I am almost 2 years out from my MVD surgery. I am currently on 100 mg of Topamax and 75 mg of amitriptyline for residual postop headaches and tremendous pain behind my right ear and along the incision site. The TN is 95% gone. I have done Botox injections, however out of the 12 weeks only get a couple of weeks of relief therefore the neurologist has decided to discontinue the injections and attempt to find a med cocktail. Where I am right now is NOT working and I am back to taking pain pills to try to get the edge off -- they barely do the trick. Has anyone else experienced this? For some crazy reason -- I think there is a problem with the titanium mesh, however the surgeon that did the MVD says "he did nothing wrong and good luck in the future". Any ideas? Thanks you for any suggestions -- I see the neurologist in the morning tomorrow.