Motor Cortex Stimulation

*ORIGINALLY POSTED ON THE MAIN PAGE, BUT I GOT NO FEEDBACK, SO I THOUGHT I WOULD TRY HERE.

Hello all,

I am wondering if anyone here has gone so far as to undergo Motor Cortex Stimulation in their efforts to eliminate, or lessen, the pain of Type II or I Trigeminal Neuralgia.

I'd like to know about your experience as a whole and the outcome.

I have just now begun to research this as an option, so I am not very educated in what is involved or the statistics of success, if there are any to be had out there. I intend to find the information that I can on the subject in coming weeks. However, I first and foremost want to begin by speaking with anyone who has undergone, or has experience, with the procedure.

Wishing everyone a blessed weekend.

Thank you in advance for any replies!

Stef

P.S. If you reply, please indicate whether you are Type I, Type II, or a combination symptom Trigeminal Neuralgia patient.

Stef - don't know anything about this, but I'm really curious too. Does this have anything to do with some type of electrical/shock stimulation? I plan to do some research on this also and will let you know what I find out. I have ATN. I have also read about using an antibiotic for tuberculosis for neuropathic pain. I asked Red if he has ever heard of it and he said no. I can't find any studies after 2007 for the use of the drug for neuropathic pain. I am still going to keep researching this also. The studies prior to 2007 looked promising.

Stef - I did. My story was written about at length on the Facial Pain Research Foundation's website. Here's the link. The info about my MCS is toward the bottom. http://www.facingfacialpain.org/index.php?option=com_content&view=article&id=87&Itemid=86 I have Type 2. I would caveat my story by noting that my experience was highly unusual - the chance of infection is only about 3%. There have been others that have had excellent success with MCS - I did too for that matter. I just wish I had been able to keep mine.

Tiffany

you have feedback! Dr. Brown refused MVD for me due to my widespread neuropthy.2 dys go to South Florida , I recieved 0 feedback from Van Loren head of neurosurgery.Tiffs story is heartrendering. I left with not one referral.

Since I am faced with reconstructive surgery, I am very frightened about touching the nerves..

I pray we get answers.

I thought that this was the surgery Michael Fox had. His was unsuccessful.

Dear Tiffany,

Thank you for sending the link to your story. Yes, perseverance is key in finding what will, or will not work of each of us suffering with this life-changing condition. I am disheartened to read that this did not pay off for you in the case of undergoing MCS.

Whenever I read about the procedure, I thought of the mechanics of how it works and, even before reading your story, had fears of possible complications such as what you experienced.

I mentioned my interest in MCS to my Pain Management Specialist upon my last appointment, as like you, as a Type II patient, it has been deemed that the usual procedures, both surgical and non-surgical, would, in all probability, be of no use.

I have discussed this option with my very close friends and family, well, and now with those here at LwTN, and do believe that I should try to stick it out on medications that I would rather not be taking, in order to raise my two girls into adulthood. My youngest is 8.

I have tried, I do believe, every offering of medication generally considered effective to the Trigeminal Neuralgia patient within the last several years. The only relief I have known has been through opiate therapy, which is why I began the group her, in order to try to de-stigmatize the use of these medication for those whom they DO help. I am thankful that they are of help to me. Unfortunately, I've read of far too many cases where nothing helps.

I think we all know, though, what the problem is with the continuous usage of opiods. It is a staircase, a game of relief vs. tolerance. I feel like my pain is racing with my tolerance to every new medication, at times. I live with the fear, month to month, that something will happen, laws will change, etc. and I will no longer be able to be prescribed the meds that, at this point, allow me to be a mother.

With the last prescription, at first, I had such success, I thought I would be able to return to the workplace. However, tolerance once again caught up with me and the pain became such I have doubts about being employable. Right now, I believe my children need me anyway, and I've the means to stay home, but I miss having a career. Also, my family would be so much the better in the long run for me working now. I would be able to do things like help with buying cars, paying for college, not to mention saving for retirement.

My life has not been one which was adorned with achievements from a young age, as yours was. I marvel at all you were able to accomplish to be so young. I, on the other hand, married young and pulled myself up by my bootstraps and was able to bring my impoverished family into a nice home with lots of amenities by my mid-twenties. It is no great feat, but it took perseverance, and a lot of hard work/long hours. I feel I have so much to offer the world. My dreams, like the dreams of many others here, have been cut short.

The thought of MCS is an enticing one. However, after reading your story, I know that I cannot put my life with my daughters at risk, even if it is a very small risk. Their father was killed in a vehicle accident in 2006. I am all that they have, really. They are heavily dependent upon me.

Well, I have made this reply very wordy, as I have become a bit overwhelmed by emotion. I do apologize for that. I am tempted to delete and begin again, but I will let it stand. As I have stated time after time whenever I do this, I type faster than I talk.

Yes, for anyone reading this, who is an ATN patient, I think you would find Tiffany's story of great interest. Here is the that link again, http://www.facingfacialpain.org/index.php?option=com_content&vi... .

Once again, I appreciate your response, as well as the others. You are the first person, besides our Moderator, Rick Smith, who has undergone this procedure. I have not yet asked Rick about his outcome as I would first like to give him the chance to know what that may be.

All the best,

Stef


Tiffany S. said:

Stef - I did. My story was written about at length on the Facial Pain Research Foundation's website. Here's the link. The info about my MCS is toward the bottom. http://www.facingfacialpain.org/index.php?option=com_content&vi... I have Type 2. I would caveat my story by noting that my experience was highly unusual - the chance of infection is only about 3%. There have been others that have had excellent success with MCS - I did too for that matter. I just wish I had been able to keep mine.

Tiffany

Hello, and thanks for replying.

Actually, if you go to the link Tiffany provided, there is a good description of the procedure provided there.

I will ask the powers that be to add the definition to our Glossary section, if it isn't already there.

I have not heard of what you speak of below, the antibiotic being used for Neuropathic pain. But, please let us know what you find out!

Thanks to all of the people, like you, who pursue answers out there. Together, maybe one day, we will help the doctors and scientists to find the answer to this vexing chronic pain question. What helps/cures Type II, Atypical TN.

Thanks so much for your reply,

Stef

D McGinnis said:

Stef - don't know anything about this, but I'm really curious too. Does this have anything to do with some type of electrical/shock stimulation? I plan to do some research on this also and will let you know what I find out. I have ATN. I have also read about using an antibiotic for tuberculosis for neuropathic pain. I asked Red if he has ever heard of it and he said no. I can't find any studies after 2007 for the use of the drug for neuropathic pain. I am still going to keep researching this also. The studies prior to 2007 looked promising.

Dear Elaine,

I do not know if my reply from before posted or not.

I know that we certainly wish the best for you with your upcoming reconstructive surgery. This would be a source of anxiety for anyone. You face multiple conditions. You are a strong person. You will be in my prayers.

Keep us posted.

Best wishes for a positive outcome!

Your friend,

Stef


elaine48 said:

you have feedback! Dr. Brown refused MVD for me due to my widespread neuropthy.2 dys go to South Florida , I recieved 0 feedback from Van Loren head of neurosurgery.Tiffs story is heartrendering. I left with not one referral.

Since I am faced with reconstructive surgery, I am very frightened about touching the nerves..

I pray we get answers.

I thought that this was the surgery Michael Fox had. His was unsuccessful.

Stef,

When I went to Cleveland Clinic, after first being told that I did not have Trigeminal Neuralgia, and there was no such thing as ATN, I was sent to a consult for the motor cortex nerve stimulation.

I spent a good 45 minutes with the doctor talking about the procedure, insurance, etc. and left with a very large folder of paperwork.

If I were older, I would consider this without hesitation. I left saying, "Maybe in a few years. If it comes to that."

But maybe because I'm only 30, and I don't have children, or a husband, or a life anymore...I should start looking into it more...

The day I came home, oddly enough, a college friend had posted on her facebook page that she was on a trial for the nerve stimulators for severe back pain. Since then she has had the wired implanted and is feeling very well.

I know this is a totally different situation, and the use of the stimulator is approved by the FDA for the back and not the face, but I can't help but wonder if it would work.

I am currently at a loss. I don't know what else to try. But I need something.

I, like you, have tried and rejected all meds. The narcotics get me through the day, but I need to know that someday I can spend 9 months without them. Hopefully........

If you find any more stories to share, or research this further...please keep us updated.

xoxo

Tammie

hey stef,

I was glad we hadnt heard from you in a while because that usually means you are doing well with medications and the likes. Was doing my own research on the site for something else and came across this post... I remembered your heart felt comment above and wanted to share the link just in case you hadnt seen it..
http://www.livingwithtn.org/group/neurostimulatorsofanykind/forum/topics/had-stimulator-implanted-yesterday?commentId=2413731%3AComment%3A112103&groupId=2413731%3AGroup%3A50764

Hi, Luke.

You know what, I remember seeing this group whenever I first began with the group here. After posting this, it crossed my mind that it may be talking about MCS. At the time, I assumed it was a group for people who utilized TENS units.

THIS IS A VERY GOOD POINT . . .LOL! WOW! There was an entire, active group, devoted to this. Ok, I will be reading when I have time.

Actually, this fall, my children were keeping me busy and my meds were working well. This winter, my children are not as active, so Mom's taxi is hitting home base more often, also yes, my medication is not working as well.

I have my monthly Pain Managment appointment on Wednesday. I believe I am done adjusting to the cross-tolerance between one of my medications which I traded for another, now I do need an increase on both my long acting and breakthrough med. I also intend to ask for an increase on Lyrica, which I began at my last visit. I cannot tell if it is helping or not. I wonder what an increased dose would do. I still try to leave no stone unturned, you know, thinking that if there is a course of something I do not fully see through, I may miss out on what works for the long haul, maybe? At any rate, I am anxious about this day, like I am on any given month. What he does, of course, determines how I will feel, and thus, what type of parent and wife I will be for an entire month.

Thank you for calling my attention to this. I don't know if you have this expression where you live, or not, but "duh"!!!! I feel du-du-du-dumb right now! Thanks for drawing attention to what is probably a collection of stories which address exactly what I inquired about right here on our site!

I see that you have asked a question above. I have not had a chance to read yet. Let me see what you have to say before I log out and go about getting my youngest in bed (who's being quite trying tonight, might I add).

Thanks, friend.

Stef

Luke said:

hey stef,

I was glad we hadnt heard from you in a while because that usually means you are doing well with medications and the likes. Was doing my own research on the site for something else and came across this post... I remembered your heart felt comment above and wanted to share the link just in case you hadnt seen it..
http://www.livingwithtn.org/group/neurostimulatorsofanykind/forum/t...

Tammie,

After doing some reading, I've decided that, at this point in my life while trying to raise a young child, it is not time for such a drastic measure. I will take my chances with medication for now. My girls lost their father in an auto accident in '06. I cannot take ANY chances. So, I'll study this further later.

However, Luke brought up a very good point which I cannot believe escaped me.

Whenever I joined this group, I noticed that there was a group called "Neurostimulators of any kind". I thought that this may be a group about people who use TENS units, like the one my then chiropractor used. It did not occur to me that there may be stories of people who have undergone MCS, the procedure!

He gives the link directly to another story. Tiffany's story was informative for me, and enough to have me decide to wait . . .until I am not so terribly needed.

I have thought of what you said early on, off and on, through these months about wanting to have a family. I related. My fondest desire in life has always been to have a happy family with a husband and children. My happiest of times are when I am pain free enough to be able to enjoy my family life. My hopes are that you, despite having ATN, for you to have this as well, since it is what you want. For me, there isn't anything in life which could compare to the happiness my family brings to me. I loved my career, but the love I had for it pales in comparison.

You know, there is also a group, "Pregnancy and TN", I believe. I do not know if it is an active group, but there may be stories there which may interest you. It may be worth checking out!

I will share any information, though, that I uncover, which is new on stories of people specifically, who have ATN and have experience with MCS.

Hugs xoxo back at you!

Stef

misstammie said:

Stef,

When I went to Cleveland Clinic, after first being told that I did not have Trigeminal Neuralgia, and there was no such thing as ATN, I was sent to a consult for the motor cortex nerve stimulation.

I spent a good 45 minutes with the doctor talking about the procedure, insurance, etc. and left with a very large folder of paperwork.

If I were older, I would consider this without hesitation. I left saying, "Maybe in a few years. If it comes to that."

But maybe because I'm only 30, and I don't have children, or a husband, or a life anymore...I should start looking into it more...

The day I came home, oddly enough, a college friend had posted on her facebook page that she was on a trial for the nerve stimulators for severe back pain. Since then she has had the wired implanted and is feeling very well.

I know this is a totally different situation, and the use of the stimulator is approved by the FDA for the back and not the face, but I can't help but wonder if it would work.

I am currently at a loss. I don't know what else to try. But I need something.

I, like you, have tried and rejected all meds. The narcotics get me through the day, but I need to know that someday I can spend 9 months without them. Hopefully........

If you find any more stories to share, or research this further...please keep us updated.

xoxo

Tammie