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Here are some of the key differences: Trigeminal neuralgia usually causes sudden, sharp, electric pain TMJ more often causes aching, tightness, pressure, or soreness TN may be triggered by light touch or small facial movements TMJ tends to worsen with chewing, jaw strain, or clenching TN episodes are often brief but intense TMJ discomfort may be more constant or fluctuate throughout the day That said, the distinction is not always simple

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