Pain on the other side

Yesterday I had a really bad day as far as pain goes, I know crying seems to make it worse but I was just so sad to think I have to live with this. I was just diagnosed 5 days ago and started taking Gabapentin and Amitriptyline. No one seems to understand just how bad it is, my parents, husband, and sister all say, "is there anything I can do?" I just say no and feel more sad because there is nothing anyone can do... I am so ucky to have a loving husband and family, but I can seem my complaing to them getting old, and I can understand how frustrating it would be for them to not be able to help me in any way...

About mid day yesterday I felt a sharp, stinging, stabbing , burning pain on my cheek bone, on the left side of my face. luckaly its gone now but it stuck around for a while yesterday. I feel like I am used to pain on my right side but having pain on the left opened up a whole new world of WTF pain for me. I am new to going to the doctors and things like that, I didnt really like my neuroligist so I am going to try to find a diffrent one, and I need to work on getting just a regular doctor that I can talk to. I guess now I'm just worried about having to tell any kind of doctor that I have pain on both sides, because after reading some stories I can see that it is not very common.

-Sarah♥

Quite a few on this site have bilateral pain. I think while it is rare, it is more common that you would think. Have you had an MRI yet?

Also, I wrote this: http://www.livingwithtn.org/forum/topics/wrote-this-for-my-friends.

This has helped my friends and family know a little of what I am going through. You might try something similar or just show them what I wrote. I think you will find that they are far more understanding when they realize why you are doing the strange things you are.

I had an MRI two weeks ago "no tumors or abnormal lesions"

Lisa (iamrite) said:

Quite a few on this site have bilateral pain. I think while it is rare, it is more common that you would think. Have you had an MRI yet?

Sarah, I am sorry you are having such a hard time, many of us are right there with you. I am also recently diagnosed. I need $21000 worth of implants from very bad teeth (at 32) so i can relate to that, and had all my side and molar uppers on both sides pulled because of a potentially lethal infection in 2009. I think it is frustrating for everyone that no one can help i know my husband is always wanting to "do" something for me, when the only thing he really can do is help me not trigger (which he doesnt yet understand).

I read on your profile that you had an mri, did this show anything conclusive, or rule anything out? I havent yet had an mri (one is ordered but not scheduled) but was told that because of my age particularly and because of my medical history that they absolutely want to rule out other causes for this, I assume that is what they were looking for in you as well at this stage. Find a Dr. you like, having a dr you dislike makes everything worse. From what i have read on here, and elsewhere bilateral pain is unusual but not unheard of. There is lots of information available on here and many people willing to be supportive who do understand.

Rachel-

I agree with you on the "trigger" thing the biggest thing my husband does is stress me out and make it worse because he is getting upset that I am hurting... as far as the teeth thing this has been going on with me since I was 12. I go to UIC in Chicago and students there work on my teeth and I know that sounds scary but honestly I think it is better because they talk about treatments for me as a group and the professer is there to double and tripple check their work so they can't cut any corners. I do think that each time I have dental work it is making my face hurt more, but I need to take care of my teeth once and for all. so I dont know how it is by you, but getting into haveing the students do work was the best thing ive done, it was the dentist I had before this when I started having really bad face pain. I did have an MRI and it ruled out everything...

Lisa-

Thank you for the link I am going to read it now, I'm sure it will help a lot, I feel like it is hard for my family to understand, and/or accept what is going on with me. thank you so much for your help.

I have found that stress is a huge trigger for me as well....... Doctors will tell you this is not a trigger, but sorry, they are wrong. When experiencing high amounts of stress, I have had pain. Right now my pain is controlled... however, I got some news Friday that has triggered a good amount of stress within me. And guess what? After weeks without pain, I had my first zap of pain this morning. Yippee Kiyeah! Not. Though to be fair, I am also tritating down on my medications and may have just hit the maintenance level for now. But prior to this, stress would for sure, would cause pain.

Hi, Sarah—

It was hard for me when the pain began on the left side. Although, the right side had harsh electrical shocks and the stabbing pain in the ear, the left side was minute nerve action, not really pain. My MRI showed a vein on the left Trigeminal nerve and nothing on the right. MS was ruled out along with other things that could be causing the pain. In the last few years, and more so in the last few months, the left side is becoming "louder" with pain. Also, I'm experiencing migraine on this side more now than on the right. The TN pain began for me in 2002 with a 3 day migraine. And, as I look back in my history, there were migraines prior to TN along with sinus infections/pain. I'm wondering if the onset was much earlier than 2002, but was slight? Migraine pain is so close to TN it's not funny. But there are parts of the nerve involved in TN that are not in migraine, so in this way it is different. They are equally debilitating and if it were not for medication to keep the pain in check and lessen it a few degrees, I'd be a basket case.

Since TN came to visit our home ten years ago (March 23), our marriage and friendship has been severely tested. I will say that we are best friends and did not realize that by NOT talking about the HEART struggles of TN and trying to carry on with "all things as normal," had NOT benefited us in any way. We found individualized supplement support as well as counseling as needed to be a BIG part of our growing through this process. Both people in a marriage (as well as family) go through a sort of grieving process and need time and space to move from denial to that of acceptance. For me it took 9 yrs+ mo. to get to the acceptance stage fully and completely. Even though this stage has been internalized, I still go back to grieving over the loss this disease brings. When this happens, crying is a good thing. Whenever life is reduced to 50% or less of what we are used to + in the prime of our lives, it is a significant loss.

Our greatest job on this earth, I believe, is to be good to ourselves (first) and then to others. I used to believe the other way around, but now I see it is I who needs the oxygen mask before I give one to my children. To be good to myself, I cannot speak on a daily basis about my pain level or if it is hurting right now. If I do, I will spiral downward into a depression type day. I've opened up to my family/friends (when the pain was low), saying that I love to laugh/smile/basically enjoy every moment. I'd rather see things and think of things in a positive light, while not ignoring the negative aspects of life completely, I just can't live there. I've shared with them that if I am not smiling and am on the couch with a heating pad on my face, then I am not doing well. What I need from them at this moment is for them to manage life as if I were taking a nap or not able to talk with them. This has sparked more responsibility in my kids, and more assertiveness in my husband. My hubby talks to the kids prior to going out to work for 12 hours, and explains they need to help me in whatever I ask them to do. They have become very good pinch-hitters. Plus, compassion has been birthed in them and it is a beautiful sight to behold.

Trust me when I say that just because we have health challenges and are faced with things we never, ever thought would happen in our prime, we CAN and WILL move right through this fire and come out on the other side better than when we entered. Your hubby sounds like a loving man and one that adores you :-) How often does that happen in life? Trust him with your heart's concerns and let him share the load in a way that benefits both of you. It's well worth the effort, but may have to be done when your pain is lower and you can talk with a clear mind.

Sarah,

I agree with Lisa that bilateral TN is not as rare as originally thought.

Mine went bilateral about two years ago, but is much more prominent on one side.



*** Don’t let any doctor or neurologist tell you that you don’t have TN if your MRI is normal. I finally fond a neurologist who knew that little gem of important information. It’s like finding Multiple Sclerosis damage (lesions) on an MRI - just because you don’t see it doesn’t mean it’s not there! It can be hidden.

Hi Sarah,

So sorry to hear of your pains. I am new to TN being diagnosed 3 months ago with electrical shocking pain in upper and lower jaw and 24/7 burning ear pain. Just last week I had pains on the other side. I share your frustration and am going thru the same emotions. You will find this sight full of compassionate and helpful people and know that you are not alone. It is your right to keep trying until you find the right doctor.

Thank you! its so weird, today I felt like 60% normal and the pain was much much more manageable then yesterday. When I have those time of serious pain I can't help but be afraid that it will never go away. I guess its hard to keep my mind under contol when the pain is so intence. I am definitly going to keep looking for the right doctor because I really need someone that I can talk to and feel comfertable with. I am so thankful to have found this group of peple that I can talk to. Thank you everyone for your responces and helpful info! :)

Hi Guys,

Sarah, I am right there with you. Yesterday was a really bad day for for me. I have been off pain meds for the last 4 1/2 years which is a good thing but since last sun the pain has slowly started creeping back. I have an appointment with my neuro on fri & am assuming he will put me back on my meds, waiting till then is killing me.

My main supporter my mom passed away 2 years ago so I am besides myself. I have hardly eatin a thing or slept this past week. Eating brings fear...

So I wanted to thank you all for being here for me. I wish we can all be pain free soon!

We have about 30 members presently who experience bilateral pain.

Likewise, be advised that not all MRI is created equal. I understand from reading that the procedure of choice for evaluating TN pain is a FIESTA MRI conducted both with and without contrast agent at 0.66 mm resolution, and augmented by post-procedure 3-D reconstruction. Not all MRI centers are set up to do it, and not all insurance companies will cover it because of high expense.

One other thought, Sara: there are aspects of TN which resemble Post Traumatic Shock Disorder. Some pain patients find a program of Rational Cognitive Therapy or Behavioral Therapy quite useful in gaining tools for managing mood and fearfulness. These programs are typically administered by psychologists and they have a flavor of short term personal training rather than psychotherapy. The intention is to empower participants to better manage their own lives, not to get bogged down in endless investigations of past life traumas.

I wish you well on your journey, Sarah.

Go in Peace and Power

Red

One other footnote: I wrote "Coping With Crisis" in our Face Pain Info tab, particularly for people who are dealing with a sense of being overwhelmed by pain. Not all of that resource directly applies for you, Sarah. But I think it may be useful reading.

Regards,

Sarah

First let me tell you how beautiful you are on your picture. I feel for you and will pray for you. I too have just been diagnosed with this crazy disease. I live in the chicago area and am wondering where you are ? I’m a nurse and I too am searching for the right Dr. It’s going to be a tough journey. I’m scared and sad too. Luckily like you I have a loving family. Let’s pray that this will settle down. Julie Kawasaki

I am in Lake county kinda close to Great America, I set up an appointment today with a Neuroligist in Buffalo Grove he is actually my Boss's son (my boss, THANK GOD is very supportive also) so I feel like it might be a good move for me to see him and maybe he will pay special attention to me or somthing because I work for his mom... I don't know, I feel like all things happen for a reason and it is part of gods plan for me to be going through this and that hopefully its for me to learn and become a stronger person... I think that I hide my pain pretty well, I don't really talk about it because I feel like people won't want me around I guess. Anyway, I am incredibly thankful to have found a place where I can talk about this and be myself and people are listening and responding, so thank you everyone. Seriously this means so much to me.


Julie5 said:

Sarah

First let me tell you how beautiful you are on your picture. I feel for you and will pray for you. I too have just been diagnosed with this crazy disease. I live in the chicago area and am wondering where you are ? I'm a nurse and I too am searching for the right Dr. It's going to be a tough journey. I'm scared and sad too. Luckily like you I have a loving family. Let's pray that this will settle down. Julie Kawasaki

Hi, I think I am starting to get bilateral pain too. But what puzzles me is you read everywhere that pain will be on one side at a time (not concurrently) ... which totally confuses me because mine will be at the same time (though my right side is more background pain while the left is the predominant background pain and the full-on attacks).

I definitly had severe pain/background pain on my right side (normal to have pain) and sharp burning aching, no background pain on the left at the same time in the check bone area. what does it mean to have an "attack"?

Thats just what I call them ... I have ATN so I have the background strong ache along different places in the nerve, then I get TN "attacks" which spike up to intense pain usually in my sinus.

Porcelina, the pattern of pain you describe is fairly common in bilateral TN and ATN patients. I've seen many reports of concurrent pain on both sides, with a different character on the two sides. My wife also experiences such patterns -- in her case with a mix of TN and ATN symptoms on one side, and predominantly the TN spikes on the other.

Regards and best,

Red