Treatment and rehabilitation of idiopathic 5th neuralgia

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Nerve pain 5 is divided into idiopathic pain and symptomatic pain (with a cause). In particular, idiopathic 5th neuralgia is quite common, causing uncomfortable pain for patients, making it impossible for patients to eat or sleep, always worry and reduce quality of life.

1. What is idiopathic 5th neuralgia?

Nerve pain 5 is a pathological condition that causes pain in the areas of nerve V, pain symptoms are very specific: Usually occurs suddenly, severe pain lasts from a few seconds to a few minutes , pain is spontaneous or comes from a certain point.
Cases of neuralgia 5 usually appear on only one side, if pain on both sides usually occurs after having pain in one side for a long time.
Most cases of neuralgia 5 are completely normal on physical examination or 5 neuralgia is idiopathic. However, there are also some cases of migraine associated with some pathologies of the pontic - cerebellar gyrus such as multiple sclerosis, meningioma, 5 neuroma, epidermoid cyst.

2. What are the common symptoms of idiopathic 5th neuralgia?

5th nerve pain usually begins with a burning or electrical current in the face that alternates with periods of no pain. Every day can appear many pain, each pain lasts a few seconds to a few minutes, in pain the patient is very painful, can not work or move. Over time, the pain will increase in both frequency and intensity, pain occurs spontaneously when speaking, chewing or when stimulating a point (skin, oral mucosa). In addition to the pain, the patient is completely normal, there is no feeling of numbness or tingling in the pain area, and there are no other accompanying lesions.
Regarding specific pain sites, in the early stages, patients often have pain on one side, often in branches V2 or V3 or both branches. Injury to V1 branch alone is rare, the most rare is pain in all 3 branches at the same time and usually occurs only in the later stages when the pain has spread to the innervation of the ipsilateral branches.

3. Treatment and rehabilitation of nerve pain 5

The treatments for 5th nerve pain have both medical and surgical specifics as follows:
3.1 Drug therapy Anticonvulsant drugs such as Phenytoin and Carbamazepine to control nerve pain, low starting dose then gradually increase to 1200 mg/day.
3.2 Surgical treatment Surgical treatment is indicated when long-term medical treatment with 2 drugs at high doses is no longer effective.
Group of methods of nerve damage 5: It is a method of injecting alcohol along the path of the V nerve such as the supraorbital nerve, the suborbital nerve, the V2 or the V3 fast branch. However, this method will cause temporary loss of sensation or cause paresthesia. In addition, it is also possible to cut the peripheral V nerve, cut the nerve near the pons or open the V nerve, and freeze the V nerve at the percutaneous ganglion by radio waves Method without damaging the V nerve: It is a method Microvascular decompression is commonly applied in neurosurgery centers around the world, providing the most effective results. The 5th nerve pain rehabilitation methods include:
Heat therapy: Warm dose infrared rays, hot compresses Ultrasound therapy Transcutaneous nerve muscle stimulation by electrical pulses or interference currents. Nerve pain 5 is a manifestation of some damage and is easily misdiagnosed with dental disease. Therefore, when the patient has symptoms such as facial pain, the pain occurs suddenly, quickly, ... it is necessary to immediately go to a medical facility for examination and diagnosis; Depending on the symptoms, the doctor will have timely and appropriate treatment measures. To avoid complications and help the treatment process achieve the highest efficiency, you should choose reputable and quality medical facilities.

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