Can trigeminal neuralgia be cured? The answer is yes: yes. You may say: I have been suffering from trigeminal neuralgia for many years, and I have tried various treatments, but I have not been cured yet, how can it be cured? What are the manifestations of trigeminal neuralgia? The manifestations of trigeminal neuralgia are diverse, specifically the following: Generally, trigeminal neuralgia is mostly unilateral, but occasionally it is bilateral, initially as a sudden sharp pinprick-like facial pain without any signs. This sudden onset of pain is described as electric shock-like, intense, receding, reappearing, and can disappear suddenly. The immediate site of stimulation that triggers the pain is called the “trigger point”. Pain episodes can occur hundreds of times a day, with intervals ranging from minutes to years, with no symptoms during the interval. Facial pain due to trigeminal neuralgia can involve the three branches of the trigeminal nerve, including: ophthalmic branch: eye, forehead, nose, etc.; maxillary branch: maxillary teeth, gums, upper lip, cheek, lower lid and nasal side, etc.; mandibular branch: mandibular teeth, gums, lower lip and lower jaw, etc. The pain may occur in a single case or may include single or multiple branches of the dominant area, almost always in the same place, and has a tendency to spread. The attack can cause salivation, lacrimation and facial muscle twitching on the painful side, which are mostly triggered by the movement of the mouth and tongue, so that these patients are afraid to wash their faces, speak, brush their teeth and eat. What are the causes of trigeminal neuralgia There are two types of causes of trigeminal neuralgia: one is called primary, the so-called primary means that it is difficult to find the real cause of it so far, some think it is a viral infection, some think it is arteriosclerosis, recently it is found that the compression of ectopic blood vessels is the root cause of primary trigeminal neuralgia. The second category is called secondary trigeminal neuralgia, which is caused by the stimulation and compression of the trigeminal nerve from the cerebral bridge to the pathway that governs the sensation of facial skin. In patients with primary trigeminal neuralgia, physical examination, cranial plain film, cranial CT and MRI examination have no special findings, while patients with secondary trigeminal neuralgia often have abnormal physical examination, such as hyperalgesia in frontal and facial pain areas, weakness of masticatory muscles, hearing impairment, unstable walking and other physical signs. What are the preferred methods of treating trigeminal neuralgia1, but usually painkillers are not effective for trigeminal neuralgia. 3.Radiofrequency treatment: mostly for elderly patients. 4.Surgical treatment: When drug treatment is ineffective, surgery that damages or destroys the nerve can be chosen, usually in the trigeminal ganglion and trigeminal nerve root area, directly interrupting the transmission of nerve impulses to achieve relief and cure. The primary cause is not removed. Neurodestructive surgery is simpler than MVD and can be repeated when the pain recurs. The most common complication of this procedure is facial sensory abnormalities, including sensory enhancement and loss of sensation, with a small percentage of patients developing intolerable, permanent nociceptive paralysis. Another rare but serious complication is corneal sensory abnormalities, which can lead to keratitis and even blindness. In addition, masticatory function is reduced on the treated side, especially in patients treated with balloon compression. When this procedure is repeated, the incidence of complications increases accordingly.5. The most ideal approach is microvascular decompression of the nerve root (MVD for short), which is a functional procedure that is not damaging to the patient’s nerves or tissues. In 1929, Dandy first observed the vascular compression of the trigeminal nerve root, and Gardner performed vascular decompression of trigeminal neuralgia in 1950, and then with the development of microsurgery, it was possible to reduce the nerve impulse transmission abnormalities. With the development of microsurgery, the treatment of trigeminal neuralgia by microvascular decompression has become increasingly mature. MVD is considered to be the best surgical treatment to relieve or cure trigeminal neuralgia.