How can I reduce the pain of trigeminal neuralgia attacks?

  Trigeminal neuralgia is a severe pain that occurs in the area of the trigeminal nerve in the head and face. Patients who are not familiar with trigeminal neuralgia may call it “face pain” and feel a pain in their face, such as cutting, stabbing, burning, etc. Sometimes the pain is triggered by washing the face, brushing the teeth, talking or eating and chewing, and it lasts from a few seconds to several minutes. In severe cases, the pain can be very painful and persistent, affecting the patient’s daily life, work and mood.  In the early stage of trigeminal neuralgia, many patients can get good control by taking carbamazepine or oxcarbazepine drugs. If the condition is serious, it is recommended to consider surgery, and if you continue to take medication, you must take a lot of drugs to control it, and if you take more of these two drugs, the side effects are great, and patients will feel dizziness, blurred vision, nausea, vomiting, etc.  Trigeminal neuralgia is affected by many factors, and if poorly treated, it can also lead to worsening of trigeminal neuralgia, so what can be done to reduce the pain of trigeminal neuralgia attacks? The following aspects need to be noted.  1, emotional stimulation: excitement, anger, anxiety, depression, etc. can aggravate the condition, so patients in the treatment process try to avoid emotional stimulation, do not think too much, worry about the appearance of pain all day, active treatment, take medication as prescribed by the doctor, have treatment problems, timely follow-up to find a doctor, further treatment.  2, good treatment of pain trigger points: there are multiple trigger points on the affected side, uneven distribution, patients will find, sometimes in washing, brushing teeth, talking, chewing food, and even some patients walking, wind blowing pain will come on, is the trigger point, therefore, I hope that patients in daily life, gentle movements, avoid the wind blowing directly on the face, go out to keep warm.  3, stimulating food: too cold, too hot, hard food can trigger pain, followed by substances that can easily cause vasodilation and constriction, such as nicotine from cigarettes can cause vasoconstriction, drinking strong tea to enhance nerve excitability triggers small artery spasm, dry cheese, pickled fish and pickles contain more tyrosine, ham contains nitrite, etc. These foods can cause cerebral vasodilation and stimulate the nerves to cause pain. In addition, seafood, chocolate, beer and coffee can also lead to the dysfunction of cranial vasodilation and contraction.  4, improper treatment: trigeminal neuralgia can be unbearable, in order to treat the pain, patients will seek medical advice from multiple sources and try a variety of treatments, which can easily fall into the “disease disorderly seeking medical advice”, the results are often worrying and aggravate the disease. In clinical practice, there are indeed patients with inappropriate treatment, trigeminal neuralgia is not cured, but also caused facial paralysis.  Finally, I would like to remind patients that there are many methods of treatment for trigeminal neuralgia, so I hope they can carefully understand the pros and cons of these methods before making a choice. The important thing is to treat the cause of the disease in order to have the possibility of cure. Most patients with no obvious cause for the onset of the disease are due to the compression between the intracranial vessels and the trigeminal nerve root, which can be treated with apparent microvascular decompression, which can make the pain disappear after surgery and does not damage the function of the nerve. There are also some patients with secondary onset and organic factors, such as tumor compression, which can be detected by instruments and then targeted treatment.