Cranial and Chiropractic Care in Chronic Trigeminal Neuralgia A Review of Pederick (2005) Trigeminal neuralgia — often called “tic douloureux” — is one of the most severe facial pain conditions known in clinical practice. It is characterized by sudden, electric-shock-like pain along one or more branches of the trigeminal nerve. A 2005 case report by Frank Pederick, published in the Chiropractic Journal of Australia , explored whether cranial and spinal chiropractic adjustmen