Neuralgia of the trigeminal nerve refers tofairly common diseases, and, according to statistics, more often the fair sex is over 40 years old. As a rule, neuralgia is of two types: primary (idiopathic, essential, typical) and secondary (symptomatic). In addition to unilateral, neuralgia can be bilateral.
Neuralgia of the trigeminal nerve. The reasons
The main causes of this disease canthere can be complications after removed teeth, pulpitis, as well as poorly made dentures. Neuralgia of the trigeminal nerve in some cases arises due to pressure on the nerves of the blood vessels, which provokes severe pain and changes in the nerve impulse. Often, such a reaction can produce vascular tumors, and allergic reactions can be a catalyst for a similar disease. In some cases, the branches of the trigeminal nerve are subjected to pressure from the bony canal of the skull, through which they pass. The narrowing of these canals is innate and acquired, for example, in inflammatory processes in the nasopharynx or mouth.
Neuralgia of the trigeminal nerve. Symptoms
The disease is most often expressed by shortparoxysms of painful intense pain, which are periodically shooting in the area of innervation of the trigeminal nerve branch. Touching the skin of the Kursk zone (eyebrows, nose wings, lip skin, nasolabial folds) cause another attack of shooting pains. Most often, the pain affects one part of the face, the initial symptoms of neuralgia are expressed in itchy skin, goosebumps on a certain part of the face. Sometimes involuntary contractions of the facial muscles can be observed, attacks are quite strong and there is no regularity in their appearance. During the day, they can manifest themselves up to ten times.
Neuralgia of the trigeminal nerve. The most common treatment
Neuralgia treatment is usually symptomatic.and antiepileptic. The most commonly used drug is carbamazepine, which is considered the most effective treatment for neuralgia. The drug is prescribed with an individual dose selection, as a rule, the dose is gradually increased by one tablet per day. To enhance the effect of the drug, antihistamines and vitamins are prescribed, and vasodilators and antispasmodics are also shown. From physiotherapy, diadynamic currents, iono-galvanization with amidopyrine or novocaine, phonophoresis with hydrocortisone are used.
For some types of neuralgia treatmentIt is recommended to start with local and general anesthetics. Of the local most commonly used lidocaine or anesthetic ointment, which is rubbed into the gum at the site of pain. Anesthesia, as a rule, occurs within 3-5 minutes and lasts for half an hour. With the ineffectiveness of therapeutic treatment possible surgical intervention, which today is of two types:
- Microsurgical decompression of the branch of the trigeminal nerve.
- Cutting branches of the trigeminal nerve.
With treatment, remission occurs within a few days.
Алкоголизация периферической ветви тройничного nerve leads to rapid remission, however, each subsequent alcoholism reduces the duration of remission and the therapeutic effect of using this method is significantly reduced. As a result of this procedure, destructive changes occur, and, in addition to neuralgia, the patient develops iatrogenic neuritis.
Given the above, it can be understood that neitherOne of the methods does not provide one hundred percent healing from this disease. Some of the remedies provide temporary relief, but most of them are aimed at eliminating the symptoms of this disease, which means that there is no 100% remedy for the treatment of neuralgia.
