yimminy - I’ve read a LOT of entries on this website, but rarely replied to any entry.
Do yourself a HUGE favor and see a GOOD, experienced neurologist.
I’m 64, but finally arrived at the max of gabapentin (4800mg/day) years ago, and my pain finally subsided (I’m a little - no, PRETTY stupid now but I’m more-or-less free of devastating pain.) Don’t stop at 300mg/day of Neurontin and just call it a day. I’ve heard and read of many other similar stories from others. Better to be stupid than dead (and I was almost there - literally and mentally). At least ramp up on some anti-seizure drug, to see what it can do for YOU - and not just at some “regular” dosage that might impair you. This is unusually serious stuff, and it can take consequential measures.
I’ve had TN for YEARS but I didn’t get a neurologist that really KNOWS trigeminal neuralgia, but before then I saw jaw and tooth doctors TOTALLY misdiagnose my condition (my sister’s a dental hygienist, and I’ve worked at a hospital for over a decade, with access to many doctors and pharmacists). I’ve successfully used an out-of-town doctor at Vanderbilt in Tennessee (Moots), and I FINALLY got diagnosed correctly.
PLEASE do yourself a HUGE favor and see a doctor who knows (by EXPERIENCE) what they’re looking at. You can save yourself a LOT of money and a LOT of time and an absolutely rotten, horrible, misunderstandable(?) pain. Believe me - I’ve been misdiagnosed plenty of times and I HATE to hear that some doctors want to take your pain way too lightly - TN pain really is called the “suicide disease” for real and believable reasons. Mine hurts like a major beotch sometimes, but you really can get some relief, regardless if you have surgery or not. A qualified, EXPERIENCED neurologist doc is worth gold. This pain is absolutely rotten, and many docs don’t mind taking your (or your insurance) money for a split second - just in return for their OPINION alone! Do yourself (but maybe more importantly, your devastating, excruciating pain) a favor. It’s not worth spending your life in horrible agony. I did it (put up with that pain no one else can understand) for years until I saw an EXPERIENCED neurologist who can identify the unfathomable depth of pain of trigeminal neuralgia. (I don’t want to mislead you - you may very well have a different cause to your pain, but DON’T mess around with TN if you truly have it.) It’s difficult to diagnose unless they actually SEE it in an MRI, and can see that it matches TN by symptoms as well - even mine was misleading.)
May God truly give you good guidance with this type of issue. “Glowing” is the LEAST of your constant and persistent worries right now. Just get diagnosed CORRECTLY. It took me time plus a number of docs to figure it out. The rest of the money I spent is money truly down the drain - insurance or not. Ask for God’s best guidance, and be thankful. It took me a while to really listen, and then it took a while to realize I may have been putting my faith in some doc who gets a LOT of money REGARDLESS of their opinion. Again, ask for God’s best in your life. It’s not worth messing around with. I give God ALL the thanks for good advice AND for EXPERIENCED doctors who have matched all my symptoms with others’. I am pain-free enough, as well as happy (and otherwise healthy) so that I can live a fulfilling life with love and terrific marital sex. Ahhh… life for me is GREAT! Don’t live your life without God’s BEST. It’s definitely possible, and WONDERFULLY rewarding! I never thought it would be great again, and now I LOVE life! What a beautiful change!!
Thanks for your time in reading my words & experience. Don’t forget to ask God for the right guidance and message, and also to thank God for sound advice - not just mine or someone else’s.