What are the treatments for primary trigeminal nerve pain for you to explain how to know the primary treatment methods, as the trigeminal nerve is not able to be thoroughly treated, complications can occur. There are many treatment methods for primary trigeminal neuralgia, in addition to drug therapy, there are also closure therapy, peripheral branch excision or extraction, trigeminal spinal bundle excision via the medulla oblongata, trigeminal sensory root excision, percutaneous puncture selective trigeminal root radiofrequency disruption and widely used trigeminal nerve microvascular decompression. 1, drug treatment: the most widely used and effective drug is carbamazepine. This drug can bring complete pain relief to 70-80% of patients, and nearly 20% of patients get relief. In addition, the clinical application of other drugs are still phenytoinamide, pregabalin, gabapentin, etc., the efficacy of these drugs are not as good as carbamazepine. The side effects of the drugs include drowsiness, vertigo, digestive dysfunction, impaired liver function, and suppression of the hematopoietic system. In addition to drug treatment, there are also acupuncture, herbal medicine, physiotherapy and massage for trigeminal neuralgia, but the effect of these auxiliary measures are not exact. For patients with initial attack, medication should be the main treatment, supplemented by other conservative treatment. If it is ineffective or the side effects are not tolerated after taking medication, surgery should be performed in time. 2.Microvascular decompression of the posterior root of trigeminal nerve: the main cause of trigeminal neuralgia is the compression of the posterior root by the adjacent blood vessels, which leads to nerve demyelination and causes pain. Its advantage is that the trigeminal nerve function can be preserved and less permanent neurological dysfunction remains; the disadvantage is that the surgery requires craniotomy, which has certain risks and inherent complications after craniotomy, in mature centers, the safety of the surgery is high and the cure rate is over 90%, which becomes the preferred method for the treatment of trigeminal neuralgia by minimally invasive surgery. 3.Radiofrequency destruction of trigeminal nerve root by percutaneous puncture: This method is suitable for those who are not suitable for craniotomy and refuse craniotomy for trigeminal neuralgia, and also for those who have recurrence and facial pain caused by oral and nasopharyngeal cancer, with a surgical efficiency of 85-95%. The main comorbidities include tactile disorders of the face, abnormal sensation, motor root injury, hypoacusis or disappearance of corneal reflex, and numbness pain. The main comorbidities include impaired touch, sensory abnormalities, motor root injury, decreased or absent corneal reflex, numbness and pain. The most serious complication is accidental penetration of the internal carotid artery, resulting in death. Recurrence rates range from 10-20% to a maximum of nearly 80%. Recurrence followed by re-destruction can be effective. 4, trigeminal nerve peripheral branch and semilunar ganglion closure: this method is simple and safe, but the efficacy is not long-lasting, generally can be maintained for 3-8 months, suitable for the poor general condition is not suitable for surgery, at the same time, can also be used as a method to assist in diagnosis. Semilunar ganglion closure can cause complications such as neurokeratitis, which causes loss of sensation while resolving pain. In recent years, this procedure has been gradually reduced. 5.Peripheral trigeminal nerve aspiration: It is suitable for those who are too old or have organ dysfunction to tolerate open surgery. Especially for patients with branch I pain, it is less invasive and performed under local anesthesia, with an average efficacy of about 10 months. 6.Partial trigeminal nerve root amputation: (1) Trigeminal nerve root amputation through the temporal epidural approach. It is suitable for cases of II and III branch pain and recurrence after vascular decompression surgery. There is a risk of injury to the ophthalmic branch fibers and motor roots, resulting in postoperative complications. Damage to the great superficial nerve of the rock, resulting in peripheral facial paralysis. The postoperative recurrence rate is 15%, and some patients may have abnormal sensation and numbness pain of the face. (2) Trigeminal rhizotomy via the temporal intradural approach. The advantage of this procedure is that the middle meningeal artery is not cut off and the large rocky nerve is not damaged. The indications and comorbidities and efficacy are the same as those of the inferior temporal approach. (3) Trigeminal rhizotomy through the posterior cranial fossa. This procedure is superior to the previous two procedures because it can preserve some of the tactile sensation, is less likely to damage the motor roots, and has a low recurrence rate. The disadvantage is that facial sensation must be partially sacrificed. 7, trigeminal spinal tractotomy: this procedure can preserve facial touch and corneal reflex, does not affect the motor branch, wide range of pain relief, bilateral trigeminal 7 neuralgia, simple I branch or I branch pain especially the blind on the healthy side. The main complications are ataxia, contralateral hemianesthesia, laryngeal return nerve palsy, etc. The recurrence rate is high, and it is used sparingly at present. 8, stereotactic deep brain stimulation: electrical stimulation targets are mainly the third ventricle after the lower paraventricular gray a white matter and pain contralateral thalamus ventral posterior nucleus. Electrical stimulation generally does not produce neurological complications, the main pain relief mechanism is not clear, expensive and the effect is not exact. The best technique for the treatment of trigeminal neuralgia is microvascular decompression. This technique is precisely based on the pathogenesis of trigeminal neuralgia, using advanced minimally invasive technology, with the support of high-end equipment, which can help doctors quickly locate the diseased nerve and blood vessels, and guide them to accurately separate the two completely. Warm tip: We hope that patients will keep warm in winter and avoid contact with the intake of spicy food.