Soft tissues such as muscles, tendons, fascia and ligaments are used every day in your every movement. Any poor posture, overuse, sports injury or accidental injury will damage the soft tissues. The damaged soft tissues lead to only one result, which is to repair the damaged soft tissues by scarring. When the injury becomes more and more serious, the soft tissues are also full of shrinkage structure tissues. When scar tissue increases, its contraction force becomes stronger and stronger. This is why we feel pain. When various parts of the body are compressed by scar tissue, pain occurs in your shoulders, neck, waist, back, legs and so on.
What about headaches?
Headaches occur when blood circulation in the head is not smooth, resulting in reduced blood supply and lack of oxygen. The principle is very simple. This can explain why altitude sickness causes headaches. But why is there less blood supply? There are many reasons, such as anemia, aging, etc., and nasal problems, tight neck, shoulders and back pain, etc. may aggravate the problem of anemia and lack of oxygen.
Will the pain heal itself? Sometimes yes, human body has the ability to heal itself, if the pain affects your life for a long time, it means that the soft tissue is seriously injured and the scab cannot be dissolved, and it needs to be treated as soon as possible.
Trigeminal neuralgia (TN) is considered one of the most painful conditions known to mankind, a long-term painful condition that affects the trigeminal nerve, which is responsible for facial sensation and motor functions. So far, the medical community generally believes that the cause of TN is unknown. If the capillaries are excessively expanded and compress the nerves for some reason, this is typical TN. Since the real cause is unknown, current medicine is to reduce or eliminate the pain by reducing the pressure on the trigeminal nerve.
TN treatment usually starts with medications and some people don't need any additional treatment. However, over time, some people with the condition may stop responding to medications, or they may experience unpleasant side effects such as dizziness, confusion, drowsiness and nausea. For those people, injections or surgery provide other TN treatment options.
For 75% of patients with TN, the pain can be controlled with medication. For those who fail medication therapy, surgical options include microvascular decompression (MVD), percutaneous radiofrequency rhizotomy (RFR), and stereotactic radiosurgery (SRS). Percentages of postoperative facial numbness were MVD=11%, RFR=52%, and SRS=28%. At two years, the rates of recurrence requiring a second procedure were MVD=22%, RFR=74%, and SRS=31%.
( The cost-effectiveness of surgery for trigeminal neuralgia in surgically naïve patients: a retrospective study. Clin Neurol Neurosurg. 2015 Oct.)
Since the failure rate of craniotomy and decompression surgery is so high and long-term medication is so harmful to the body, why do we continue to use this treatment? It is so-called lesser of two evils. But, is there any other better option?
The purpose of current neurosurgery (MVD) is to relieve the compression of the trigeminal nerve from adjacent blood vessels, but what exactly causes blood vessels to compress the trigeminal nerve? The skull is the safest place in the human body, how can blood vessels lose its balance and compress nerves? If we don't know the cause, how can we treat it? Is it the best way to drill a hole in the skull and put a Teflon sponge between the blood vessels and the trigeminal nerve? Will Teflon sponge cause a new compression? What are the consequences of the new oppression and why is the recurrence rate as high as 22% two years after surgery? Can we tolerate the after-effects of surgery, such as hearing loss, facial nerve palsy, tinnitus, brain stem damage, and the same surgical risks as any major surgery, such as infection, excessive blood loss, cerebrospinal fluid leakage, anesthesia risks, etc.? Yes, we can and must take it, because trigeminal neuralgia is even more unbearable.
And what about nerve blocking? Making the nerves lose their original sensory function to achieve the purpose of pain relief? RFR/SRS, like medication or MVD, is not a long-term solution to the root cause, but a "temporary" solution to a problem, leaving us just helplessly accepting the new problems (side effects) created or its even higher failure rate.
Because the cause is unknown, the current mainstream treatment can only be regarded as a last resort, even though microvascular decompression (MVD) has been developed for more than 30 years. Of course, who doesn't want to solve the problem from the root? But, is the cause really unknown? Let's take an example, a rubber water hose is partially buried in the soil or in well protected locations, and a large part of it is exposed in places where people move around frequently. Is it more likely that the exposed rubber hose will be accidentally compressed? Once this happens, the pressure of the rubber hose inside the soil will of course increase. Rubber hose is not a metaphor for nerves, the human body is about 70% water, the human body is a metaphor for a rubber hose.
Since the inside of the skull is so safe and most tightly protected area of the human body, and the soft tissue inside is almost immobile, the chance of damage must be very low. On the contrary, the muscle soft tissue structures such as the face, neck, and shoulders that we use every day, whether it is talking, chewing, exercising, or staring at your phone or computer for a long time in various bad postures. If the muscle soft tissue is damaged for various reasons, the soft tissue damage will only result in scab tissue (hard tissue), which is the source of internal pressure. Since the human body structure is interconnected, which pressure will naturally be transmitted to the skull, resulting in one in every 8,000 people having the trigeminal nerve affected. You may ask, how can we prove that the intracranial pressure comes from outside the skull? The best proof is that we have successfully treated hundreds of patients with trigeminal neuralgia through extracranial decompression. After two to three treatments, their condition can be improved by more than 80% or even completely recovered.
The probability of increased intracranial pressure caused by extracranial factors is undoubtedly high. The treatment we perform is minimally invasive decompression of extracranial soft tissues. Extracranial pressure is released, the overall pressure returns to balance, and the pain disappears naturally. “If we don’t address the imbalance, we can’t fix the problem, we can’t just isolate it,” Dr. Hsu explains. “Acupotomy treatment ensures that the pressure in the body is balanced through all the pathways, removing blockages and correcting underlying imbalances that have been in the body for years.” This is also the safest alternative treatment so far, without any side effects.
Acupotomy is a fusion of TCM acupuncture and scalpels. It can act both the role of acupuncture and scalpel in treatment. The history of acupotomy treatment began when Chinese doctor Zhu Hanzhang invented and announced it in the 1970s. Since then, in China, it has been officially approved as a teaching material for Chinese universities since 2004.
In fact, "needles with blade-shaped tips" already existed in ancient China about 2000 years ago. Records of this can be found in the oldest Chinese medical book, "Huangdi Neijing Lingshu," in the section explaining nine types of acupuncture, known as "nine needles." Of these nine types of acupuncture, there were three types of "cutting needles," which were used at the time to cut the skin to drain pus or intentionally induce bleeding to achieve a specific effect.
The front end of the acupotomy is a sharp blade with three functions: cutting, separating and shoveling. During the operation, the doctor inserts the blade into the acupuncture point between the bone and muscle to peel off the adhesions of the diseased tissue. The blade width is 0.6-0.8 mm, so it is more stimulating than acupuncture, and can peel off adhesions, release contractures, and treat chronic soft tissue injuries. After the treatment was done, what is left at the insertion site is the "needle eye" instead of the "incision edge". It will not leave any trace after healing.
Acupotomy closed surgery eliminates the four major pathological factors of chronic soft tissue injury and restores the dynamic balance of soft tissue by peeling off adhesions, releasing contractures, clearing blockages, and scraping away scars. Therefore, all diseases related to chronic soft tissue injury can be cured.
Acupotomy treatment can be very effective in treating patients with tendinitis, pain in the shoulders, neck, back, arms, waist, legs, knees and feet, tennis elbow, and lumbar disc herniation. Acupotomy can also effectively treat headaches, temporomandibular joint pain, sciatica, epilepsy, trigeminal neuralgia, and plantar fasciitis if used properly.
Acupotomy and acupuncture have different clinical indications. Acupuncture treatment is a kind of "stimulation" and is suitable for treating dysfunctional diseases. The acupotomy has the function of a "knife". In addition to its "stimulating" effect, it can also cut and loosen some scars, adhesions, contractures and other diseased tissues, which is something that acupuncture cannot do.
"Occasional pain is a natural part of life. Everyone knows the experience of pain. Chronic pain can affect your life, affecting your ability to work, sleep, and spend time with family and friends. When chronic pain disrupts your quality of life and cannot be improved, the principle of medical treatment is usually to find the most experienced doctor, use the most appropriate treatment, and achieve the best results with the least damage. Acupotomy treatment is such a treatment, but unfortunately, few people know about it.
The risk of acupotomy treatment is much lower than that of surgery, the effect is much greater than that of drugs, and the structural improvement is long-term, so it is a safe and stable treatment method. The cost of acupotomy treatment is undoubtedly much cheaper than surgery or PRP injections. Moreover, the acupotomy treatment time is short and the effect is immediate, which is definitely a better choice for treating strain."
New Perspectives on Treatment Option Of Trigeminal Neuralgia
Microvascular Decompression (MVD) for Trigeminal Neuralgia
Side Effects of Trigeminal Neuralgia Medication
Dr.Hsu and Neurosurgeon Talk About Trigeminal Neuralgia on TV
Your Ray Of Hope In Trigeminal Neuralgia Despair.
三叉神経痛で絶望的な気分のとき、私たちが希望の光となります。
👉 Dr. Hsu’s clinic is located in Taipei, Taiwan, no branches.