New and Confused

Hi All,

My name is Melissa, I am 24 years of age and from Sydney Australia. I am a new member to this website and not sure if I am posting in the right place just a little confused at the moment. My TN started when I was 19 years of age. It was a horrific experience one that I will never forget. From dentists to doctors to specialist I finally got introduced to my neurologist who diagnosed me with Type 3 (lower jaw) TN. I was diagnosed 4 months after I started feeling the pain so you can imagine the pain I was feeling without being treated for 4 months.. It was horrible.. After being diagnosed I was placed on tegretol and after a month or two the pain went away. As I was so young I had an MRI and was tested for MS and all results came back negative. Like many people my TN came out of the blue.

I thought I was clear I went 3 years without feeling another pain, then all of a sudden it came back but this time was Type 2 (upper jaw). I went to my neurologist again and he placed me back on tegretol and like before a month later it was gone. This time I wasn't as fortunate, it was only gone for 2 months. Now I have been on 1000mg of tegretol a day for about 4 months and the pain is still there. Don't get me wrong the tegretol is helping to some degree. The pain (Type 2) is still around but it is bearable, I can still work and do many of the normal activities I would usually do. Some days are a lot worse than others. The other day I had a random attack for about 1 minute and I haven't felt that since I had it the first time around.

I am just confused and I don't know what to do next... Should I keep on the medication and pray it goes away?

Yes, keep taking the meds! I am on 1200mg a day now and still have a few breakthroughs. I am going to a neuro on the 4th of Feb. If you go about 2 months with NO pain, maybe you could wean down your dose a bit and see what happens. If the pains start coming back, you will have to go back up. Hope this helps! Welcome to the group. ((((((((hugs)))))))

Thank you for the reply. I have just been put up to 1200mg today. I will see how that goes I have an appointment with a neuro late March. Are you at all thinking of the MVD? I heard the longer you have TN the more likely your nerve will get damaged and the harder the operation will be. I am thinking as I am younger I have a whole lifetime of this.

Thank you for the welcome!

I have decided that when it gets to the point that meds aren't really helping or I am on such a high dose that I can't function at work, then I will do the MVD. I am not going to do any of the other treatments. The MVD IS the most invasive, but it has the highest success rate. There is a brain & spine institute in Memphis, not far from me and there is another in Nashville at Vanderbilt, so I can take my pick. Let me know how you're feeling. :-)