Trigeminal Neuralgia Gets Worse in Autumn – What You Can Do

Trigeminal neuralgia often becomes more severe during the autumn season, and this is not uncommon. The condition is highly sensitive to temperature changes, especially cold exposure. As summer ends and cold autumn winds begin to blow, they can easily trigger the trigeminal nerve, causing intense facial pain. This makes autumn and winter peak seasons for flare-ups. Patients must take extra precautions to stay warm and avoid known triggers. Regular physical activity and a nutritious diet are also essential for managing the condition.

Common Triggers of Trigeminal Neuralgia in Autumn

1. Poor Nutrition and Improper Diet

One of the lesser-known causes of worsening trigeminal neuralgia is poor nutrition. Some individuals, especially those who follow restrictive diets or avoid carbohydrates, may experience increased pain due to a lack of essential nutrients. The nervous system relies heavily on glucose and B vitamins, particularly vitamin B1, to function properly. A deficiency can lead to lactic acid buildup in the brain, impairing oxygen utilization and potentially causing temporary nerve spasms. This can contribute to nerve inflammation and worsen symptoms. Women, in particular, should avoid extreme dieting and ensure they consume balanced meals with adequate carbohydrates and proteins.

2. Emotional Stress and Psychological Pressure

Emotional stress is a well-documented trigger for trigeminal neuralgia. Sudden emotional shocks or chronic psychological stress can overstimulate the nervous system and lead to painful episodes. It's important for patients to manage stress through relaxation techniques, mindfulness, or even counseling. Maintaining a calm and stable mental state can significantly reduce the frequency and intensity of pain attacks.

3. Failure to Protect Trigger Points

The trigeminal nerve runs through several sensitive areas of the face, including the mouth corners, nose, eyes, eyebrows, cheeks, and tongue. Everyday activities like brushing teeth, washing the face, or talking loudly can trigger sharp pain. Even weather changes, such as cold wind or low temperatures, can activate these sensitive nerve endings. Patients should take care to protect their face with scarves or masks during cold weather and avoid sudden exposure to temperature extremes.

Long-Term Treatment Options for Trigeminal Neuralgia

While preventive measures are crucial, they may not be enough for long-term relief. For many patients, medical or surgical intervention is necessary to address the root cause of the pain.

Microneurosurgery: The Most Effective Treatment

Microneurosurgery, specifically microvascular decompression (MVD), is considered the most effective and long-lasting treatment for trigeminal neuralgia. This procedure involves carefully separating the blood vessels that are compressing the trigeminal nerve using microsurgical techniques. Under general anesthesia, a small incision is made behind the ear, and a small opening is created in the skull. Using a high-powered microscope, surgeons identify the blood vessels or fibrous bands pressing on the nerve and gently move them away, placing a soft cushion between the nerve and the vessel to prevent future contact.

By eliminating the source of nerve irritation, this surgery can provide immediate and lasting pain relief for most patients. It also preserves normal facial sensation and function, allowing individuals to return to their daily lives without discomfort.