The treatment of trigeminal nerve needs to be based on the condition of the treatment, choose the wrong hospital to change one after another, but the effect is always unsatisfactory, either the effect is not good, or recurring attacks. The actual fact is, it is very important for patients to choose the right treatment method and hospital. Why do small clinics and hospitals treat trigeminal neuralgia repeatedly? For the sake of convenience and saving money, many patients and friends will choose to go to some small clinics for treatment, hint: although the cost of small clinics is lower, but they are not non-profit units, coupled with the treatment technology, equipment is not professional, doctors are not experienced enough, simply can not guarantee the effectiveness of patient treatment. In addition, the cost is higher if it is not cured for a long time. Inappropriate treatment methods are likely to aggravate the condition Some patients who are diagnosed with trigeminal neuralgia commonly choose to eat painkillers or closed treatment, but the drugs can only play a relieving role, long-term use will bring great harm to the liver and kidneys, and excessive closed treatment is easy to damage the nerve, causing secondary damage. Trigeminal neuralgia is a relatively common disease in the middle-aged and elderly population, manifested as facial episodes of knife-like, over-electricity-like pain, intense in nature, washing the face, brushing teeth and even blowing wind may trigger the pain, pain sudden and sudden stop, no regular, not pain when completely normal. There are many treatment methods for trigeminal neuralgia, and each method has its own advantages and disadvantages. Now we will compare the three most important treatment methods. Drug treatment: Commonly used drugs are carbamazepine, oxcarbazepine, lamotrigine, etc. B vitamins can be added at the same time. Advantages: low cost; non-invasive. Disadvantages: drug side effects, drowsiness, unstable walking, liver and kidney function damage. Severe allergy in individual patients. Long-term medication doses need to be increased. About 70% of patients have incomplete pain control with medication alone. Radiofrequency treatment Through a puncture needle, the needle tip is sent to the trigeminal ganglion or a branch, and the needle tip is heated by high-frequency electromagnetic shock to inactivate the nerve and block the nerve conduction. Advantages: low requirements for the patient’s physical condition, and patients of advanced age and with many comorbidities can also be treated. The operation is easy, only local anesthesia is needed, the treatment time is short, the treatment effect is immediate; even if the recurrence after the operation can still be treated with radiofrequency again. Disadvantages: lower efficiency, about 60%-70%; higher recurrence rate, about 50% at 5 years; possible combination of facial numbness, masticatory muscle weakness, and corneal hyperalgesia after treatment; more obvious intraoperative pain; patients with trigeminal nerve branch I pain are not suitable for radiofrequency treatment. Surgical treatment: mainly trigeminal nerve root microvascular decompression surgery, through a small incision behind the ear, skull drilling, separation of vascular nerve adhesions and isolation, to achieve the purpose of lifting the vascular compression of the trigeminal nerve. Advantages: it is the only way to completely cure trigeminal neuralgia; high efficiency, about 90%; completely normal facial sensation after surgery; general anesthesia surgery, no pain during surgery; low recurrence rate, about 5% recurrence rate in 5 years. Disadvantages: it is a general anesthesia craniotomy, with certain surgical risks, such as cerebrospinal fluid leakage, incision infection, intracranial hemorrhage, etc. It requires high physical condition of patients and is not suitable for patients of advanced age and with many comorbidities. What is the best method to treat trigeminal neuralgia? According to the onset of symptoms patients have to understand the severity of the disease, it is still recommended to go to a regular hospital for treatment.