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Many patients are now experiencing a lot of fatigue when facing the 5th nerve pain – which occurs suddenly and severely. So what is the best method to overcome this situation? Does V nerve pain need surgery or not?
1. Learn about 5 neuralgia
Nerve pain is often described as severe and sudden pain that can last from a few seconds to a few minutes. Most of the pain occurs on one side, but there are cases that occur on both sides (about 3% - 6%). This is not a disease but a symptom expression, with a high incidence in the 50-60 age group, especially over 70 years old. In addition, this symptom is also related to a number of different etiologies and pathogenic mechanisms.
Also pay attention to distinguish symptoms of neuralgia 5 from pain caused by other nerves such as neuralgia IX, Reader's syndrome, cluster headache, temporomandibular joint pain, dental disease, pain posterior facial nerve injury...
Đau dây thần kinh số V thường xuất hiện một bên
2. Typical manifestations of 5 . neuralgia
Normally, when V nerve pain occurs, the pain will flare up in waves, take place and end extremely suddenly and quickly. These pains will recur frequently, irregularly, and sometimes disappear spontaneously.
The pain can arise spontaneously or when there is an impact such as washing the face, shaving, frowning, talking, chewing... Most pain can last from a few seconds to a few minutes. , however, in a small number of cases lasting more than several hours.
5th nerve pain usually has 2 types:
Primary pain: Starts with a certain irritation in the facial skin, gradually develops into more intense pain, lasting about 10-30 seconds. Secondary pain: The pain is less severe but is persistent and constant, not coming from any one area. This is a sign that the 5th nerve may be damaged.
Cơn đau đầu có thể phát sinh tự nhiên trong vài giây đến vài phút
3. Causes of 5 neuralgia
As mentioned above, there is no known cause of nerve pain symptoms. However, some researchers think that some chronic trauma to the V nerve will resolve the symptoms. protective sheath as well as myelin conduction. These injuries can come from:
Accidents or surgeries that damage nerves. Due to a number of diseases such as systemic fibrosis, lupus erythematosus ... In addition, 5th neuralgia is also associated with other diseases such as:
Viral diseases, typically shingles: Causes frequent pain until the erythema heals. If there are stimuli, the pain in the 5th nerve will be more severe. However, as the disease subsides, these pains also disappear. Infections, especially syphilis, can also cause Vth nerve pain. Diabetes. Biochemical changes in nerves. There are abnormalities in blood vessels, tumors... pressing on the V nerve. Some secondary causes of nerve pain 5 include: tooth abscess, tooth decay, sinusitis, cancer. nasopharyngeal... Brain tumor, nerve tumor, epidermoid cyst...
4. How is 5th neuralgia diagnosed?
The diagnosis of this symptom is also trying to find the cause of the disease. As a result, doctors may conduct a variety of examinations and tests:
Physical examination; X-ray and CT scan of the skull to evaluate for pain-related abnormalities; Examine blood vessels through CT Scan or magnetic resonance imaging (MRI).
Chẩn đoán bệnh đau dây thần kinh số V bằng hình ảnh
5. Answer the question: should V nerve pain have surgery?
The answer depends on the cause of the pain. Based on the results of previous tests and examinations, the doctors will diagnose exactly why the patient has 5th nerve pain and from there give the appropriate treatment.
5.1 Medical treatment Often use anticonvulsant drugs such as Dilantin, Phenytoin, Carbamazepine... In which, Carbamazepine is a very popular drug to control pain in the 5th cord. Some other doctors Phenytoin was chosen due to its relatively low cost and few side effects. However, this drug is less effective than Carbamazepine.
Usually, the treatment of 5th nerve pain will be started with Carbamazepine or Phenytoin at a low dose, then gradually increased.
Some other drugs such as Baclofen, clonazepam... can also be used, but not as effective as the two drugs above.
5.2 Surgical treatment (surgery) This is the most common
5 nerve pain treatment with over 90% of cases. The surgical treatment has quite a lot of methods up to the present time:
Destroy Gasser lymph nodes by high frequency waves; Selective resection of the nerve root after the Gasser ganglion; Circuit decompression. In general, doctors recommend treating 5th nerve pain with surgical treatment in combination with drugs, meaning that 5th nerve surgery is necessary to eliminate this symptom early. . Currently, Vinmec International General Hospital is one of the leading prestigious hospitals in the country, trusted by a large number of patients for medical examination and treatment. Not only the physical system, modern equipment: 6 ultrasound rooms, 4 DR X-ray rooms (1 full-axis machine, 1 light machine, 1 general machine and 1 mammography machine) , 2 DR portable X-ray machines, 2 multi-row CT scanner rooms (1 128 rows and 1 16 arrays), 2 Magnetic resonance imaging rooms (1 3 Tesla and 1 1.5 Tesla), 1 room for 2 levels of interventional angiography and 1 room to measure bone mineral density.... Vinmec is also the place to gather a team of experienced doctors and nurses who will greatly assist in diagnosis and detection. early signs of abnormality in the patient's body. In particular, with the space designed according to 5-star hotel standards, Vinmec ensures to bring the patient the most comfort, friendliness and peace of mind.
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
