Neuralgia of the facial nerve. Inflammation of the facial nerve - treatment
Neuralgia is a condition that is accompanied by acute pain in the location of the nerve trunks. This disease is not peculiar to older patients. It is often found in young people. Especially often the disease is noted in women. A significant proportion of patients have a lesion of the facial nerve (pathology symptoms and therapeutic methods will be described later in the article).
Before explaining what neuralgia of the facial nerve is, it should be considered in more detail. What functions does it perform? The facial nerve is an element of the innervation system of the facial area. Ensuring sensitivity is its main function. In this regard, the branches of this nerve are located on both sides of the face. They are “fed” to each organ of the front of the head. Neuralgia of the trigeminal nerve - a disease that is accompanied by a disorder of its functions.It is characterized by short, but extremely strong bouts of pain. In most cases, this pathology is accompanied by a chronic course. In place of the acute comes a long period of calm. At this time, the patient does not feel pain. According to some experts, neuralgia of the facial nerve is not an independent disease. Sometimes it is not possible to establish its source.
The main causes of
The neuropathy of the facial nerve in most cases is of a vascular nature. As a rule, pains appear after hypothermia. September and March - incidence peaks. People walk without headgear, while cold winds start to blow in the off-season. Many continue to wear light jackets. Summer residents, returning from the gardens, sleep around the open windows in the train. In the ear region, the facial nerve exits the skull. Due to hypothermia, a spasm of the vessels feeding it occurs. In this regard, the nerve "wedges" in the walls of the bone canal. Swelling occurs. The power of the nerve deteriorates further due to jamming. The result is a vicious circle. At present, it is widely believed that squeezing of the nerve in vessels (with physical disruption) is the main etiological factor of this disease.The same applies to sclerotic plaques (abnormally overgrown). Less commonly, these may be tumors located in the peritoneal zone, as well as other neoplasms. Neuralgia of the facial nerve can also occur for a number of other reasons, among them the following are distinguished:
- The specific structure of the bones (innate) of the base of the skull.
- Constriction of the bone canal (may be caused by caries, inflammation of the maxillary sinuses and gums).
- Herpes virus (in individuals with a weakened immune system).
It often happens that it is not possible to establish the exact cause of the disease. In this case, neuralgia of the facial nerve is considered idiopathic.
Regular bouts of pain may be caused by the following:
- Brushing your teeth.
- Chewing on solid food.
- Long talk.
- Fall immunity.
- Face injuries.
- Exposure to wind.
- Endured stress.
All manifestations of pathology usually focus along the nerve trunk, which is subjected to pathological effects. These are the following areas:
- The jaw.
As a rule, the points of approach of the nerve to the epidermis are the most painful. In this case, the chin and orbit are implied. Facial neuralgia has a characteristic feature. It usually affects only one side. Although in some cases there is also a bilateral form. Patients experience different sensations. However, in most cases there are common manifestations that indicate that the patient has neuralgia of the facial nerve. Symptoms are most often the following: intolerable, burning-jerking pains that can last from a few seconds to a few minutes. As a rule, discomfort appears in the nasolabial triangle. Then they spread to wider areas. In the case of spontaneous neuralgia, a person may suddenly stand still. Sometimes he begins to intensely rub his face. Sudden pains can be transmitted to the scalp, teeth, ears, and even fingers. Very often there is a painful peak. This is due to the fact that the muscles next to the affected nerve spasm. The clinical picture of the disease is complemented by other symptoms, among which are the following:
- Uncontrollable lacrimation.
- Burning after intense pain ceases.
- Uncontrolled drooling.
- Redness of the skin of the face (in the form of spots or general).
- Lack of pain at night.
- Reduction of unpleasant sensations after strong pressure on the skin.
The main danger of the disease
Some people have single episodes of neuralgia throughout their lives. In others, the disease can occur in the form of exacerbations and remissions. Inflammation of the facial nerve is dangerous because over time it may begin to progress. This is accompanied by an increase in acute periods and increased pain. Unpredictable seizures can affect the occurrence of mental disorders. If a person has inflammation of the facial nerve, he expects pain. In some cases, people lose their self-control. They neglect physical activity, quit their jobs, stop caring for personal hygiene and eat incompletely. There are also especially severe cases. Because of deep depression, patients sometimes decide on suicide.
If the patient is diagnosed with neuralgia of the facial nerve, treatment should be aimed at eliminating the cause of its occurrence.All this must be confirmed by thorough diagnosis. It is also necessary to conduct a differential comparison with the following head pathologies:
As a rule, if neuralgia of the facial nerve is detected, treatment includes taking several drugs from the following group:
In most cases, the drug of choice is the drug "Carbamazepine." However, it has many side effects. For this reason, its use requires regular evaluation of the liver and monitoring of blood parameters. As for the course of treatment, it can be long. At the same time the dosage is gradually reduced. In case of failure of the first, second-line drugs are used, which belong to the same pharmaceutical group. Among them:
The appointment of additional drugs
When the facial nerve is chilled, the treatment is selected individually. Often, centrally acting muscle relaxants are prescribed, among them:
The above drugs help eliminate muscle cramps. At bedtime, it is recommended that patients use antidepressants. Trazodone and Amitriptyline are often prescribed. Also, intramuscularly injected vitamins of group B. If the facial nerve is chilled, then special creams and ointments can be applied topically. They must contain non-steroidal anti-inflammatory components. These drugs will help alleviate pain. The most commonly used drugs are:
- "Quick Gel".
Features of therapy in hospitals
The following procedures are performed in medical facilities for pain relief:
- Microcurrent therapy.
- Electrophoresis with lidocaine and novocaine.
Also, the use of analgesics and nonsteroidal anti-inflammatory drugs helps to alleviate the patient's condition.
Additional therapeutic measures
One of the effective measures for pain relief, if the patient has an inflamed facial nerve, is massage. The patient can do it yourself. Before this, it is imperative to consult the attending physician.Otherwise, there may be new bouts of pain. So it is better to exclude the wrong technique of execution immediately. Basic massage techniques:
- Light vibrating movements in the cheeks and cheekbones.
- Rubbing the arms, neck, shoulders.
- Stroking the neck.
- Massage in the area of the nasolabial triangle, forehead, eyebrows (performed with finger pads).
Each movement must be performed without strong pressure. Vibrating massager can be applied. However, before this you need to consult a doctor. The duration of sessions is up to 5 minutes daily. The course includes 25 procedures.
Relieve the state during the next attack of pain will help the reduction and movement of the muscles of the face. It also helps to reduce nerve compression in the future. Such gymnastics brings significant benefits. In particular, this refers to the following:
- Warns the development of stagnation in the muscles.
- Conducted nerve impulses (if it was broken).
- Optimized lymph flow.
- Blood circulation is improved.
It is recommended to perform exercises in front of a mirror. Because of this, the process is better controlled.One session of gymnastics involves the following exercises:
- Raising the eyebrows up (at the same time, the forehead is fixed by hand).
- Closing and opening the eyes (while the eyelids are strongly compressed).
- Pulling the cheeks.
- Putting the lips in the "tube", stretching them in a smile.
- Inhalation of air and its subsequent exhalation through the gap in the lips.
- Stifling the head and neck towards each shoulder (as far as possible).
- Circular head rotations and tilts.
For the treatment of this disease are very often used and traditional methods. Of course, they will never replace a full medication. However, traditional methods are able to relax the muscles, as well as relieve pain. Thus, it is quite possible to increase the time before the start of a new attack.
- Birch buds need to insist on vodka. At 0.25 liters you need to take three spoons of raw materials. Kidney infused for twenty days. After that, on the sore area you need to do daily compresses.
- It is necessary to rub horseradish. It is applied to the skin of the face for about 10 minutes. In this case, it is used as a lotion.
- Required to collect the lilac buds.It will be enough to 50 g. Next, you need 300 ml of water. Kidneys are boiled for 15 minutes. Next, you need to melt two spoons of pork fat. Decoction is added to it (1 tbsp.). The received ointment needs to be used every day. Compresses are made from the decoction, which must be applied for 30 minutes.
- With this disease it is very useful to drink teas from the following herbs every day:
- Raspberry leaf
The above plants help reduce inflammation, improve body resistance and relax muscles. All patients need to remember that an adequate therapy for neuralgia can be prescribed exclusively by a doctor. In this case, it is impossible to self-medicate.
Spring-autumn periods are a time of exacerbation of neuralgia. Prevent the recurrence of the disease will help timely treatment to a specialist. Most of the symptoms can be completely stopped by the use of anticonvulsants. As a rule, seizures no longer return. The pathology that has arisen due to injury, is easier than other cases, amenable to drug therapy.The same applies to the disease that has developed in young people. As for elderly patients, in this case, it is very often possible to return patients to a fulfilling life only through surgical intervention. Disease prevention involves compliance with the following measures:
- Timely elimination of any acute infections.
- Enhance immunity.
- Reducing the harmful effects of stress.
- Avoiding hypothermia.
- Timely treatment of sinusitis, sinusitis and teeth.
Neuralgia is a severely tolerated disease. However, it is curable. Timely treatment and compliance with preventive measures is the key to a quick return to a full life.