As the saying goes, “toothache is not a disease, but a pain that kills”, but the title of “the world’s number one pain” does not belong to toothache, but is picked by trigeminal neuralgia. This pain has continued to be high recently with the low temperature. A 58-year-old woman, Ms. Fu, recently felt a toothache when she ate, so she bought some painkillers to eat, but they didn’t work. She thought she had a tooth problem and went to the dentist to beg the doctor to pull out her decayed tooth. However, upon examination, the doctor did not think her tooth problem was serious enough to require extraction, and the pain she felt did not originate from her teeth, so she was advised to consult a neurosurgeon. ”In the clinic, there is a very interesting phenomenon: one in ten patients with trigeminal neuralgia treat themselves as if they had a toothache, and some patients exaggerate to the point that they have several teeth pulled in a row before being diagnosed.” Director Yu said. In fact, there are some reasons for this. There are endings of the trigeminal nerve distributed in the upper row of our teeth, so toothache in these places can also be said to be endings of the trigeminal nerve, except that this endings pain is a local pain caused by dental disease stimulating the nerve endings. In contrast, trigeminal neuralgia is a pain of the whole nerve trunk or several nerve trunks at the same time, therefore, there is a big difference in the intensity of pain between the two. It is advisable to be more careful in the face of the so-called toothache and to seek the help of a neurosurgeon if the intervention of a dentist does not relieve the pain. Minimally invasive surgery can cure the “number one pain in the world” In general, the probability of elderly people before the age of 65-80 years old to be haunted by trigeminal neuralgia is particularly high, which is due to certain physiological factors. As people age, their brains shrink, so blood vessels are displaced and then compress certain nerves, eventually leading to short-circuiting of nerve conduction. To put it simply, all the previous tactile sensations are turned into pain sensations, which is why the so-called “world’s first pain” is formed. In addition, about 10% of patients with shingles will have the sequelae of trigeminal neuralgia. The sad thing is that there is no way to prevent this extreme pain, and once you get it, you have to control it with medication for a long time if you don’t treat it with surgery. However, with the use of painkillers for a longer period of time, trigeminal neuralgia will gradually become numb to painkillers, especially when it is cold, as long as a little bit of cold wind stimulation, trigeminal neuralgia will immediately attack, and the only method that can be effective for a long time is surgery. Trigeminal neuralgia causes 1, lack of nutrition The patient is due to the trigger point at the corner of the mouth, usually afraid to speak, afraid to eat, afraid to drink water, which causes the body to lack the necessary nutrients, which will further trigger the pain. This, combined with the usual irritability, is likely to also aggravate trigeminal neuralgia. Nerve is a burning and sugar-consuming tissue, if lack of vitamin B1 will cause lactic acid buildup to invade the brain, poison the central nervous system, so that the brain tissue’s ability to consume oxygen is weakened, and even cause temporary spasms. 2, the patients of this disease are generally not very stable emotionally, do not dare to do this, do not dare to do that, usually the more afraid of headache headache, which in turn leads to mental stimulation, which is also an important factor that triggers trigeminal nerve pain. There are a few patients who can’t let go of their emotions and moods, and they are so preoccupied all day long that they are worried about the headache that may come, which causes them to be irritable and leads to pain attacks. Under the same pain stimulation, those who are emotionally sedated feel less pain than those who are emotionally tense and have a lighter pain response. 3, the necessary protection is not in place The patient’s face generally has one or more particularly sensitive “trigger points”, the slightest inattention will touch the pain and radiation to the whole body. The location and size of the “trigger points” vary from person to person, even as small as a point or a whisker, mostly in the lips, nose, cheeks, corners of the mouth, tongue and eyes. Also, weather and climate change are factors that make trigeminal neuralgia more likely to occur. If the wind blows or if it gets hot and cold at first, the patient’s pain can increase.