What is trigeminal neuralgia, known as the world s first pain ? How painful is it?

Trigeminal neuralgia is clinically known as the first pain in the world, and the pain level is unbearable. Manifested as electric shock, knife cut, needle prick, fire pain, such patients are difficult to talk and exchange medical history when they seek medical treatment in the outpatient clinic, and are often narrated by family members, so as not to induce pain when speaking. Try to avoid pain-inducing activities, such as talking, washing your face, eating, chewing, and even blowing wind.

Such patients do not even dare to wipe their faces with a towel, and appear as half of the cheek is clean and half of the cheek is covered with dirt.

As the name suggests, trigeminal neuralgia is three forks, the first fork above the eyes and the forehead, which is called the first branch, and the middle of the eyes and upper lip is called the second branch. The lower lip goes up to the front of the ear, which is called the third branch, which is trigeminal neuralgia. Trigeminal neuralgia has several characteristics:

Pain to the touch, fear of brushing teeth, fear of washing face, fear of eating, fear of wind, when the patient has this phenomenon, it may be trigeminal neuralgia. Moreover, the nature of the pain is knife-like, needle-pricked, and electrocutor-like. Each seizure lasts only a few seconds, and it is equivalent to 100 needles pricking one's face during the seizure, and it is the same as a normal person when recovering; People with trigeminal neuralgia experience severe pain in the face, sometimes like an electric shock, a knife, or a tear, and the pain is very severe.

For patients with trigeminal neuralgia, first of all, avoid triggers. Second, it should be targeted at the primary disease that induces trigeminal neuralgia, including blood sugar control, infection control, etc. Trigeminal neuralgia is often confined to the distribution of 1 or 2 trigeminal nerves, and is more common in the maxillary and mandibular branches.

The seizure is manifested as severe shock-like, pinprick-like, knife-like or tearing pain in the cheeks, upper and lower jaws, and tongue, lasting for a few seconds or 1 2 minutes, with abrupt stopping, and the intermittent period is completely normal.

In severe cases, reflex twitching of the facial muscles may occur due to pain, and the corners of the mouth may be pulled to the affected side, i.e., painful twitching. The course of the disease is cyclical, ranging from days, weeks, or months to episodes, with periods of remission as usual. With the prolongation of the course of the disease, the number of seizures gradually increases, the duration of seizures is prolonged, the intermittent period is shortened, and even the seizures are persistent, and they rarely heal spontaneously.

Trigeminal neuralgia has sudden, intense and excitation points, no warning before the onset, and sudden severe pain in the distribution of the trigeminal nerve, which is generally common in the maxillary and mandibular branches. There are fewer eye branches, pain such as electric shock, knife cut, pinprick, throbbing pain, throbbing pain, mouth corner distraction, each attack lasts a few seconds to 1-2 minutes, reverse, severe pain is unbearable, accompanied by tearing, conjunctival hyperemia, etc., in the intermittent period, light touch of a certain part of the oral and maxillofacial can induce a pain attack, that is, the trigger point or the wrench point. Normal people can't appreciate how much pain a trigeminal neuralgia patient really has.

A week ago, 58-year-old Ms. Cui came to the outpatient clinic of Professor Jiang Haitao of the Department of Neurosurgery of the First Affiliated Hospital of Xi'an Jiaotong University. When I saw her in the outpatient clinic, she was so painful that she couldn't speak, and covered her face with a towel, hoping that Professor Jiang could use painkillers to relieve her as soon as possible.

Trigeminal neuralgia is so painful that it is unbearable, so many patients call it the first pain in the world. Some patients describe the pain as knife-like, while others describe the pain as over-electric. The number of seizures per day is not always the case, but it can be several times an hour or multiple times a minute.

It often stops abruptly and often lasts about a few minutes.

Specifically, it is the area where the cerebellum is located, the head nerve, and the trigeminal nerve are very close to the cerebellum, and many ** indicate that the trigeminal nerve is very thick, which determines its pain level, in fact, the head nerve can be painful to the extent that it is as if it is fixed and cannot wail, and the second level is such as toothache, but severe toothache is also a nightmare for many people.

Sudden, intense with trigger points, no warning before the onset of the disease, sudden severe pain in the distribution of the trigeminal nerve, generally maxillary and mandibular ramus are more common. There are fewer eye branches, pain such as electric shock, knife cut, pinprick, throbbing pain, throbbing pain, mouth corner distraction, each attack lasts a few seconds to 1-2 minutes, reverse, severe pain is unbearable, accompanied by tearing, conjunctival hyperemia, etc., in the intermittent period, light touch of a certain part of the oral and maxillofacial can induce a pain attack, that is, the trigger point or the wrench point.

A kind of electric shock pain, very painful, and the cycle is particularly long, many diseases will cause trigeminal nerve pain, the pain is particularly terrifying, I can't talk when eating, I can't touch, I feel as if there is a needle pricking myself, I will also feel the pain like electric shock and knife cutting.

When trigeminal neuralgia strikes, the pain is very unbearable, and you can consider taking painkillers**. Trigeminal neuralgia has a great impact on the patient's life, because of the pain, it leads to irritability, sluggishness, and headaches.

Classification of Trigeminal Neuralgia Trigeminal neuralgia is divided into two types, primary and secondary, and primary trigeminal neuralgia refers to the distribution of the trigeminal nerve in the face.

Where is the pain in trigeminal neuralgia? Which branch does it usually occur in? The first branch: upper eyelids, eyebrows, forehead, etc.

It is a kind of nerve pain, which can make a person feel very uncomfortable, and many people can't stand this kind of pain. It is very painful, and when it hurts, it makes a person very anxious.

People who have this disease can make the body very painful and unbearable. It hurts so much that most people can't bear it, so you must go to the hospital in time when you have this situation.

Particularly painful means that if you massage this acupuncture point, people will experience particularly severe pain, and there is no way to endure the pain.

Trigeminal neuralgia generally refers to pain on the entire half of the face. The trigeminal nerve is divided into the ophthalmic, maxillary, and mandibular branches in Western medicine. In general, Western medicine believes that trigeminal neuralgia is a severe pain caused by demyelinating lesions caused by microvascular compression of the trigeminal nerve.

Traditional Chinese medicine refers to trigeminal neuralgia as facial pain, and believes that trigeminal neuralgia is a pain caused by external evil qi that invades the internal organs, or the meridians are blocked due to long-term illness and stasis. The main symptom is facial pain, which is characterized by severe pain.

"Trigeminal neuralgia", sometimes referred to as "facial pain", is a kind of paroxysmal severe neuralgia that reverses in the distribution area of the trigeminal nerve in the face, trigeminal neuralgia is one of the common diseases in neurosurgery, and it is also one of the internationally recognized incurable diseases. There are 10 levels of pain, in the ninth level of explosive pain. Such as trigeminal neuralgia, or appendicitis pain, cancer pain.

May cause transient fainting.

If there is pain in the area innervated by the trigeminal nerve caused by various reasons, it is a severe pain if it is not painful.

Trigeminal neuralgia can cause ipsilateral chewing, muscle weakness, or paralysis, and may be associated with atrophy and deviation of the jaw toward the affected side when the mouth is opened.

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.

Non-invasive methods include drugs, acupuncture, physiotherapy, etc. It is indicated for patients with a short duration 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 above is a response to the question "What exactly is trigeminal neuralgia?" "The advice on this issue, I hope it helps you, I wish you good health!

Trigeminal neuralgia is the most common cranial nerve disease, with an annual incidence of about 600,000 in China. Characterized by pain, known as "the first pain in the world", the incidence rate of domestic statistics is 10,000, slightly more than that of women, and the incidence can increase with age. Trigeminal neuralgia is more common in middle-aged and elderly people, and is more common on the right side than on the left side.

The disease is characterized by the sudden onset of sudden onset of sudden arrest, lightning, cut-like, burning, intractable, unbearable and severe pain in the distribution area of the trigeminal nerve of the head and face. Talking, washing your face, brushing your teeth, or a gentle breeze on your face, or even walking can cause paroxysmal severe pain.

The pain lasts for seconds or minutes, and the pain occurs in periodic periods, with intervals similar to normal. I heard my mother say that I can consult with Director Liu of the Department of Neurosurgery of Mianyang Central Hospital, this Dr. Liu is the first person in Sichuan to have this disease.

For patients with a new onset, symptoms tend to be mild, and medications** can be tried to control pain, such as oral carbamazepine or Delidol. If the drug is ineffective, or the dosage is large, which directly affects the liver and kidney function, you can choose the following two methods. The first is trigeminal semilunar radiofrequency thermocoagulation, which is simple, safe, low-cost, immediate pain relief, good efficacy, and is accepted by the vast majority of patients.

The second is transcranial trigeminal neurovascular decompression, which is technically mature and effective, but the cost is high, and the patient has to bear the risk of craniotomy under general anesthesia. Depending on your current situation, radiofrequency thermocoagulation of the trigeminal nerve semilunar segment is preferred.

It mainly depends on whether it is primary trigeminal neuralgia or secondary, primary trigeminal neuralgia is mainly due to abnormal blood vessels in the brain, small meningioma, etc., and secondary trigeminal neuralgia may be caused by viral infection.

The root cause of trigeminal neuralgia comes from the displacement of the lumbar disc. Many people have a change in the lumbar disc due to poor sitting posture and exertion for a long time, and the lumbar change will compress the nerves, making the trigeminal nerve often feel pain.

Such pain is caused by diseases such as diabetes, tumors, multiple sclerosis, neuromyelitis optica, syringomyelia, and bulbar cavita.

Trigeminal neuralgia is known as the first pain in the world, it is a seizure on the face, that is, a short-term duration, a brief obligate attack of explosive pain, each episode lasts to 3 to 5 seconds, or within a minute or two, this severe pain is the characteristic of its attack, this is called explosive pain, the second kind of it has a characteristic is trigger pain, that is, when he eats or washes his face, it may be induced.

Trigeminal neuralgia, as a neurological disease of the brain, has become more and more common in recent years, because it is known as the first pain in the world, so you can imagine how painful this disease is. The main thing is that this disease is not easy, and many patients who have experienced years of pain and suffering cannot be effective, and they have endured the torture of the disease for a long time.

In addition to the patients themselves, the family members of patients with trigeminal neuralgia can feel the pain of the disease the most, and the onset of this disease is mostly middle-aged and elderly, and the right side of the face is more likely to occur than the left side. The disease is characterized by the sudden onset of sudden onset of sudden arrest, lightning, cut-like, burning, intractable, unbearable and severe pain in the distribution area of the trigeminal nerve of the head and face.

Talking, washing your face, brushing your teeth, or the breeze on your face, or even walking in everyday life can cause paroxysmal severe pain.

Therefore, once trigeminal neuralgia is found, it should be treated as soon as possible, otherwise it will be a great blow and damage to the patient's physical, psychological and spiritual health. At present, the most effective way for this disease is microvascular decompression, which explores the trigeminal nerve root, and pushes the compressed blood vessel away from the trigeminal nerve root with a cotton pad made of special materials, and then opens it to relieve the compression, so as to relieve the disease.

Location of pain: does not extend beyond the distribution of the trigeminal nerve. Often confined to one side. Involve one more part. Take the second. Three branches are most commonly affected. About 95%.

Nature of pain: Pain is episodic and shock-like. Knife cut sample.

Sharp pain like a tear. Abrupt stops. Each pain lasts from a few seconds to tens of seconds.

The interictal period is gradually shortened. The pain gets worse gradually. Frequent seizures can interfere with eating and rest.

Precipitating factors and "trigger points": pain attacks are often caused by speech. Chew.

Brushing. Induced by actions such as washing the face. Even wind blowing or rattling can cause seizures.

Some patients touch the side of the nose. perioral. Gingiva.

Areas such as the inner tip of the brow arch can cause onset of pain.

Location of pain: does not extend beyond the distribution of the trigeminal nerve, often confined to one side, involving more than one side, to one side.

The second and third combined pain is the most common.

Nature of pain: Pain is episodic shock-like, knife-like, tearing, abrupt and abrupt, usually without warning, and the intervals are completely normal. Each pain lasts from a few seconds to 1 2 minutes, with a gradual shortening of the intervals and a gradual increase in pain.

Vascular-autonomic symptoms: sometimes accompanied by facial redness, increased temperature, conjunctival hyperemia, lacrimation, increased saliva secretion, nasal mucosal congestion and runny nose.

Triggers and trigger points: Washing the face, brushing teeth, chewing, yawning, and talking often trigger seizures. 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."

Dr. Zhu Honghai.

Trigeminal neuralgia is a very frequent disease, and each attack is preceded by no warning, and it is a sudden, short-lived, and severe pain, such as knife cuts, electric shocks, pins, and burns.