Trigeminal neuralgia is preferred to be controlled by medication, if a good pain relief effect can be achieved with a relatively small dose of medication, and no serious side effects occur. Generally speaking, it is not recommended to operate as soon as trigeminal neuralgia appears, after all, surgery is more risky and traumatic to the human body, if you can take medication to control the pain, try to take medication first. Once the pain relief is not effective, or the amount of medication is too large and side effects occur, surgery should be considered. There are many kinds of surgical methods, such as radiofrequency ablation of the trigeminal meniscus, intracapsular glycerin injection, balloon compression, etc. Gamma knife and microvascular decompression surgery can also be used appropriately. However, these surgical procedures are mainly suitable for primary trigeminal neuralgia. If there is mass compression or abnormalities in the foramen ovale, the cause of the pain will need to be treated to relieve the pain. In fact, patients with trigeminal neuralgia who are not well controlled by medication and are afraid of major surgery can try nerve block therapy. So what is nerve block therapy all about? A nerve block is a treatment that targets a branch of the trigeminal nerve. It is usually performed by injecting lidocaine, glycerin, and other substances into the target site of the nerve through a long, thin needle to paralyze or even destroy the nerve target and reduce the pain signals transmitted to the brain after the trigeminal nerve is stimulated. “Blocking” means that the chemical is used to prevent the signal from the stimulated nerve from being transmitted to the brain, thus relieving the patient’s pain. This procedure is the equivalent of giving a shot to the trigeminal nerve, and the incision is extremely small. In the outpatient clinic, the doctor evaluates the patient and then proceeds with the treatment. If the patient is older, or in poor health, he or she will have to be admitted to the hospital before treatment. Another surgical procedure is radiofrequency ablation, a means similar to radiofrequency ablation for heart disease patients. In simple terms, firstly, after examination and evaluation, such as MRI, to exclude cranial tumor and find the target point of nerve; then a thin needle, (as below) is inserted into the skin, after the needle tip reaches the target point, the RF ablation instrument is activated, the 5L part of the needle tip will be heated, about 75℃, which can cauterize the nerve at the target point, lasting about 5min, destroying the sensory nerve of the local nerve node, without The function of the motor nerve is not affected, which not only achieves the purpose of “blocking”, but also prevents the chewing function from being affected. In addition to the above two methods, there are also gamma knife, balloon compression, vascular decompression and other methods to treat trigeminal neuralgia, which are limited in space and will not be discussed here. However, some patients are hesitant to undergo surgery when the pain is too much to bear and the medication is not working anymore. So, when is the end of this delayed treatment and secret tolerance? In fact, there is no end to pain, trigeminal neuralgia is there, whether you carry it or not. Not only that, the scope of the pain may expand, and the degree of pain will also increase, and eventually not only the trigeminal neuralgia, but also another nerve – the linguopharyngeal neuralgia. When the two nerves are combined, it is not a question of whether the patient can bear the pain or not, but the pain is so severe that it is difficult to sleep and eat. Therefore, when the pain reaches a certain level, it must be treated actively, and carrying on with the pain will only aggravate the pain.