How is trigeminal neuralgia treated? How should trigeminal neuralgia be treated?

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

Trigeminal neuralgia is a neurological disorder that refers to episodic severe pain in the trigeminal nerve area of the face. The trigeminal nerve is divided into the central center in the brainstem and the upper cervical medulla, and is divided into motor and sensory roots after emanating from the pons.

From the structural distribution of the trigeminal nerve, at present, the ** Pain Branch of the China Association of Traditional Chinese Medicine Information Research on Trigeminal Neuralgia in medicine is the first research on trigeminal neuralgia:

1. Drugs**, such as carbamazepine; For trigeminal neuralgia, ** can play a temporary role in relieving pain during the onset of pain, but it cannot prevent the second onset of pain. After the drug**, the patient needs to use the drug to relieve the pain every time the pain occurs, and the long-term drug use will produce drug resistance and inevitably affect the health***.

<>2. Surgery, including: microballoon compression, intervention, etc. Compared with drugs, you can not use drugs to relieve pain and improve the quality of life.

CA RBA mazepine: It is effective in relieving pain in 70% of patients, but about 1 3 patients cannot tolerate its side effects such as drowsiness, dizziness, and digestive discomfort. Start 2 times a day and then 3 times a day.

Daily in 2 divided doses of 3 doses. In fact, it is best to go to the General Hospital of the Civil Aviation and find Director Yu Yanbing to do a small operation for you, which is very fast and does not cost a lot of money, so that you can be cured directly, and you will not be very guilty. 010 points 8648 words 2244

The cost of trigeminal neuralgia has a certain relationship with the method, generally ranging from 20,000 to 100,000 yuan!

Trigeminal neuralgia is divided into drugs** and surgery**: 1. Drugs**, mainly carbamazepine, oxcarbazepine and gabapentin, these drugs are effective for patients with trigeminal neuralgia in the early stage. There is a disadvantage of the drug, that is, it may be effective in a small dose in the early stage, and in the later stage, with the prolongation of the course of the disease, the dose will gradually increase, and the tolerance of the drug will appear, so that the toxicity of the drug will gradually appear as the dose increases.

2. Surgery**, in the past, there were some peripheral nerve amputions, such as maxillary nerve and mandibular nerve amputation, and the effect of these simple small surgeries was effective at that time, but it was generally easy to prolong over time**. Then the surgery we recommend ** is trigeminal microvascular decompression, the operation is a craniotomy, which requires the trigeminal nerve to be taken out of the brainstem area under the microscope, find the responsible blood vessels, separate the responsible blood vessels, separate them, add spacers, so that it does not contact with the nerves, and the general effective rate can reach about 80%. For patients who are ** or older after surgery, it is recommended to have microballoon compression of the semilunar joint of the trigeminal nerve, which is also a minimally invasive operation, with little trauma and good results, and the pain relief effect of patients after surgery is very good, which can reach 98%, and the rate of ** in 5-10 years is only 10%, of course, it also has some ***, that is, after doing it, there will be facial numbness or temporary masseter muscle weakness, but most patients will have more and more reduced symptoms.

Traditional Chinese medicine believes that "blood and qi are not well ventilated, and all diseases are born from changes", regulate the five internal organs, dredge the meridians, promote the smooth flow of qi and blood in the body, eliminate metabolites, restore the normal function of the internal organs, qi and blood, maintain the coordination and balance between dynamic and stable qi and blood, yin and yang, and further activate and consolidate the nerve function, so as to achieve the purpose of strengthening the right and dispelling evil spirits, and treating both the symptoms and the root causes. TCM Activation Repair is OK!

For trigeminal neuralgia, MRI of the head should be performed first to rule out organic lesions. After the organic lesion is ruled out, the trigeminal neuralgia can be targeted, and analgesic methods can be applied, such as commonly used painkiller drugs such as analgesic tablets, tramadol, and fenpidex. Acute phases may also be performed with corticosteroids, including prednisone**.

Validant sedatives can also be used at the same time to help relieve pain**. It is recommended that patients should go to the neurology department of the hospital for diagnosis and treatment, and adopt appropriate and formal treatment.

Trigeminal nerve pain manifests itself as pain, a terrible pain! Some are like knife cuts, some are like fire, some are like cramps, etc., and some people are unbearable because of the severe pain, and even look for short-sightedness, which shows how severe the trigeminal nerve pain is. Trigeminal nerve pain can last for 1-5 minutes, and the disease is like a mountain, and there is usually no aura before the onset of the disease.

The majority of patients with trigeminal nerve pain are elderly. Middle-aged patients are second-class. There are also women who enter the old age after menopause skull decalcification, bone loosening, some parts of the compression of the trigeminal nerve root caused trigeminal nerve pain, here to remind middle-aged and elderly friends, we must pay special attention to the prevention of trigeminal nerve pain.

It is better to cure the disease than to prevent it, and it is much easier to prevent trigeminal nerve pain than to ** trigeminal neuralgia.

At present, the effect of surgery for trigeminal neuralgia is the most ideal, and many patients take some painkillers when they get sick, which only temporarily relieves the pain, and the condition will be reversed, and the patient still can't get rid of the repeated pain. Currently, the most effective surgery for trigeminal neuralgia is microvascular decompression. Microvascular decompression refers to the removal of the blood vessels located in the trigeminal nerve, facial nerve and other cranial nerve roots that are abnormally running and compressed the cranial nerves under the operating microscope, so as to relieve the compression of the blood vessels on the cranial nerve roots, restore the function of the facial nerve, and fundamentally improve the trigeminal neuralgia.

While relieving the local vascular compression, the trigeminal nerve sensory conduction is intact, and there will be no loss of facial sensation, and the surgical technology is mature and the operation is simple.

Hello, let's talk about your question, Chinese medicine can ** trigeminal neuralgia, because the main symptom of trigeminal neuralgia is severe pain in the face, and the purpose of ** is to relieve the pain in the face. There are many ways to achieve this in Chinese medicine, such as taking Chinese medicine to relieve facial pain, and acupuncture to relieve pain. The effect of traditional Chinese medicine** varies from person to person, some people have sensitive meridians, and the effect of acupuncture is faster.

At present, there are three main types of trigeminal neuralgia: drugs, surgery, and radiation. Most patients with trigeminal neuralgia can choose drugs first, and the effect of drugs is ideal, and most patients can be relieved or even controlled for a long time.

If the drug does not work well, surgery may be an option. At present, the preferred surgical method is microvascular decompression surgery, which is a minimally invasive procedure, and the postoperative rate is very low. If you are not willing to undergo surgery**, you can also choose radiation**.

Trigeminal neuralgia is generally manifested as short-term, severe paroxysmal pain in the forehead, eyes, nose and mouth, of which trigeminal neuralgia is divided into primary and secondary, and can be diagnosed by examination. Trigeminal neuralgia is particularly intense and has trigger points, such as brushing your teeth can trigger a trigeminal neuralgia attack. Trigeminal neuralgia can be completely completely ** without medication, and patients can be considered to be given carbamazepine, phenytoin, and drugs to nourish the nerves, and if necessary, closed or traditional Chinese medicine acupuncture can be given.

If it still does not improve, the patient can consider surgery**, the main symptoms caused by trigeminal neuralgia are pain, mainly in the forehead, eyes, mouth and nose.

**The most common surgical method for trigeminal neuralgia is microvascular decompression. This is a general anesthetic surgery in which a hole is made in the back of the ear and operated intracranial through a microscope, and surgical instruments are used to separate the blood vessels that are compressing the trigeminal nerve root so that the blood vessels no longer compress the nerve root. This solves the root cause of trigeminal neuralgia, and the results are immediate.

The most effective method is medication, in addition to craniotomy microvascular decompression, sensory nerve root segmentation, etc., no matter which method you want to take, it is recommended to go to a regular hospital under the guidance of a doctor**.

Trigeminal neuralgia can be treated with special medications, and at the same time, it should be supplemented by mental relaxation and no urgent anxiety.

The lesions of the trigeminal nerve mainly include two aspects, first, trigeminal neuralgia; Secondly, trigeminal schwannoma. For trigeminal neuralgia, there are two main aspects, medication and surgery.

**Divided into surgery and drug acupuncture, which method is the best, please find a county or municipal people's hospital experts to diagnose and treat.

Non-invasive methods include medications, traditional Chinese medicine.

Acupuncture**. physiotherapy, etc. It is indicated for patients with a short course of illness and mild pain. It can also be used as a supplement to invasive methods. Invasive methods include surgery, injection.

and radiofrequency thermocoagulation**.

The science and pathology of trigeminal neuralgia are still unclear, so the goal should be long-term analgesia. Methods of analgesia are still varied. It can be roughly divided into non-invasive and invasive** methods.

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

Although trigeminal neuralgia is not a very serious disease, it does hurt very badly, so you still have to go to the hospital and ask a specialist to check it for you.

Trigeminal neuralgia should go to the hospital for a check-up.

Trigeminal neuralgia is a clinical disease characterized by intense lightning-like pinprick or convulsive pain on one side of the face. For trigeminal neuralgia, there are oral carbamazepine or surgical methods in Western medicine. In terms of traditional Chinese medicine, trigeminal neuralgia can be treated with traditional Chinese medicine or acupuncture**.

Traditional Chinese medicine ** trigeminal neuralgia is mainly based on qi, blood circulation and blood stasis, and pain relief. Commonly used prescriptions include Taohong Siwu Soup, Bupleurum Shugan Soup, Dan Yu Xiaoyaosan, Compound Sheep Horn Granules, etc. Acupuncture**Trigeminal neuralgia has a rapid and long-lasting effect on pain relief, usually taking the acupuncture points of the foot Yangming meridian and the acupuncture points of the large intestine meridian of the hand Yangming.

The incidence of trigeminal neuralgia is about 2 per 10,000; The pain brought to the patient is enormous, and it is known as the first pain in the world. Therefore, it is the first thing to be effective and relieve the patient's suffering. It is also very necessary to pay attention to its **rate, complications, prognosis, and help to improve the ** effect of trigeminal neuralgia.

**Trigeminal neuralgia should be treated differently according to the type of trigeminal neuralgia, which is better, according to the patient's respective condition by the doctor, of course, primary trigeminal neuralgia, **intervention new** should be the first choice.

It can be done with radio frequency, the effect is good, my classmate's old mother used this **trigeminal, it's really not bad, I haven't heard of a high rate like they said before.

RF**, I see that my colleague's triprongs are used in Anhui, which is not bad, and I have never heard of the problem of **.

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

Trigeminal neuralgia is a short, reversing, severe pain that occurs within the distribution of the trigeminal nerve. It is divided into two categories: primary and secondary. The former** is unknown; The latter is mostly caused by inflammation, trauma, tumors, vascular diseases, etc.

Primary trigeminal neuralgia is sudden, severe pain that is incising, pinprick, and paroxysmal. Each episode lasts from a few seconds to a few minutes and can be repeated multiple times in a row. Engaging in actions that involve the motor function of the trigeminal nerve, such as brushing and chewing, or touching trigger points within the trigeminal innervation can trigger episodes of pain.

In severe cases, the attack is accompanied by reflex twitching of the ipsilateral facial muscles. Periods of remission are normal. As the disease progresses, the remission period decreases.

The symptoms are mostly unilateral, and individual patients may have pain on both sides sequentially or at the same time.

Secondary trigeminal neuralgia is more common in young adults, and the location, nature, and trigger point of the pain are the same as those of the primary one, but the pain is more persistent.

Patients with trigeminal neuralgia should maintain emotional comfort and try to avoid touching the "trigger point"; The diet should be light and nutritious; Regular daily life, ensure adequate sleep and rest; The indoor environment should be quiet, clean and with fresh air.

Western Medicine**.

1) Carbamazepine: as the preferred drug, 100 mg for the first time, 2 times a day, and 100 mg per day after 1 day until the pain is relieved. The maximum daily dose should not exceed 1000 mg, and the dose can be gradually reduced to determine the minimum effective dose to maintain.

However, liver function and hematopoietic function should be checked regularly, and pregnant women should not use it.

2) Phenytoin: 100 mg for the first dose, 3 times a day; If it is ineffective, it can be increased by 100 mg per day, and the maximum dose should not exceed 600 mg per day. If dizziness, unsteady walking, nystagmus and other poisoning symptoms occur, the dose should be reduced immediately until the poisoning reaction disappears.

3) If the above drugs are ineffective, clonazepam can be used, 4 6 mg per day, *** drowsiness and unsteady gait.

Chinese medicine**.

1) Wind and cold obstruction: paroxysmal pain in the face, tightness and tightness, even worse in case of cold, slightly reduced in heat, or accompanied by cold and fever, nasal runny nose, lack of thirst, pale tongue, thin white tongue, and tight pulse. It is advisable to dispel wind and cold, and relieve pain.

2) Wind and heat injury: burning pain on the face, even worse when heated, bad wind, slight thirst, red moss on the tip of the tongue, thin yellow, and floating pulses. It is advisable to dissipate wind and heat dissipation, and relieve pain.

3) Phlegm and fire disturbance: paroxysmal facial swelling and burning pain, often onset when eating, local cold, dizzy and heavy, thirst and not wanting to drink, spitting and salivation, chest full of stuffiness, thick tongue coating, yellowish, and smooth pulse. It is advisable to dissolve phlegm and clear heat, and relieve pain.

4) Liver and gallbladder fire: paroxysmal severe pain in the face, knife-like cut, burning sensation, irritability, hypochondria and bitter mouth, dizziness and redness, dry throat and thirst, red urine, red tongue and yellow tongue, pulse number. It is advisable to clear the liver, diarrhea and relieve pain.

5) Yangming stomach heat: burning pain, forehead pain, toothache and bad breath, constipation, red tongue, greasy or dry, smooth pulse. It is advisable to clear the stomach and diarrhea fever.

6) Yin deficiency and hyperyang: burning pain in the face with convulsions, dizziness, flushing, weakness in the waist and knees, tinnitus and insomnia, red tongue with no or little lichen, and thin pulses. It is advisable to nourish yin and latent yang, and breathe wind and channel.