I have been diagnosed with trigeminal neuralgia some 2 years ago since then it feels like arthritis is both thumbs will the move to my left large toe into my left neck and shoulder area the remainder of my body just hurts, it starts first in my right ear area then then next few day will progress. Any idea I have blood trust to rule out limes and rhumithroid arthritis, it did show signs of swelling.

Summarized question: What causes persistent trigeminal neuralgia?