The best treatment options for trigeminal neuralgia

  Trigeminal neuralgia treatment methods are various Drug therapy: Carbamazepine, Delidor, etc. These drugs can play a temporary role in pain relief or relief, but long-term use will be dependent on the drug, and therefore the amount of drugs will gradually increase, and the side effects are very large, such as Maxipine, is currently recognized as the best drug to treat trigeminal neuralgia, taking it pain is easy to cause adverse reactions in the central nervous system, etc.  This method is to inject the drug into the bone hole through which the trigeminal nerve branches pass. This treatment cannot be cured, and the operation is complicated and based on the doctor’s experience, the effect is closely related to the operator’s skill level and the degree of the patient’s condition, and there are risks. The treatment can destroy the sensory branches of the nerve distribution area, which may lead to loss of perception of the eyelid cornea, resulting in corneal ulceration and even blindness. The recurrence rate is extremely easy to relapse, and many patients have relapsed after having closure therapy for trigeminal neuralgia, as short as 3 hours, or as long as six months in patients who may have relapsed. Hemilunar ganglion balloon compression method: Balloon compression method is an international technique that started to be used for the treatment of trigeminal neuralgia in the 1980s. The patient is under general anesthesia, tracheal intubation and controlled breathing. The success rate of the procedure is around 90%, but the recurrence rate is too high, and recurrence after six months requires re-treatment, and the long-term results are to be observed.  Craniotomy: A small incision is made in the occipital region of the skull to separate the blood vessels compressing the trigeminal nerve root and release the compression of the nerve by the blood vessels. However, because there are dense nerves, blood vessels and some important brain tissues in the brain, the slightest carelessness in the operation will cause some normal functions to be lost if a nerve or brain tissue is damaged. At the same time, patients have to suffer a lot of pain and the risk of post-operative infection and a long recovery period, once the relapse can not be re-operated. Gamma knife treatment: Gamma rays are focused on pre-selected nerve clusters or nociceptive conduction pathways in the brain related to pain, and a large dose of irradiation destroys the nociceptive conduction pathways and blocks nociceptive conduction to achieve analgesia. However, the cost of one treatment is expensive, about 20-30,000 yuan, and the success rate is about 60%, and there is a possibility of recurrence.  Radiofrequency thermal coagulation therapy: Radiofrequency thermal coagulation therapy uses high temperature to act on the ganglion, nerve trunk and nerve root to make their proteins coagulate and denature, thus blocking the conduction of nerve impulses. At present, radiofrequency thermal coagulation therapy is more widely used in clinical practice, with good treatment effect and cost below 10,000 yuan. We use radiofrequency technology to treat trigeminal neuralgia with three significant advantages; 1. Safer: precise positioning and high selectivity. Avoid the danger of traditional open surgery treatment, puncture under image monitoring, RF needle tip directly to the lesion, by selectively blocking the nociceptive fibers of trigeminal nerve, retaining the tactile fibers, so that the patient’s pain symptoms disappear quickly.  2.Small damage: small incision, not to affect other nerves.” The puncture needle of “radiofrequency targeted thermal coagulation” is only 0.7 mm, just like an acupuncture needle, and the surgical incision is only the size of the eye of a needle, which can heal quickly without leaving any scars. At the same time, by controlling the radiofrequency temperature, it not only precisely controls and protects the nerve of the injury foci, but also greatly reduces the damage to other normal nerve tissues.  3.Good efficacy: low recurrence rate and few complications. Since the puncture is positioned under image monitoring, compared with the previous blind puncture and peripheral surgery, not only the safety is increased, but also the efficacy is remarkable, and the recurrence rate is effectively reduced. At the same time, based on the principle of nerve protection, the treatment process is targeted, effectively avoiding the side effects of “one pain, three damage” in the past. After the surgery, the pain symptoms are relieved quickly, with fast results and high efficacy, and the patient can be discharged from the hospital in 2-3 days after the surgery.