Trigeminal neuralgia often presents as a paroxysmal and severe pain on one side of the face, frontal area or jaw. The nature of the pain is often sudden onset and stop, like lightning, burning, stabbing, cutting or tearing, brief and severe unbearable pain. The pain is cyclic, with each attack lasting from a few seconds to 1-2 minutes before it stops. Each attack cycle lasts from several weeks to several months, after which the symptoms can be gradually relieved, but after a period of time, the severe pain is on again, and there is almost no self-healing. Patients are afraid to brush their teeth, wash their faces, shave their beards, yawn and so on for fear of pain, and some even dare not eat and talk, which is very painful for patients. When facial muscle spasm starts, it is mostly jumping at the corners of the eyes, gradually and slowly expanding to all the muscles of one side of the face, and in heavy cases, it can accumulate to the neck and shoulder muscles, and the symptoms are electric shock-like convulsions, which last for a few seconds or more than ten minutes, and the convulsions last longer with the course of the disease, and there is usually an interval, which is mostly triggered by emotional tension, fatigue, and anger, and the patients cannot control themselves. In severe cases, it affects vision, language, appearance, social life, diet and work, and patients are often distraught and in great pain. What are the causes of trigeminal neuralgia and facial muscle spasm? The causes of trigeminal neuralgia and facial muscle spasm have been studied clearly, mainly due to compression of the trigeminal nerve and facial nerve root, and there are two types of causes of compression. One type of compression is vascular compression, which accounts for about 95% of the cases, including arterial compression and venous compression. The other category is tumor compression which accounts for about 5%, including cholesteatoma, meningioma, auditory neuroma, trigeminal nerve sheath tumor, facial nerve tumor, aneurysm, etc. How are trigeminal neuralgia and facial spasm treated? Currently, there are many treatments for these two diseases: 1. Drug treatment: mainly the application of carbamazepine, phenytoin sodium and other drugs. These drugs can only relieve the patient’s symptoms, not cure, and have large side effects. 2, acupuncture treatment, radiofrequency treatment, closed treatment: these methods have some effect but also can not achieve the root cause. 3, surgery: the only method that can follow the cure is surgery. This is a minimally invasive surgery, which is to punch a hole of about 2.5 cm behind the ear and use a spacer under the microscope to separate the blood vessels and nerves so that the nerves are no longer compressed, and the patient’s symptoms will disappear immediately, with immediate effect, and the disease can be cured.