Trigeminal neuralgia is a paroxysmal and severe pain in the area of the trigeminal nerve in the face and is more common in the elderly. The vast majority of cases are caused by vascular compression of the trigeminal nerve root, while a few are associated with tumors, vascular malformations, viral infections, and arachnoid adhesions. The condition has three distinct clinical manifestations: first, the site of pain, which is often limited to the distribution of the trigeminal nerve and is usually unilateral. The second is the nature of the pain, commonly known as the “first pain in the world”, which is a sudden sharp and severe pain, such as cutting, electric shock, tearing-like. The initial attack is occasional and lasts for a short period of time, but later on it can be repeated and become a continuous severe pain, which makes the patient feel painful and suicidal. Third, the pain characteristics – trigger point, when the patient brushes his teeth, washes his face, eats, drinks, speaks, or touches his cheeks, upper and lower lips, nose and other parts will cause a painful outburst, this point is like the trigger of a musket, called the plate point. The above pain can recur and last for a relatively short period of time, sometimes up to hundreds of times a day. Once the trigeminal neuralgia disease flares up, it makes the pain unbearable for the patients, so it is important to know how to choose the right treatment for trigeminal neuralgia disease. How to choose the right treatment: 1, drug treatment: carbamazepine is a special drug for the early treatment of trigeminal neuralgia, the early effect is good, but pay attention to the side effects of dizziness, hematopoietic inhibition skin allergy, liver and kidney function damage and hyponatremia. The effect is poor in the later stage, and the increase of dose will aggravate the above side effects. 2.Radiofrequency and γ-knife: pain relief by cauterizing and destroying the trigeminal ganglion, with good pain relief effect in early stage, but high recurrence rate (more than 50%) and postoperative complications such as facial numbness, which is the second-line treatment for trigeminal neuralgia surgery, suitable for patients of advanced age (>80 years old) who cannot do surgery and recurrence after various surgeries. 3.Microvascular decompression: It is the most effective method internationally recognized for the treatment of trigeminal neuralgia with high efficiency, low recurrence rate (<10%) and few complications. For more knowledge about trigeminal neuralgia and prevention methods, please pay attention to Yin Jia's trigeminal neuralgia facial spasm treatment team.