What is the cause of trigeminal neuralgia on the left side of the face

Facial pain is usually caused by local tissue infection or inflammation, with muscle inflammation being the most familiar cause of facial pain, also known as temporomandibular joint abnormalities. Secondly, trigeminal neuritis, herpes zoster.

Temporal joint pain, also known as "temporal joint dysfunction", is a kind of coordination disorder pain caused by damage to the muscles, ligaments and joint capsules around the joints, and is generally aggravated by joint movements such as opening the mouth and chewing hard objects. Because it is a tissue injury, there is no need for anti-inflammatory substances, mainly to make the joints properly rested, avoid large mouth opening and try to eat softly.

I don't know your age, or you may have wisdom teeth or mumps.

Causes of trigeminal neuralgia:

1.Secondary trigeminal neuralgia: Pain caused by compression by various types of diseases or tumors is called secondary trigeminal neuralgia.

2.Primary trigeminal neuralgia: Primary trigeminal neuralgia is the pain that cannot be found due to the compression of blood vessels, arteriosclerosis, etc.

3.Shingles infection or other viral infections can also cause some pain.

There are often patient inquiries in the outpatient clinic: Director, my face hurts, is it trigeminal neuralgia? There is insufficient evidence to determine trigeminal neuralgia based on face pain alone, and generally from the onset characteristics of the disease, trigeminal neuralgia has two major characteristics, the first trigger point and the second induce.

There are common causes of facial pain, such as toothache, toothache is often said to have gingivitis, redness and swelling of the gums, including or incomplete teeth, so the pain caused, this pain in addition to affecting the toothache, the pain can also radiate to the face, especially when there is inflammation, the whole face will be swollen, so it is easy to identify the toothache. The other is that we have some acne on our face, including some of them, and some of them, including the dangerous triangle we talked about, there are some inflammatory infections in this place, which can also cause pain, which is quite a common pain. Of course, the third type of pain is what we call trigeminal neuralgia.

Trigeminal neuralgia tends to be unilateral, unilateral in the area of distribution of the trigeminal nerve. As we know from the divisional area, the trigeminal nerve has three distribution areas, one is the first branch, and the first branch is in the frontal region, above the orbit. The second is on the cheek side of the nose between the eyes and the upper lip.

The third time is in the lower lip and jaw area, the pain of the third branch. Therefore, trigeminal neuralgia is a relatively stable distribution area. Another one is that it does not have the kind of inflammation mentioned earlier, such as the inflammation of the teeth, including the inflammatory reaction of the redness and swelling of the face.

There is also a nature of its pain that is a transient pain. It's ephemeral, it's a flash of seconds, or a few minutes, and it's gone, and as far as we're talking about, it's coming and going fast. The third is that when it is in this intermittent period, its pain is gone.

The trigeminal nerve pain in the face is not yet clear, but it is generally believed to be caused by the demyelination of the trigeminal nerve due to microvascular compression of the trigeminal nerve and the epileptiform neuralgia theory. The pain of trigeminal neuralgia is severe and regular, like an attack, each episode is a few seconds or 1-2 minutes, and it is a sharp and unbearable pain like a knife cut, a needle prick, a tear, a burning or an electric shock, and there is generally a trigger point (trigger point), and a light touch on the trigger point can trigger the onset of pain, and the patient must be very careful, often because of the actions such as talking, eating, washing the face, brushing the teeth, etc., which induces the pain attack, which seriously affects the quality of life of the patient.

A 34-year-old man, two or three months of pain in the left cheek, each pain 30 seconds to 1 minute, may be pain 50 60 times a day, whether it is brushing teeth, talking, eating are painful, at first thought it was a toothache, but after a number of dentists examined no problem, and finally after a detailed examination confirmed that it is typical trigeminal neuralgia, the doctor has given drugs first**, but the patient still feels pain, so arrange decompression surgery for him, from the back of the ear to open a wound of about 5 cm, Find the nerve stuck by the blood vessel, and then isolate it with special cotton wool, so that the compression can be separated, the patient recovers well after the operation, and is discharged home in a week, and returns to work after a few days of rest. It is more common in the elderly in their 50s and 60sDr. Li Zhenpei, Department of Neurosurgery at Daqian General Hospital, said that the trigeminal nerve is the thickest cranial nerve, which extends downward from the brain and is divided into sensory nerve roots and motor nerve roots, and the sensory nerve is divided into three peripheral nerves and distributed to the face, which is responsible for superficial sensation of the face. Trigeminal neuralgia is caused by a short circuit caused by compression of the trigeminal nerve at the root of the brainstem, including vascular or tumor compression, vascular lesions, and degenerative diseases.

There are more people in their 50s and 60s who are more likely to have the disease, and the nerves are slowly twisted due to age, and a small number of young patients are due to the inflammation of the spider membrane and the nerves are tight and sticky. Symptoms similar to toothacheThe symptoms of trigeminal neuralgia and toothache are very similar, and it is difficult to distinguish them at first, so Dr. Li Zhenpei recommends to find a dentist first to confirm whether there is a dental problem. 50 60 due to compression of nerves by blood vesselsIf the problem of teeth or facial features is ruled out, that is, simple trigeminal neuralgia, 50 60 patients have pain caused by blood vessels compressing the nerves, and a small number of patients have vascular lesions or long tumors, MRI examination is usually arranged first to find out the cause of the occurrence and symptomatic**.

Medication first**If the pain can be relieved, as long as the drug is continued and followed up regularly, but if the pain cannot be relieved or is not suitable for the drug (such as: dizziness), it is recommended to treat it with decompression surgery, and the postoperative recovery period is short and the rate is low. Identify the cause of the pain before it can be correct**Since there is no way to prevent trigeminal neuralgia, Dr. Li Zhenpei recommends that when symptoms occur, the cause of the pain must be confirmed first, so that it can be corrected and return to normal life as soon as possible.

Subscribe to the [Healthy Love Lohas] video and audio channel to read health knowledge more easily Join [] and pay attention to your health every day! line id:@charity article 29535 cheek pain Is it a toothache or trigeminal neuralgia Keywords:

Trigeminal neuralgia, decompression surgery, cheek pain, toothache, Lee Jin Pei, Daqian General Hospital.

It is recommended to go to the hospital for examination and diagnosis, symptoms: 1. Pain position: not beyond the distribution range of the trigeminal nerve, often confined to one side, involving more than one, to the first.

The second and third branches are most commonly affected, accounting for about 95%.

2. Nature of pain: The pain is episodic electric shock, knife cut, tear-like severe pain, and suddenly stops. Each pain lasts from a few seconds to tens of seconds. The interictal period is gradually shortened and the pain gradually worsens. Frequent seizures can interfere with eating and rest.

3. Predisposing factors and"Trigger to Bihu point": Pain attacks are often induced by actions such as talking, chewing, brushing teeth, washing face, etc., Beijing Jiaze Henglu Dongbo Hospital**Trigeminal neuralgia Specialized Hospital.

Preferred drug**, and other methods if ineffective or ineffective.

1 drug** Carbamazepine is preferred for the first dose of grams, 2 times a day, increasing grams daily, the maximum dose does not exceed gram days, after the pain stops, a gradual reduction can be considered, and the effective dose is maintained at the gram day. If carbamazepine is ineffective, phenytoin can be considered, and when the above two drugs are ineffective, clonazepam can be considered, and the dose should be gradually increased from a small dose. It can be supplemented with high-dose vitamin B12

It can be taken if the medication is ineffective.

1 Closure**.

2. Percutaneous semilunar ganglion radiofrequency coagulation**.

3 Surgery**.

Go to Beijing Huada Hospital of Traditional Chinese Medicine.

Chen Lin, Deputy Chief Physician of the Department of Neurosurgery, Yuquan Hospital, Tsinghua University, What about trigeminal neuralgia**?

Trigeminal neuralgia, also known as facial pain, is one of the more common diseases, and many people often mix it with toothache, so what are the characteristics of trigeminal neuralgia?

Nature of pain: The pain of patients with trigeminal neuralgia is mainly episodic sharp pain like a knife, tear, or electric shock, which is manifested as sudden stopping. Each pain lasts for seconds or minutes.

After that, the intervals between attacks are gradually shortened, and the pain gradually worsens. Patients with frequent attacks can interfere with rest and eating in patients with trigeminal neuralgia.

Signs: The attack may be accompanied by ipsilateral muscle twitching, facial flushing, tearing and salivation, so it is also called painful convulsions. When the pain occurs, the patient often rubs the same side of the face with his hands, and over time, the face becomes rough, thickened, and the eyebrows fall off, and then because he does not dare to eat, wash his face, and is unkempt, the patient often looks thin, haggard, unkempt, and depressed.

Objective examination usually shows no trigeminal nerve deficit and other localized nerve signs, but sometimes the facial pain and touch may be reduced due to roughness, thickening, or closure** of the face.

"Trigger point" and precipitating factors: Pain attacks are often triggered by actions such as brushing teeth, washing face, talking, chewing, and even wind or noise. In some patients, pain attacks can be triggered by touching areas such as the nasal side, perioral area, gums, and inner brow arch, which are called "trigger points" or "trigger points."

Anesthetic "trigger points" often provide temporary relief from pain attacks. Therefore, patients with trigeminal neuralgia often do not dare to wash their faces, speak loudly, or even eat in order to relieve attacks.

Toothache and trigeminal neuralgia are two diseases, toothache is inflammation of the gums or inflammation of the root of the tooth, and it is basically cured to see a dentist.

And trigeminal neuralgia is not the same as toothache, trigeminal neuralgia is a paroxysmal, transient pain, the pain is very severe, some people mistakenly think it is a dentist, but the dentist is fine, this is trigeminal neuralgia, which can be recovered through traditional Chinese medicine physiotherapy.

Trigeminal neuralgia is the most common cranial nerve disease, and the paroxysmal severe pain in the distribution area of the trigeminal nerve on one side is the main manifestation of the disease, which is nerve pain rather than superficial pain, let alone toothache.

Within the distribution of the trigeminal nerve in the head and face, the onset is sudden, with sudden arrest, lightning, cut-like, burning, intractable, and unbearable severe pain. Talking, washing your face, brushing your teeth, or a gentle breeze on your face, and even walking can cause paroxysmal severe wax pain. The pain lasts for seconds or minutes, and the pain occurs periodically, and it is no longer the same as ordinary people when it is not painful.

Trigeminal nerve pain is more on the right side than on the left side, and the pain begins to spread from a certain point in the face, mouth or jaw to one or more branches of the trigeminal nerve, with the second and third branches being the most common and the first branch being rare. The range of pain never extends beyond the midline of the face and does not extend beyond the distribution of the trigeminal nerve.