The trigeminal neuralgia is what it is, causes, symptoms. Treatment of trigeminal neuralgia. Preparations for the treatment of trigeminal neuralgia. Folk remedies from trigeminal neuralgia at home

Trinal nerve neuralgia is a serious and very painful disease that during the attack causes the patient unbearable pain. The essence of the disease is that under the influence of certain causes, severe pain develops, which spreads along the branches of the trigeminal nerve. The disease is often chronic and is very difficult to treat. What causes this disease, how to treat trigeminal neuralgia and how to weaken the suffering of the patient? Let's figure it out.

Trigeminal neuralgia: what is it?

The trigeminal neuralgia is considered a painful disease. It is characterized by a sudden unbearable pain, lasting from a few seconds to two minutes. The pain syndrome is localized in the lower area, capturing the jaw, and sometimes the pain covers the ears, forehead, cheeks, eyes. But usually, pain is felt only in one front point.

The pain is impulsive, patients often describe it as an electric blow. The reason for this condition is the systemic irritation of the trigeminal nerve, which causes its pain around the entire perimeter of nerve branches.

In most cases, neuralgia of the branches of the trigeminal nerve is incurable. The patient has to significantly lower his quality of life. During periods of exacerbation, it is difficult to eat hard food, the desire to follow the appearance disappears, and an oppressed mood often develops. Often in people who have been sick with neuralgia for a long time, depression develops.

Despite the fact that the disease is difficult to treat, there are many techniques that allow you to pacify the pain and return the patient to a full life. If painkillers and anticonvulsants with trigeminal neuralgia do not have the desired effect, a more radical method is used - surgical intervention.

Note! The pain Tyk Trusso (another name of the trigeminal neuralgia) develops in the able -bodied part of the population or in the elderly.

Causes of trigeminal neuralgia

The soreness of the trigeminal nerve is caused by its irritation. This happens as a result of close contact of the nerve and arteries at the base of the cranial bone, which causes its infringement. In addition, compression of the nerve can cause any neoplasm or extensive sclerosis, leading to degeneration of the myelin membrane of nerve branches.

Factors that become a “impetus” for the disease can be of different nature. It can be both internal diseases of the body, and the adverse effects of the environment.

The most common causes of neurology are:

• injuries of the face and cranial bone, regardless of severity;
• strong hypothermia;
• stem stroke;
• multiple sclerosis;
• the pathological state of blood vessels that run near the branches of the nerve (atherosclerosis, aneurysm, the abnormal structure of the vessels);
• metabolic dysfunction;
• chronic ailments;
• neoplasms of any nature;
• the cystic-stirling process at the place of passage of the compressed nerve. This happens after the eye diseases, the ENT-organ, and teeth that ended with the operation;
• a viral infection is also capable of affecting the triple nerve. The herpes virus is a special threat;
• chronic source of infection (adenoids, sinusitis, caries);
• immune dysfunction caused by inferior nutrition, emotional shock, immunodeficiency virus.

Important! Zevota, mechanical hygiene of the oral cavity, chewing of solid food, smile, touch, cold can provoke increased pain during trigeminal nerve neuralgia.

The study of this disease made it possible to establish categories of people who are sick more often. People fall into the risk group:

• at the age of 45+;
• located in conditions of stress;
• allergies;
• with severe hypovitaminosis;
• suffering from parasitic infection;
• with chronic diseases of the endocrine system.

Important! Neuralgia initially covers only a small segment of the trigeminal nerve. At this stage, treatment is the most successful. If the disease begins to progress, inflammation goes to the entire nerve and a chronic incurable form develops.

Trigeminal neuralgia - symptoms

The leading symptom of trigeminal neuralgia is a pulsating short -term pain. But this disease may be accompanied by other signs:

• Abundant lacrimation (often only from one eye).
• Colorless discharge from nasal passages.
• Extensive redness of the eyes, including the mucous layer and eyelid.
• Switching muscle contraction on the face.
• A slight increase in body temperature.
• Reducing sensitivity on the face (partial numbness, crawling of “goosebumps”).
• Atrophy of facial muscles as a result of blood flow disorders. The loss of eyelashes, teeth, the appearance of deep wrinkles, and a skew of the face may be observed. Perhaps a deterioration in chewing function.

Neuralgia of the trigeminal nerve of the face often causes psyche disturbance. With a laughter, during food and even ordinary yawn, the patient feels severe discomfort, which contributes to the appearance of irritability, hopelessness, depression, and isolation. A person refuses food, he has a sleep. In severe cases, suicidal thoughts are recorded.

During a pain attack, which lasts no more than two minutes, the patient is characterized by characteristic behavior. He does not have a violent reaction (scream, crying), he is practically immobilized, twitching of the facial muscles is more frequent at the peak of the attack.

Trigeminal neuralgia - diagnosis

The cause of contacting the doctor is severe pain and deterioration. The doctor to prescribe suitable treatment should distinguish neurology from other pathologies, and then establish the cause of compression of the nerve.

To obtain all the necessary information, the patient is directed to the following studies:

• general analysis of biomaterial (urine, blood);
• magnetic resonance tomography (prescribed with the aim of excluding a tumor or pinching);
• angiography (determination of the patency of blood vessels through contrast and radiographic examination).

Based on the results, the patient is a treatment regimen. As a rule, therapy consists of several techniques that complement each other and allow you to quickly normalize the patient's condition.

Important! If a herpetic cause of neurology is suspected, the patient is aimed at donating blood to determine the antibodies to the herpes virus of all types.

Trigeminal neuralgia - treatment

Therapy should be complex and solve the following problems:

1. Eliminate the root cause of neuralgia.
2. Remote the nervous system in order, weakening its excitability.
3. Activate the process of regeneration of the myelin shell of the damaged nerve.
4. Complete the work of the affected branch of the nerve.

To obtain stable remission, neuralgia is treated with the help of three generally accepted techniques - drug, surgical and physiotherapeutic. Which approach to choose depends on the severity of pathology.

Available drugs for trigeminal neuralgia

The main part of the treatment is taken by the intake of anticonvulsants. They comprehensively affect the whole organism, exerting psychotropic, analgesic and anti -epileptic effects. The purpose of their appointment is to restore sodium-potassium passages of membranes, which conduct nerve signals.

Effective anticonvulsant drug - Finlepsin. With trigeminal neuralgia, it reduces the intensity of pain, stabilizes neurons membranes, prevents muscle cramps. It enhances the effect of additional anticonvulsants, therefore is recommended for combined treatment. In addition, Finlepsin has a pronounced normotic effect (increases mood, eliminates depressive syndrome).

The tool is available in tablets and is accepted according to a certain scheme. Therapy with minimum daily dose (200-400 ml) begins, divided into two doses. Gradually, the dose increases and stops by 400 ml three times a day. When the pain ceases, the patient is transferred to maintenance treatment - 100 ml twice a day.

Along with Finlepsin, carbamazepine is used for trigeminal neuralgia. This is an absolute analogue of Finlepsin of domestic production. The drug has the same therapeutic effect, but its cost is much lower.

Also, in the treatment of trigeminal agents, other anticonvulsants are used - Lamotridine, Gabantin, Stasepine. They remove convulsions, block the output of neuromodulators, help to overcome depression.

Important! Carbamazepine (Finlepsin) is attributed to psychotropic drugs with a large list of contraindications and side effects, so it is released only according to the recipe.

In addition to anticonvulsants, to facilitate the condition of the patient, they can be prescribed:

• Musorelaxants (Baclofen, Midocalm) - they reduce the degree of excitation of the nerve endings, anesthetize, resume blood supply to the brain, and reduce muscle tone.
• Vitamin complexes. As a rule, this is a complete set of B vitamins, which has an antidepressant, regenerating effect, protect nerve cells from the negative effects of outside. Additionally, omega-3 acids can be prescribed in order to activate the production of myelin.
• Antihistamines (dimedrol, suprastin, pipalfen) - are designed to support the effect of anticonvulsants.
• Antidepressants and sedatives. Amisine deactivates nervous receptors, eliminating signs of psychosis. Amititriptylin establishes the work of neurotransmitters, eliminating the cause of depression.

Important! Treatment of trigeminal neuralgia at home can be carried out only under the supervision of a doctor. If the disease is very progressing, the patient goes to the hospital.

Surgical approach in the treatment of trigeminal neuralgia

If a three -month course of treatment does not give a stable result, the patient can be carried out surgical intervention. True, this option is possible only in some cases:

1. The presence of a tumor in the brain.
2. Microbial decompression (improper position of expanded vessels).
3. The narrowing of the area where the trigeminal nerve comes from.

Removing the damaged area can be carried out in several ways. Modern and less traumatic is considered to be a cyber-knife and a balcony compression. Reviews and other outdated methods often cause complications and do not always lead to complete recovery.

Note! In the acute course of the disease, it is often required to anesthetize the trigeminal neuralgia. For this, narcotic substances can be used - morphine or sodium oxybutirate.

Physiotherapy for trigeminal neuralgia

Physiotherapy helps to reduce pain in neuralgia. One of the effective methods can be prescribed depending on the severity of the disease:

1. Ultraviolet irradiation - relieves pain syndrome. 10 sessions are held on the area of \u200b\u200bthe face and neck.
2. Laser therapy - slows down the movement of nerve impulses, stops pain, inhibits the sensitivity of the nerve endings. The laser affects the affected branch of the nerve and the formed nodes.
3. Electrophoresis - relaxes muscle tissue, quenches the pain. For treatment, use novocaine, diphenhydramine, vitamins of group V.
4. Diadynamic currents - improve well -being, prolong the duration of remission, increase the pain threshold.
5. Massage - aimed at the prevention of atrophy of the chewing muscles. It is used only during the period of remission.
6. Acupuncture - needles affect receptors responsible for pain, which helps to overcome the attack.

Treatment of trigeminal neuralgia by folk remedies

Together with drug treatment, different home recipes are often used. They help reduce pain and stabilize the condition of the muscles of the face. For this, various tinctures, compresses, oils and ointments are often used for trigeminal neuralgia.

1. Alcohol rubber: 100 ml of vodka, 200 g of honey, 300 g of black juice are mixed. The product is applied to the affected nerve and rubbed.
2. Mummy: 15 g of mummy dissolves in 250 g of water, then 1 tsp is taken. Means and mixed with the same amount of water, drunk in the morning and before bedtime. Therapeutic course is 10 days.
3. Wine with spices: in 250 ml of wine (only dry), ½ tsp is added. Cinnamon, 2-3 cloves, 2 l. Sugar, ¼ tsp. Pepper, bay leaf, slice of lemon. Then the wine is brought to a boil, insisted. Wine is accepted in the morning of 100 ml in heated form.
4. Egg: boiled egg is cut in half and applied to an inflamed place. The procedure is carried out until a complete loss of pain.
5. Garlic oil: 1 tbsp. l. Garlic oil is added to 500 ml of the ridge, and then the resulting product is rubbed into the forehead and the temporal zone several times a day.
6. Altheus infusion: 2 tbsp. l. Dry raw materials (aboveground) are poured 250 ml of boiling water, left overnight. The gauze is moistened in the infusion and applied to the source of pain. You can also use chamomile, geranium leaves, birch buds.
7. Ointment: 20 g of lilac flowers are brewed in a glass of boiling water, filtered and mixed with petroleum jelly to a cash -like consistency. The ointment is rubbed into the skin and covered with a scarf.

Important! The use of any folk remedies is possible only after consulting with the attending doctor.

Forecast and prevention measures of trigeminal neuralgia

Neuralgia in an advanced form can cause irreversible complications. The most dangerous of them:

• paresis (paralysis) of facial muscles;
• borderline decrease in hearing;
• atrophy of the facial muscles.

Important! The risk group includes elderly people (especially women), patients with cardiovascular pathologies or incorrect metabolism.

Simple prevention measures help prevent the disease:

1. Avoid any critical hypothermia.
2. Treat infectious diseases in time.
3. Adhere to a balanced diet.
4. Take a regularly check for the development of atherosclerosis (if there is a predisposition).
5. Once every six months, undergo an examination by a dentist and treat caries.

Remember, it is easier to warn the trigeminal neuralgia than to treat for a long time. Therefore, special attention should be paid to the prevention of the disease. If the disease could not be avoided, do not self -medicate, taking painkillers, and immediately go to the doctor. Only a rational therapeutic course will help to overcome this disease.

Video: trigeminal neuralgia