What is the fastest and most effective way to treat trigeminal neuralgia, Master Cui Yuan?

This article discusses the fastest and most effective ways to deal with trigeminal neuralgia. It corresponds to the knowledge points provided by Dr. Cui Gongyuan, hoping to be helpful to everyone. Don't forget to bookmark this site. What to do when trigeminal neuralgia is severe Trigeminal neuralgia is extremely painful and can be life-threatening. Do not misdiagnose it. How should it be treated?

How to relieve trigeminal neuralgia Dr. Peng Sheng pointed out that nearly half of trigeminal neuralgia cases have "trigger points". There is a "point" on the skin of the face or teeth, and once the patient touches this point, immediate pain will occur. This point is called a trigger point. The hygiene condition of the skin or teeth where the trigger point is located is often very poor, and even during a consultation, patients are unwilling to let the doctor touch this trigger point. In addition, trigger points are inconsistent in each patient and may also change over time in the same patient.

Dr. Peng Sheng Hospital reminds that once the above clinical manifestations are present, the possibility of trigeminal neuralgia should be considered and investigated in a timely manner to avoid repeated misdiagnosis. What should I do about trigeminal neuralgia? Go to the hospital as soon as possible.

What is the most effective treatment for trigeminal neuralgia? After the diagnosis of trigeminal neuralgia, the main treatment methods are as follows. Firstly, medication is one of the most recommended early treatment methods, usually using drugs such as "Carbamazepine", but with significant side effects. Patients need regular liver function tests, and the treatment success rate is 40%-50%, providing relief. However, the dosage needs to be increased in later stages and the efficacy may decrease. Secondly, minimally invasive treatments such as "radiofrequency" and "balloon compression" surgeries are available. These have the advantages of small trauma and fast recovery, but there are many postoperative complications and significant facial nerve damage. Thirdly, microvascular decompression surgery (MVD) is a surgery specifically for trigeminal neuralgia caused by blood vessel compression. It separates the compressed blood vessel from the trigeminal nerve using special materials. This surgery is considered minimally invasive, with the same advantages of small trauma and fast recovery, and no postoperative complications. It preserves the facial nerve function of the patient.

What is the best and most effective treatment for trigeminal neuralgia? There are several treatment methods for trigeminal neuralgia, including medication, non-drug microvascular decompression surgery, and balloon compression... For patients in the early stages of trigeminal neuralgia, medication treatment can be effective to a certain extent, but due to drug resistance, it may also cause various side effects.

2. Microvascular decompression surgery is a type of minimally invasive skull surgery that requires high physical condition of the patient and experience of the surgeon. It can easily lead to complications such as facial nerve paralysis, tinnitus, and hearing loss, and the recovery period after surgery is also relatively long.

3. Trigeminal ganglion balloon compression is a type of minimally invasive neurosurgical treatment. The basic method of the surgery is to puncture the facial skin to reach the location where the trigeminal nerve exits the cranial cavity - the oval foramen, and insert a balloon catheter into Meckel's cave. The purpose is to compress the trigeminal ganglion appropriately, in order to block the pain fibers of the trigeminal nerve while preserving the function of the sensory fibers to the maximum extent possible.

Trigeminal neuralgia is the most common cranial nerve disorder, commonly known as "the most painful condition in the world". Its characteristic is the sudden and severe pain in the distribution area of the trigeminal nerve in the head and face, which is described as sharp, stabbing, lightning-like, cutting, or burning. It severely affects daily life. Reference: Sohu - [Treatment Methods] Balloon compression can cure trigeminal neuralgia.

How should trigeminal neuralgia be treated? Trigeminal neuralgia is a transient, recurrent, and severe pain that occurs in the distribution area of the trigeminal nerve. It can be classified into primary and secondary types. The primary type has an unknown cause, while the secondary type is often caused by inflammation, trauma, tumors, vascular diseases, etc.

Primary trigeminal neuralgia presents as sudden, severe pain, which can be described as cutting, stabbing, and paroxysmal. Each episode lasts for a few seconds to minutes and can occur multiple times in a row. Engaging in activities that involve trigeminal nerve movement function (such as brushing teeth and chewing) or touching certain trigger points in the trigeminal nerve innervation area can trigger pain attacks. In severe cases, there may be reflexive spasms of facial muscles on the same side during an attack. The relief period is normal. As the disease progresses, the relief period gradually shortens. The symptoms are often unilateral, although in some cases, pain may occur on both sides sequentially or simultaneously.

Secondary trigeminal neuralgia is more common in young and middle-aged adults. The location, nature, and trigger points of the pain are the same as the primary condition, but the pain is more persistent. Patients with trigeminal neuralgia should maintain a positive emotional state, and try to avoid touching the "trigger points". They should have a light and nutritious diet, follow a regular routine, and ensure sufficient sleep and rest. The indoor environment should be quiet, clean, and have fresh air.

Western medicine treatment (1) Carbamazepine: is the first choice medication. The initial dose is 100 milligrams, taken twice daily. After one day of treatment, the daily dose should be increased by 100 milligrams until the pain is relieved. The maximum daily dose should not exceed 1000 milligrams. The dosage can be gradually reduced to determine the minimum effective maintenance dose. However, liver function and hematopoietic function should be regularly checked, and it should not be used by pregnant women.

(2) Phenobarbital sodium: Initial dose of 100 milligrams, taken three times a day. If ineffective, the dose can be increased by 100 milligrams daily, with a maximum daily dose not exceeding 600 milligrams. If symptoms of toxicity 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, clonazepam can be used at a daily dose of 4-6 milligrams. Side effects may include drowsiness and unsteady gait. Traditional Chinese Medicine Treatment (1) Wind-cold obstructing the meridians: intermittent facial pain, tightness, worsened by cold, 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 should focus on dispelling wind, dispersing cold, promoting meridian circulation, and alleviating pain.

(2) Wind-heat injuring the meridians: facial burning pain, worsened by heat, aversion to wind, mild thirst, red tongue sides with thin yellow coating, and floating and rapid pulse. Treatment should focus on dispersing wind, clearing heat, promoting meridian circulation, and alleviating pain. (3) Disruption of phlegm and fire: there are sudden facial bloating and burning pain, often triggered during eating, prefers local coldness, dizziness and heaviness in the head, thirsty but does not desire to drink, occasional vomiting of phlegm and saliva, chest and epigastric fullness and stuffiness, thick and greasy tongue coating with slight yellow color, and slippery pulse. The treatment should focus on resolving phlegm, clearing heat, promoting blood circulation, and relieving pain.

(4) Intense liver and gallbladder fire: there are sudden and severe pain on the face, resembling a cutting sensation, burning sensation, irritability and easy anger, rib pain and bitter taste in the mouth, dizziness and red eyes, dry throat and thirst, dark urine, red tongue with yellow coating, and rapid pulse. The treatment should focus on clearing the liver, draining fire, and relieving pain.

(5) Yangming Stomach Heat: Symptoms include burning pain in the face, swelling pain in the forehead, toothache, bad breath, constipation, a red tongue with yellow or greasy coating, and a wiry and slippery pulse. Treatment should focus on clearing the stomach and purging the heat. (6) Yin Deficiency and Yang Excess: Symptoms include burning pain in the face accompanied by convulsions, dizziness, flushed face, weak waist and knees, tinnitus, and insomnia. The tongue is red without coating or with minimal coating, and the pulse is thin and rapid. Treatment should focus on nourishing yin, subduing yang, calming wind, and promoting circulation.

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