The most effective treatment for trigeminal neuralgia.

Today I will talk about the most effective methods for treating trigeminal neuralgia. The text will begin shortly. How to treat trigeminal neuralgia? The symptoms of trigeminal neuralgia are severe pain on one side of the face, known as the "worst pain in the world." Treatment for trigeminal neuralgia includes the following methods:

1. Medication: During each attack, you can take carbamazepine or other medications that can treat severe pain. The pain is categorized into different levels, and trigeminal neuralgia is usually the most severe level. For severe pain, medications specifically targeting severe pain, such as carbamazepine, are the most effective.

2. Surgical treatment: There are three types of surgical treatment: - Microvascular decompression surgery: Trigeminal neuralgia is often caused by blood vessels compressing the trigeminal nerve, such as the anterior inferior cerebellar artery or the superior cerebellar artery. This surgery involves separating the blood vessels from the trigeminal nerve, and it is called microvascular decompression surgery.

- Radiofrequency treatment: This treatment involves inserting a radiofrequency needle into the face and using heat to damage the trigeminal ganglion. This surgical method is simple and replaces pain with facial numbness. However, the short-term effectiveness is good, but there is a possibility of recurrence in the long term, with a certain recurrence rate, which may be slightly higher than that of radiofrequency treatment.

- Balloon compression of the trigeminal ganglion: This surgical procedure has been available for 20-30 years and has gained popularity again in recent years. It is suitable for both elderly and young patients. The surgical effect also replaces pain with numbness. However, some people are not particularly sensitive to this numbness sensation after surgery. The postoperative effect is better than that of radiofrequency treatment in the short term, but the recurrence rate after repeat surgery may be slightly higher. Balloon compression can be repeated as a treatment option.

How to treat trigeminal neuralgia well? Currently, there is no very effective medication for trigeminal neuralgia internationally. Common painkillers such as carbamazepine may have poor effectiveness and some patients may experience side effects. Some common surgical treatments may not be suitable for certain individuals.

In traditional Chinese medicine, common treatments include herbal medicine, acupuncture, applying herbal patches, and external application of Chinese medicine. If multiple methods fail to work, applying good Chinese medicine externally can help most patients recover within six treatments, but it must be done in an outpatient setting.

How to effectively and quickly relieve trigeminal neuralgia? Trigeminal neuralgia is mainly caused by adhesion and compression between nerves and blood vessels in the cranial brain, leading to paroxysmal and unbearable pain in the trigeminal nerve area. In the early stages, patients can consider internal medicine treatment with drugs such as carbamazepine. However, long-term use of drugs can lead to severe drug resistance and side effects, and it cannot cure the condition. It is recommended to seek Professor Yanbing Yu for surgical microvascular decompression surgery, which is currently the preferred method for curing trigeminal neuralgia.

How to treat trigeminal neuralgia? Secondary trigeminal neuralgia should be treated according to the underlying cause. The primary focus of treatment for the original cause is pain relief. 1. Western medicine treatment - Carbamazepine: This is the first choice medication. The initial dose is 100mg taken twice a day, then increased by 100mg daily until the pain is relieved. The maximum daily dose should not exceed 1000mg. The dosage can be gradually reduced to determine the minimum effective maintenance dose. However, liver function and blood function should be regularly checked, and it should not be used by pregnant women.

<2> Sodium phenytoin: Initial dose of 100mg, 3 times a day; if ineffective, the daily dose can be increased by 100mg, with a maximum dose not exceeding 600mg per day. If toxic symptoms such as dizziness, unsteady walking, and eye tremors occur, the dose should be immediately reduced until the toxic reaction disappears.

<3> If the above medications are ineffective, diazepam can be used at a dose of 4-6mg per day. Side effects include drowsiness and unsteady gait. 2. Traditional Chinese Medicine Treatment: (1) Wind-cold obstruction of meridians: Recurrent facial pain, tightness, worsened by cold and slightly relieved by heat, accompanied by chills and fever, clear nasal discharge, no thirst, pale tongue with thin white coating, and floating and tight pulse.

Treatment principle: Expel wind, dispel cold, open meridians, and relieve pain. Prescription: Chuanxiong 20g, Jingjie 10g, Fangfeng 10g, Qianghuo 10g, Bai Zhi 12g, Bo He 6g, Xi Xin 3g, Quan Xie 5g, Wugong 3 pieces, Sheng Gancao 6g. 〈2〉Wind-heat injuring the meridians: Burning and painful sensation in the face, aggravated by heat, aversion to wind, slight thirst, reddened and thin yellow coating at the sides of the tongue, pulse floating and rapid.

Treatment method: Disperse wind, clear heat, promote meridian circulation, and relieve pain. Prescription: Mulberry leaf 12g, White chrysanthemum flower 12g, Forsythia 12g, Peppermint 6g, Reed root 15g, Honeysuckle vine 20g, Clematis armandii 10g, Chuanxiong 9g, Scorpion 5g, Licorice root 6g. (3) Phlegm-Fire Disturbing: Facial sudden stuffiness and burning pain, often triggered by eating, relieved by local cooling, dizziness and heaviness in the head, thirsty but reluctant to drink, occasional sputum spitting, fullness and stuffiness in the chest and epigastric region, thick and greasy tongue coating, slightly yellow, wiry and slippery pulse.

Treatment method: Transform phlegm, clear heat, promote blood circulation, and alleviate pain. Prescription: 10g of Banxia (Pinelliae Rhizoma), 15g of Fuling (Poria), 12g of Juhong (Citri Rubrum Exocarpium), 12g of Zhishi (Aurantii Fructus Immaturus), 12g of Zhuru (Caulis Bambusae In Taeniam), 12g of Gualoupi (Trichosanthis Pericarpium), 12g of Houpo (Magnoliae Officinalis Cortex), 10g of Chuanxiong (Chuanxiong Rhizoma), 5g of Quanxie (Buthus Martensii), and 6g of Gancao (Glycyrrhizae Radix).

(4) Liver and gallbladder fire: sudden severe facial pain, similar to being cut by a knife, burning sensation, irritability and easy anger, rib pain and bitter taste in the mouth, dizziness and redness of the eyes, dry throat and thirst, red urine, red tongue with yellow coating, and wiry and rapid pulse.

Treatment method: Clear the liver, drain the fire, and relieve pain. Prescription: 15 grams of Gentian Grass, 10 grams of Gardenia Fruit, 10 grams of Scutellaria Baicalensis, 10 grams of Bupleurum, 6 grams of Cicada Molt, 10 grams of Chrysanthemum Flower, 15 grams of Clearing Vision Herb (added first), 15 grams of Rehmannia Root, 15 grams of White Peony Root, 6 grams of Clematis, 10 grams of Eupolyphaga, and 6 grams of Licorice.

<5> Yangming Stomach Heat: Burning pain in the face, swelling pain in the forehead, toothache and bad breath, constipation, red tongue with yellow or dry coating, wiry and slippery pulse. Treatment method: Clear the stomach and purge the heat. Prescription: Gypsum (30g), Chuanxiong (9g), Coptis chinensis (6g), Chrysanthemum flower (15g), Peppermint (12g), Rehmannia root (15g), Moutan bark (10g), Rhubarb (6g, to be taken afterwards), Licorice (6g).

<6> Yin deficiency with yang hyperactivity: Burning pain in the face accompanied by convulsions, dizziness, flushed complexion, weakness in the lower back and knees, tinnitus and insomnia, red tongue without coating or with little coating, thin and rapid pulse. Treatment method: Nourishing Yin and suppressing Yang, extinguishing wind and opening collaterals.

Prescription: 20g of turtle shell (added first), 15g of stone chrysanthemum (added first), 16g each of fresh and dried rehmannia, 10g of anemarrhena, 10g of moutan bark, 15g of dogwood fruit, 10g of salvia miltiorrhiza, 20g of cogongrass rhizome, 5g of scorpion, and 10g of centipede. What are the treatment methods for trigeminal neuralgia?

Recently, when I brushed my teeth in the morning, I felt a lot of pain on one side of my mouth. I also feel pain when I eat, and touching my face also hurts. It is really uncomfortable. I went to the hospital for a check-up, and the doctor said it is trigeminal neuralgia. Let's share the treatment methods for trigeminal neuralgia.

1. The first method: The most effective treatment for trigeminal neuralgia is surgery. However, there are many different surgical methods, and each has different effects. The commonly used method is the "microvascular decompression surgery of the trigeminal nerve root" through a small incision behind the ear, which not only has minimal trauma but is also widely recognized by the international medical community.

2. The second method: Medication treatment must be standardized. When medication treatment is ineffective or only partially effective, it is necessary to re-evaluate the diagnosis. If the diagnosis is correct and the medication method is appropriate or if the medication has significant side effects, other medications can be used. If multiple drug treatments are still ineffective, non-drug treatments can be considered.

3. The third method: Surgical methods can damage the trigeminal nerve, causing it to lose normal physiological function and temporarily relieve pain. However, it can also cause complications such as facial nerve paralysis, hemiplegia, and ataxia. After a period of time, the trigeminal nerve will regenerate and the pain may recur, with a high rate of recurrence.

Precautions: Trigeminal neuralgia poses a significant health risk to patients. After effective treatment, patients should maintain a good mental state and control their emotions to avoid serious impacts on the recovery of trigeminal neuralgia. How to cure trigeminal neuralgia? Microvascular decompression surgery is the preferred surgical method for primary trigeminal neuralgia and is currently the only surgical procedure that can cure trigeminal neuralgia. Microvascular decompression surgery is minimally invasive, with small trauma, high safety, fast recovery, and a success rate of over 98%! Its effective cure rate for trigeminal neuralgia is over 95%, while the rate of ineffective treatment is only below 2%. Therefore, compared to other treatment methods for trigeminal neuralgia, microvascular decompression surgery has incomparable therapeutic effects.

The above is a summary of all the key points of the most effective treatment methods for trigeminal neuralgia discussed in this article. I hope it is helpful to you.