How to treat trigeminal neuralgia

My dad has had this disease for four or five years, and it is very painful. I now know a lot about this disease, and I would like to give you some advice.

**There are two kinds: first, neurology, take painkillers, and in various hospitals across the country, there are only a few kinds of medicines that come and go, and each one has a two or three years, and the body will become resistant, and the drug effect is not as good as before, I can't stand it, and I can only consider surgery. There is a drug called carbamazepine, this drug has a certain toxicity, and it is harmful to the body for ordinary people to eat it for a long time, but this drug is generally available in pharmacies and is cheap, but doctors do not recommend taking it for a long time, and it can be eaten if you can't stand it.

There is also a drug that is gabapentin capsules, which itself is **epilepsy, but can cure trigeminal neuralgia. 2. Neurosurgery, even surgery. There are two kinds, one is laser, that is, ray, according to the area of the laser, the cost of surgery may be thirty or forty thousand, but the rate is a bit high, and it may be two or three years later, and once the laser is done, it is not good to consider the operation in the future.

Probably the principle of the laser is to electrocute this part of the nerve, and the effect of the operation will not be very good in the future. The laser is directly worn with a hat and completed in the instrument, which is safer. Another kind of surgery is craniotomy, which has a certain risk, and patients with a bad heart are not suitable for this kind of surgery, probably to separate the two adhesion nerves (trigeminal neuralgia is one or two of the two nerves are damaged, adhesion together, like a wire to affect its electrification) separated, a piece of cotton is padded in the middle, the operation is to open a hole behind the ear, the hospital claims to be minimally invasive, but there is a possibility of intracranial infection after surgery, and after all, it is a brain open, and the risk of surgery is greater.

We have also seen Chinese medicine, and we have taken Chinese medicine for a period of time, but the effect of Chinese medicine is very slow, and the medicine prescribed by the doctor is long-term diarrhea, and the cost is a bit high, so I didn't take it again, because my dad had a bad stomach, and it is not suitable to have diarrhea every day. That Chinese medicine doctor is still a military doctor. I used to work as a medical software, customers are hospitals, I often go to the hospital customers, but also consulted a lot of doctors in this area, Shenzhen Futian Hospital of traditional Chinese medicine director of trigeminal neuralgia said that the disease can only be controlled, is incurable, even acupuncture, it can only be relieved, can not **.

I took my dad to see Shenzhen Nanshan Hospital, Shenzhen People's Hospital, Guangzhou Sanjiu Brain Hospital, and is still taking medicine, considering finding a laser device in his hometown to do surgery after the year (my dad's heart is not very good, not suitable for surgery), my dad can no longer bear the pain, because of this disease, with the growth of time, it hurts more and more, and long-term painkillers and his blood pressure medicine, his body has lost dozens of pounds in recent years, and now it is skin and bones, and it must be replenished for a long time, Once the seizure can't do anything, it needs to be taken care of, my mother has taken care of him in the past few years, and his body has collapsed, and we are children, in order to make money or run outside, just to give them better conditions.

If you have other ways to deal with this disease in your life, you can also communicate. I wish you all good health.

Trigeminal neuralgia is the most common cranial nerve disease, which mainly manifests as paroxysmal severe pain in the distribution area of the trigeminal nerve on one side, and there are also patients with bilateral onset, generally one side of the disease first, and the other side of the disease. It mostly occurs in middle-aged and elderly people.

The disease is characterized by pain mainly in the distribution area of the trigeminal nerve of the head and face, sudden arrest, each attack can be 1-2 seconds to 1-2 minutes, manifested as lightning, knife-like, burning, intractable, unbearable severe pain. Talking, washing your face, brushing your teeth, or a gentle breeze on your face, or even walking can cause episodes of pain.

The pain occurs periodically, with intervals similar to normal.

Trigeminal neuralgia is the first choice to take medicine, if you can use a relatively small dose to achieve a good analgesic effect, and there is no serious ***, then it can be controlled by drugs. Generally speaking, it is not recommended to have surgery as soon as there is trigeminal neuralgia, after all, the risk of surgery is relatively large, and there is a certain amount of trauma to the human body.

Once the analgesic effect is not good, or the amount of medicine is too large, and *** appears, surgery should be considered.

The ** of trigeminal neuralgia can be mainly divided into drug ** and surgical **:

Trigeminal neuralgia**.

1. For patients in the early stage of trigeminal neuralgia, the drug has a certain curative effect, but due to the drug resistance, it will also produce a lot of drugs.

2. Microvascular decompression is a kind of small incision craniotomy, which has high requirements for the patient's physical condition and the experience of the surgeon, and is also prone to complications such as facial nerve paralysis, tinnitus, hearing loss, etc., and the recovery time after surgery is also longer.

3. Trigeminal nerve semilunar segment balloon compression method is a kind of nerve minimally invasive, the basic surgical method is to puncture from the face to reach the site of the trigeminal nerve out of the cranial cavity - the foramen ovale, insert the McKe's sac with a balloon catheter, and moderately compress the trigeminal nerve semilunar node through balloon expansion, the purpose is to compress the pain fiber of the trigeminal nerve and retain the function of the tactile fiber to the greatest extent.

Trigeminal neuralgia is mainly caused by the compression of the adhesion between the nerves and blood vessels in the brain, resulting in paroxysmal unbearable pain in the trigeminal nerve area. It is recommended that patients go to the neurosurgery department of a public tertiary hospital, and under the evaluation of specialists, surgical microvascular decompression can be used to do **sexuality**, and the postoperative effective rate is more than 96%, which is currently the only preferred method for trigeminal neuralgia.

Wang Xuelian of the Fourth Medical University Tang Capital Hospital.

Trigeminal neuralgia is divided into two categories: secondary trigeminal neuralgia caused by intracranial lesions, which requires surgery**; The other type is that most patients do not have intracranial lesions, and traditional Chinese medicine ear drops**ear drops** are ideal, generally combined with oral neurotrophic agents, adhere to taboos, exercise, and adjust the mood for 4-12 weeks**. After the liquid drops into the ears and eyes, the external auditory canal absorbs the blood supply and feeding ability of the microvascular blood vessels at the root of the trigeminal god, repairs the damaged trigeminal nerve, and restores the normal function of the trigeminal nerve.

Trigeminal neuralgia, pain kills, many patients describe their pain as like lightning strikes, unbearable, painful crying, painful can't sleep, painful hitting the wall, some people say that trigeminal neuralgia is the first pain in the world, I don't know what kind of pain method, but I see many patients in front of me when they hurt and don't dare to speak, don't dare to move, just care about tears. At first, many patients were treated as a toothache, but it had no effect, and finally all the teeth were extracted and it still hurt, but in fact, it was not a toothache, but trigeminal neuralgia.

Western medicine has not figured out the ** of trigeminal neuralgia until now, so when the patient looks for Western medicine, they will prescribe some painkillers, and it will not hurt if they eat it, and the medicine will continue to hurt after the strength of the medicine, continue to eat, and continue to eat, for a long time, the more and more they eat, the more useless it becomes, and finally the surgery is cut across the board, who knows that the patient who has undergone surgery comes to us and tells us that it is better not to have surgery, it turns out that he still knows that it hurts, and now half of his face is numb, and he feels that it is not his own face.

For example, farmers have watered the ground, so if someone takes something and presses it on the water pipe, the water can not flow smoothly, and the blocked piece must be very swollen, and finally the pipe will be suffocated, and then replaced with blood vessels, it will definitely hurt, which is the trigeminal neuralgia, which must be blocked, and it will hurt more after a long time.

We ** is to dredge the meridians, relieve pain, bilateral nerve communication, and use drugs at the same time, the symptoms are mild for a month, and the heavy ones will take a few months**.

Gamma Knife**: Irradiate the trigeminal nerve root with a Gamma Knife to lower the pain threshold. However, the indicators do not cure the root cause and can only be temporarily alleviated.

Radiofrequency**: such as anhydrous alcohol, balloon dilation, etc., these ** can only reduce the patient's pain, but the proportion of complete ** is very low, and the ** rate is extremely high after a period of time.

Trigeminal nerve**: Demyelinating lesion of the trigeminal nerve caused by compression of the trigeminal nerve by arterial blood vessels. Demyelinating lesions are equivalent to wire peeling. Causes abnormal electrical discharges from the trigeminal nerve, which causes pain.

Yu Yanbing of the Civil Aviation General Hospital said that after three months of observation of early drugs**, if the condition is still uncontrollable, surgical intervention is required**.

Microvascular decompression is a method for trigeminal neuralgia, and it is currently a safe and effective method for trigeminal neuralgia to preserve the anatomical integrity of the trigeminal nerve, but since it is an operation, there is a certain risk, and the operation requires general anesthesia.

Yu Yanbing, a facial nerve expert from the Civil Aviation General Hospital:

Can trigeminal neuralgia be **, the answer is yes. Microvascular decompression can be performed if the condition is still uncontrollable after three months of early observation**. Microvascular decompression is a method for trigeminal neuralgia, and preserving the anatomical integrity of the trigeminal nerve is a safe and effective method for trigeminal neuralgia at present.

At present, the recommended methods are: generally, the initial stage is drug remission, such as carbamazepine, oxcarbazepine, phenytoin, etc.; Further is required when the drug is not effective or the drug is not tolerated**; Microvascular decompression can be performed if the physical condition is good, young and tolerant of craniotomy, and microballoon compression can be performed if the physical condition is poor and craniotomy is not tolerated.

For specific conditions, please go to a regular hospital, evaluated by a doctor, Anhui Changzheng Minimally Invasive Surgery Hospital-Trigeminal Nerve Medical Center, there is a comparative study on trigeminal neuralgia, you can go to see and understand.

Trigeminal neuralgia disease, traditional Chinese medicine believes that nerve diseases are related to the eight meridians, twelve meridians and fifteen meridians, viscera, etc., but the general rule is not painful, the pain is not passed, the use of traditional Chinese medicine internal treatment, external treatment at the same time, the use of comprehensive mode, through traditional Chinese medicine internal administration, electromagnetic penetration, nerve cell activation, physical acupuncture, iontophoresis, acupuncture point input, laser acupuncture, repair nerve conduction and other ways to carry out internal and external integration**, internal and external treatment dual effect to quickly repair damaged nerves and open up local meridian function, Improve the qi and blood in the peripheral nerves, eliminate internal and external symptoms, and allow trigeminal neuralgia to recover.

In fact**trigeminal nerve is very simple, Chinese medicine pills, two months,**, none***. There are cases for reference.

Hello, according to your description, like this situation, consider that there is an ischemic foci, resulting in a greater possibility of trigeminal nerve pain, then this situation needs to consider taking nutritional nerve drugs**, for example, you can consider taking methylcobalamin tablets, in addition, you also need to consider combining Danshen tablets, ginkgo biloba, aspirin enteric-coated tablets and other drugs**, and you can also consider doing acupuncture** to see if you can improve the current symptoms, please give me an evaluation, thank you.

Buying thrombosis and Xuefu Zhuyu pills together can control the pain My dad took these two medicines.

Microvascular decompression**Trigeminal neuralgia is a procedure in which the trigeminal nerve root is explored under a microscope, and the responsible blood vessels that compress the trigeminal nerve root are carried out free to relieve the compression of the trigeminal nerve by the blood vessels, so as to achieve the effect of real **trigeminal neuralgia. The rate of surgery is 98%, and most patients have immediate postoperative pain, and the effect is immediate.

Hello, patients with trigeminal neuralgia should treat themselves well, do not have psychological pressure, usually eat vegetables and fruits, maintain balanced nutrition, reasonable diet, and exercise more, and go to regular hospitals to hang experts.

Trigeminal neuralgia is a pain manifestation caused by trigeminal nerve damage, belonging to the manifestation of sensory impairment, severe pain can be taken first pain relief and nutritional nerve drugs**, if it does not work, or go to Yunnan Pain Hospital to see a doctor for examination, and then for **.

Headache Ning strong patch effect is good, I have a neighbor who had trigeminal neuralgia years ago, I can't eat when I get sick, I often see him hanging his head when I go to his house, I can't stand the pain, and then I don't know that I bought a headache Ning strong patch in **, it's not bad, most of the time is almost better, and people are also in good spirits.

Trigeminal neuralgia needs to be diagnosed as primary or secondary, and if it is secondary, such as trigeminal neuralgia caused by an intracranial tumor, symptomatic is required.

If the diagnosis is primary trigeminal neuralgia, there are several reliable methods:

1. Surgery**: that is, the more mainstream microvascular decompression, surgery to remove the blood vessels that compress the trigeminal nerve, generally can**, the blood vessels are not easy to remove, or if you are worried about the poor postoperative effect, you can also do the sensory rhizometomy of the trigeminal nerve by the way, the effect is more certain, that is, the facial feeling numbness after the root is severed, this surgery is very mature for experienced doctors, and there are more microvascular decompression companies in China, any one, as long as the physical condition of the elderly allows, it is not a problem.

2. Gamma knife**: It has a fast effect, and can be regarded as non-invasive, but it is generally **, the length of time varies greatly from person to person, suitable for the elderly, and cannot accept surgery or drugs.

3. Drugs**: Commonly used drugs are carbamazepine, oxcarbazepine and other anti-epileptic drugs, which vary from person to person, these drugs have a certain impact on liver function, oxcarbazepine is smaller, but take these drugs carefully, rash, low white blood cells, liver function damage should be stopped in time, as for the pain relief, the new trigeminal neuralgia is more effective, the course of the disease is relatively long, and the effect is limited.

In addition, the trigeminal nerve tube is the facial sensation, not the facial expression, and the facial expression is the facial nerve.