Neuralgia

Neuralgia.  Collage MedPortal.ru

What is it?

Neurology — these are diseases of the peripheral nerves, accompanied by bouts of severe pain. Depending on which part of the nervous system causes pain emit various types of neuralgia.

The most common of them — is trigeminal neuralgia, which occurs in 50 out of 10 000 or more frequently seen in women older than 40 years. For the first time in medical history, information about the disease found in the works of the famous Chinese physician Hua So, who lived in the first century AD. In Europe neuralgia trigeminal nerve was first described by the English physician D.Fotergillom in the book "Painful defeat person" in 1781

Why did this happen and what is happening?

Contribute to the development of the neurology trauma, infections and severe respiratory illnesses, as well as hypothermia.

Prosoponeuralgia may be the result of facial injuries suffered by an inflammation of the sinuses, teeth patients (pulpitis), even malocclusion. Attack pain of trigeminal neuralgia can occur at any time: in response to hot or cold foods, to loud noises, strong light, even during brushing. In addition, there are on the face of the so-called trigger ("triggers", "Trigger") zone, even a small touch which causes an acute attack of neuralgia — is, above all, the wings and the tip of the nose, upper lip and gums. The attack begins with the appearance of "precursors" — itchy skin, feeling of "creeping chills", and then manifests itself in the form of a sharp, "shooting", to tears excruciating pain that lasts more than a few minutes. In an attempt to ride out the attack, the man freezes in place, answers questions in monosyllables, with difficulty opening the mouth involuntarily can smack one's lips.

Constant, at least — paroxysmal pain in the ribs, worse when coughing or sneezing, suggests that you may have intercostal neuralgia. Most often, the disease is the result of degenerative disc disease of the spine.

Shooting pain on the outside of the thigh is shown at neuralgia external femoral cutaneous nerve. The attack is enhanced by motion, apply the skin burning, numbness.

Severe in attack neuralgia pterygopalatine site. It begins suddenly, usually at night, and can last from a few hours to two days. In this case, burning, pain arching cover the sky, whiskey, eye area, neck, and extending further towards the wrists.

Quite rare glossopharyngeal neuralgia nerve— The attack begins pains in the throat and extends to the ear and jaw. In this disease, there are also trigger points — in the back of the mouth, in the area of the tongue, tonsils.

Similar symptoms occur when occipital nerve neuralgia— Bursting pain spread from the back of the head to the temples and the eyes, the pain increases with movement, bringing people to nausea and vomiting.

Diagnosis

The initial treatment step is to search for and remove the causes of neuralgia — for example, it may be treated patients teeth. If you suffer from bouts of neuralgia, not console themselves with the thought that the attack can be alleviated by drugs — be sure to visit a neurologist.

Under the guise of neuralgia can hide a variety of diseases, so depending on the area of pain may need to study using magnetic resonance imaging, electrocardiography, radiography.

Treatment

For removal of an attack of neuralgia pain relievers used anti-inflammatory drugs, some anticonvulsants. In severe attacks may require narcotic analgesic or anesthetic blockade of the nerve trunk. By the way, according to some doctors, severe irritation of the same trigger zones during the attack can stop it.

The range of treatments for neuralgia is very wide — from physical therapy to surgical measures (when not helping either medicine or physiotherapy). Good effect in the treatment of neuralgia makes use of acupuncture, laser puncture, pulse current of low voltage and low frequency, magnetic and electromagnetic fields, infrared and ultraviolet radiation, ultrasound, electrophoresis of drugs.

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