advice.
I hope your sister finds some help soon.
Thanks again for contacting me,
Liz
Oh Liz, so much pain with sciatica on top. Nerve damage in different forms, incl trapped nerves, can be so incredibly painful and debilitating.
You make a good point about certain invisible conditions where you can’t see them but you can see some of the effects at times, like limping and hobbling around. Even then, there’s no way to appreciate the true severity of impact, so it’s no surprise to think how much more difficult the situation is when the condition is invisible and you “look fine”. You’re right, that is a common attitude to assume that if you look okay, there’s nothing wrong with you and you must be fine.
The video you made really is brilliant and it’s great that other TN sufferers have said it matches their experience because that kind of appreciation and acknowledgement for what they’re going through is so important.
Bravo, Liz! 💜 xxxx
Thank you Caz. You know what it’s like, your various conditions sometimes see to compete for the top spot, don’t they. Sometimes my TN wins. Sometimes it’s the sciatica. Sometimes my back. You deal with it too…it get’s pretty tiresome at times.
Thanks for your comments about the video. People often find it hard to explain what their pain is like, so hopefully this might help.
Thanks for commenting, Caz.
Thanks for your video. I was diagnosed with this terrible disease. I had the repair surgery and a doesn’t go by that I’m not thankful this surgery.