Trigeminal neuralgia is a common clinical condition, mostly seen in middle-aged and elderly people, especially in people with atherosclerotic hypertension and diabetes mellitus. It is very difficult to cure and the pain is very severe and affects daily life. Due to the lack of adequate medical knowledge and medical information, most patients often seek medical treatment blindly, which makes it difficult to get timely and correct treatment. So, how should trigeminal neuralgia be treated? First, the misunderstanding of the disease: the main manifestation is that they do not know that they have trigeminal neuralgia, resulting in delayed diagnosis and treatment. Trigeminal neuralgia is characterized by recurrent episodes of severe pain in the facial areas such as lips, corners of the mouth, nose, palate or oral mucosa, with no aura, coming and going in a hurry, resembling lightning, with severe and unbearable pain, such as cutting, burning, needling or electric shock-like, often with some particularly sensitive areas (medically known as “trigger points or trigger points “Due to the fear of pain attack, patients often dare not speak, eat, brush their teeth and wash their faces, which seriously affects their quality of life, and some patients even tell that it is worse than death when the pain attacks. Trigeminal neuralgia is easily recognized according to the above typical features. However, for early mild trigeminal neuralgia or atypical trigeminal neuralgia, it is often mistaken for toothache, migraine, sinusitis or other dentistry and quintuplegia diseases, and even wrongly treated with tooth extraction. There was a 54-year-old female patient with trigeminal neuralgia who had repeated pain in the palate area and mistook it for toothache, so she went to the dental clinic three times for tooth extraction treatment. Second, the misconception that trigeminal neuralgia is an incurable disease. In real life, most patients know they have trigeminal neuralgia, but they do not know that trigeminal neuralgia can be cured or eradicated. The reasons for this are many, which may be the lack of effective medical information, or the lack of proper guidance from doctors, or the loss of confidence in the cure because long-term treatment is ineffective, especially the latter is more common in clinical work. A 74-year-old male patient, who had been suffering from trigeminal neuralgia for more than 30 years, had been transferred to many hospitals and tried various treatments such as carbamazepine (Deltamethrin), wild papaya, Chinese herbal medicine, acupuncture, radiofrequency, buried wire, local seal, tooth extraction, etc. The pain was never effectively controlled, and although his life was painful, he refused to take any further treatment measures for a long time and lost confidence in the cure. It was not until his son accidentally learned from the “Celebrity Medical Consultation” program that microvascular decompression surgery could completely cure trigeminal neuralgia, and led his father to visit the patient after the surgery, that his father agreed to undergo the surgery and finally removed the “stubborn disease” that had tormented him for more than 30 years. His father agreed to undergo the surgery and finally removed the “persistent disease” that had been tormenting him for more than 30 years, and resumed his normal daily life. In fact, trigeminal neuralgia is a completely curable disease, the key is to get professional doctor’s guidance and choose the right treatment method. Secondary trigeminal neuralgia refers to a type of trigeminal neuralgia with a very clear cause, and the common causes include tumors (cholesteatoma, trigeminal nerve sheath tumor, auditory neuroma, meningioma, etc.), inflammation, cerebrovascular disease, skull base malformation, etc. Therefore, the key to treating secondary trigeminal neuralgia is to treat the cause; primary trigeminal neuralgia Although the etiology and pathogenesis of primary trigeminal neuralgia are still debated, the current academic community agrees that cerebrovascular atherosclerosis, twisted and elongated blood vessels, and compression or stimulation of the trigeminal nerve root are the causes of trigeminal neuralgia attacks, therefore, surgery to relieve the compression of the nerve root becomes the main treatment method. In fact, since the 1970s, microvascular decompression of the trigeminal nerve root has enabled tens of thousands of patients with trigeminal neuralgia to receive effective treatment, and even in China, microvascular decompression surgery has become the first choice for the treatment of primary trigeminal neuralgia. Even in China, microvascular decompression surgery has become the first choice for primary trigeminal neuralgia. In the neurosurgery department of Xinhua Hospital affiliated with Shanghai Jiaotong University School of Medicine, the cure rate of more than 400 cases of trigeminal neuralgia treated has reached over 95%. Therefore, trigeminal neuralgia is a completely curable disease. Third, excessive worry about the risk of surgery, afraid to accept surgical treatment. Although many patients are eager to cure the disease because of severe pain, they are always worried and afraid at the mention of surgery, always thinking that surgery will open up the skull and “open up inside the brain”, and eventually they often dare not undergo surgical treatment, especially for patients with relatively mild symptoms. In fact, microvascular decompression surgery for trigeminal neuralgia is a very mature surgical technique that has been in clinical use for more than 60 years, and the surgery is not performed inside the brain, but in the subarachnoid space between the brain tissue and the skull, so the risk of surgery is quite low. Especially in recent years, the application of minimally invasive surgical techniques has not only significantly improved the surgical efficacy, but also greatly reduced the risk of surgery, and microvascular decompression surgery is now the international preferred option for the radical treatment of trigeminal neuralgia. Of course, not all patients must undergo microvascular decompression surgery, the general treatment principles are: for patients with relatively mild pain, we first apply drug therapy, and only when drug therapy is ineffective is surgery considered; for elderly patients, especially those whose general condition is not suitable for general anesthesia, it is recommended that when drug therapy is ineffective, radiofrequency therapy is the first choice, which can not cure trigeminal neuralgia, but can relieve pain for a certain period of time. For patients with severe pain that seriously affects their daily life, microvascular decompression surgery should be preferred for the radical treatment of trigeminal neuralgia. Therefore, the appropriate treatment plan should be chosen according to the physical condition and severity of pain of different patients. Fourthly, patients should seek medical help in a hurry and mistakenly believe in the so-called “partial and secret prescriptions”. Many patients with trigeminal neuralgia have been suffering from trigeminal nerve pain for many years, and the treatment has been ineffective, as the saying goes, they have often mistakenly believed in some so-called “partial and secret recipes” for the treatment of trigeminal neuralgia, and as a result, they have not spent less money, but the pain has not been alleviated, but has led to various complications, resulting in The result is that instead of reducing the pain, it leads to various complications, resulting in lifelong regret. There was a Mr. Han who suffered from trigeminal neuralgia 8 years ago, and was not treated with carbamazepine, wild papaya, acupuncture, etc. Later, he heard that there was a doctor in Shanxi who could treat the disease, and a shot worked, so he rushed there from Heilongjiang, who knew that not only the disease was not cured, but he found that his mouth became crooked within a few days after returning home, and was diagnosed with peripheral facial palsy by the local hospital. The most reliable way is to go to a regular hospital. Even if you want to learn about treatment information through the Internet, you should pay attention to the information provided by large medical institutions, and you should be cautious about private or purely advertising-based treatment information. In conclusion, trigeminal neuralgia is a completely curable disease, the key is to receive regular and professional treatment.