Post MVD Update

Been a while since I posted anything so a general review – 5/10/15 went for mvd awoke in the afternoon and I was feeling good, cups of tea and toast, sat around phoning people saying how marvellous I felt, no pain, a bit groggy from the op but overall felt brilliant. Went to sleep, woke up Tuesday morning, not feeling quite so great, I felt pretty rotten to be honest. Spent all day being sick, didn’t eat anything and just sipping water, felt like the worst hangover and come down ever. That wore off quickly enough though, woke Wednesday and still not great but hell of a lot better than Tuesday, was up walking around on my walker on Wednesday, drinking and eating. All good.

Still good on Thursday apart from struggling to sleep in hospital. No more sickness, getting about ok, so home Thursday. So so happy!

Couple of weeks at home doing nothing, spent pretty much the whole of the next week in bed reading my book, pain in face almost non existent, tiny tiny little tremors running along my cheekbone, very minor and very infrequent.

Carried on like this for next couple of weeks, stitches out at my local dr’s 11 days after the op, all going well.

Over the course of the next couple of weeks things started going down hill a bit, the majority of my scar was fine, little bit at the bottom was swollen and sore, started leaking, dr gave me 3 courses of oral antibiotics, said they would inform my surgeon but didn’t, after 3 weeks and my scar getting more uncomfortable I called my surgeon who had a little hissy fit that my dr hadn’t informed him that I had an infection and asked me to come in immediately. I then spent the next 11 days in hospital on iv antibiotics, infection, small csf leak and a granuloma of scar tissue or something.

Was not a happy chappy to spend 11 days in hospital when I didn’t feel especially poorly, got told off by ward dr for being a bit stroppy due to risk of infection of meningitis etc, had to have scar opened up and washed out, granuloma removed and restitched. Missed my Christmas do with work, gutted! But had a wonderful pain free Christmas! Was worth it just for spending Christmas at home with my family and being pain free, was so weird to be pain free. Such a novelty. The best Christmas present I could have ever dreamt of. People I barely know telling me how much better I look and how well I look, put on weight because I can eat properly, laughing, smiling. All very strange after almost 3 years of continous and horrendous pain. I cant put it in words how strange it was.

My kids are being better behaved, me and the wife getting on better, me and my family and work colleagues, got a list of jobs I need to do around the house that im actually looking forward to being able to do, family dos that I can actually go to, having a social life again. Getting back to work full time, so much to look forward to.

Still getting very small mild jolts of pain, barely noticeable, not interfering with anything and certainly not going to have much of an impact on my life. Scar pretty much completely healed. Only concern is my ear above my scar is very sore and numb, it feels like ive been out in the cold and some joker has just flicked my ear, that would have been my only grumble and again something I can easily live with no problem. Also got a numb spot where my scar is that gets really itchy but its numb so I cant get the itch! Annoying but again all good.

Then last weekend was taking the Christmas decorations down and I felt this pain along my cheekbone, mild to start with, only lasted maybe 20 – 30 seconds but it was strong enough to stop me from what I was doing, just sat there with my head tilted to the side in shock, couldn’t believe it. No doubt what it was, none at all.

That was on the 2nd January or maybe the 3rd, since then its been every day, still loads and loads better than what it was pre mvd and I would still class the surgery as a success in that I have some quality of life again.

If it had been like it is now when I awoke from the surgery it wouldn’t have bothered me, I would have accepted the reduction in pain and been happy about it, I can live with how it is now, would be happier to have no pain but little pain is better than lots of pain.

My issue now is that I had almost 3 months pain free, feeling good, then suddenly over a weekend it kicks off again, fair enough much lower levels than previous and barley interferes with what im doing but why after 3 months? Is this part of the healing process? Is this it starting again? I have an appointment with my surgeon on Friday to go through it with him, apparently im his first ever repeat patient. Hes gonna hate me! First I got an infection: now im going back complaining of more pain. The nature of this condition means that no body knows next to anything about anything.

Im trying to keep my chin up, grin and bear it. But im terrified, really really scared that its going to go off again, I couldn’t cope with the meds pre mvd and am not really interested in trying them again, they sent me a bit mental and didn’t control the pain enough to make the side effects worthwhile. I know that work wont put up with much more absence from me and as soon as I start missing days im going to be out the door. I don’t want to have to put up with this for the rest of my life, I was miserable as im sure all of us are when dealing with this stupid pain every day of our lives, I don’t want to put my family through it again, just getting over the previous 2+ years.

Today has been a pretty bad day, have had lots (compared to post mvd lots, pre mvd probably would have classed today as a good day) of small and quick flashes of pain all over the place, all the old areas and some new ones as well. My ear is driving me round the bend, every time I cough or sneeze it hurts, its sore and achey rather than extremely painful, best way of describing it is like some mean person has flicked my ear in the cold, however it feels like that when I put a t shirt on or a jumper. The numb but itchy spot is a wee bit frustrating but again on its own its not a big problem, lump them all together and it’s a bit of a problem.

It’s the face pain though that’s got me on edge, whats going on with it! Is it fixed, is it coming back? When I see my surgeon I know he is not going to be able to provide me with any answers, its only 3 months since my operation and I know it can take up to 1 year to fully recover. Was so happy and optimistic for the future, its been over a week now and everyday seems a little worse. Boooooooooo!

Hi Boris,

You seem to be short of responses so I thought I might add my take.

Your situation after reading forum posts doesn't seem entirely unusual. Seemingly successful MVD, and then it all goes pear shaped, as a result of something fairly trivial- Christmas decorations. I recall a member having had a successful MVD who then went swimming trying to hold her head out of the water, then led to a return of TN. It was suggested this led to vascular compressions or nerves crashing into each other, something as simple as swimming, about as likely as meeting the girl of my dreams in a gay club (not trying to be flippant).

Not saying this pertains to yourself, but using the example of the swimmer. The neck can and does cause TN pain, if you have neck mediated trigeminal neuralgia, the worst position for your neck is extension, i.e. keeping your head out of the water hence backward bending of your neck. Does this pertain to the action of removing decorations? especially those that involve looking up, i.e. backward bending of the neck, I'm guessing it might. I'm pretty certain an every day action doesn't involve arteries and trigeminal nerve roots, when these actions, especially in the case of swimming involve a mechanical component as in neck mechanics, I'm fairly sure at what I would be looking at first.

A thought that might be worth consideration.

Borris,

It has been a long time since we chatted. Oh what a story! You have gone through so much after everything you had already gone through with this horrid disease and your relationships. I'm so sorry that you are having pain. When I was reading I was just hoping beyond hope that your post would have a happy ending. I cannot give advice as I have never had MVD or any other surgery. I know it takes a long time to heal and I hope and pray for you that the pain leaves you alone.

It's amazing when the pain leaves...it is immediately a million miles away and you feel like a completely different person right. So happy and full of energy. I have remissions and pain free days often, which I am so thankful for.

Keep us updated on your journey.

Jane

Borris,

The post I was referring to is below. The member also had an MVD procedure some months prior.

"I was wondering if "straining" could have brought it back. I was very nervous to be in the water and I held my neck and head up tight to keep my face out of the water. I could feel the pressure in my head. I thought that would be better than going back to weights. When it returned, I had the biggest gut cry I have had since the surgery. More straining and pressure in the head. Does anyone think that could be it? I can't imagine one swimming session could dislodge the teflon. I decided to go to work. After many jobs with loads of bullies, I've ended up in the most wonderful workplace, with the loveliest people ever. "

Oh no, Borris! I just sent you an email before reading your post here.

I hope to God that your pain is just temporary. I’m sending you a virtual hug! Please keep me posted.

Thanks for your responses, much appreciated. It's always good to have some input from impartial people who have a clear understanding of what we are suffering and experiencing . Saw my surgeon on Friday and he basically said not much. No way of knowing what is going on or how this is going to play out, he wasn't concerned about the reemergence of pain after a 3 month break. He said it can take a full 12 months to fully recover and during that time I might experience periods of pain and periods of no pain. There is no test or anything he can do to explain why I'm currently having the pain and to try and remain calm and positive which I am doing as much as possible. I would still class the op as a success, Im in such a better place now obviously and the break from the pain has given me time to recover and just have a breather. I feel fitter, healthier and stronger, the pain is so much more manageable now. Would be happier to have some explanation and to be able to be reassured about my future with this horrendous condition, but we can't at this time so for now at least I will do my best to ignore it as much as I can and make the most of my pain free time. Was out playing in the snow with the kids today, little things like that are what it's about and make such a difference, I intend to enjoy it as much as I can for as long as I'm able to. It's difficult to ignore the zaps though when there is so much uncertainty regarding it, won't ever forget the pain and misery that this can throw our way. I just got an appointment through to see a psychologist on Tuesday this week, been waiting 15 months on the NHS for this, had mvd done via bupa. No idea what to expect from it but can't do any harm. Got a new prescription for oxcarbazepine and surgeon said to take as necessary when the pain flares, I didn't think they worked like that, I thought it was something that had to build up in our systems to remain effective. Wasn't keen on them beforehand,but if I can get by on a low dose and not have to take them religiously then I should be OK fingers crossed. Thanks for reading and taking time to respond. Sending happy thoughts and wishes for pain free days to all

I just wanted to let you know…that after week 12…i had to go back on stupid meds for about 2 months



Then got off them…and slowly over the next few weeks all went away!



My MVD was 2011



KNOW it takes an entire year to maybe not have setbacks





As a therapist and a patient…i can admit i had some PTSD

Going on for a long time…even hubby…if i touched my face in a weird way, he would ask if my face hurt!



The freezer isle got me each time

for about a year or so after…

Did not travel without lidocaine patches for threeee years after!


Keep us updated!



Kimberly

cheers kimberley, that is pretty much what i needed and wanted to hear. are you still pain free? how long ago was your MVD?

dr has advised me to take the meds adhoc when it starts creeping up, have some amytriptyline so might take those as needed. i can do 2 months on them, will cross everything and hope for the best.

started CBT with pain psychologist yesterday and am quite hopeful of getting some benefit from that.

doing my best to keep calm and positive, i am happy with the mvd and am over the moon with where i am now compared to before, its just the nature of the condition that no one can shed any light on what is going on and what might happen.

i need to stop worrying about tomorrow and enjoy today.

Kc Dancer Kc said:

I just wanted to let you know...that after week 12.....i had to go back on stupid meds for about 2 months

Then got off them.....and slowly over the next few weeks all went away!

My MVD was 2011

KNOW it takes an entire year to maybe not have setbacks


As a therapist and a patient...i can admit i had some PTSD
Going on for a long time....even hubby...if i touched my face in a weird way, he would ask if my face hurt!

The freezer isle got me each time
for about a year or so after.....

Did not travel without lidocaine patches for threeee years after!

Keep us updated!

Kimberly

Yes, keep your eyes on the windshield to look forward to each day…over time glance in the rear view mirror less and less!

CBT. Can be very helpful!

I had my MVD October 2011
No meds since March 2012

No pain since March 2012

It took a while…but waking up pain free…then taking a dip was depressing!

I am glad you got your surgery!

Hi Borris , I had an M.V.D on february 20th this year.Pain free immediately after ..some complications after surgery .Due to communication problems between the hospital & local surgery ,the stitches were late being taken out .A week later my daughter thought that a stitch had been left in & this indeed was confirmed at the local A & E .It was infected .It appears to have healed up now .I am in a constant state of stress as a few weeks after surgery I felt a few minor strikes (nothing like before surgery though thank goodness )and then a few at random intervals.I had another today after a whole month of nothing ...to be honest I'm afraid of 'things' starting up again & feel that my life is once again being controlled albeit by a different source ..it's the not knowing of if/when 'it' will strike.I do hope your symptoms have lessened.

hello celticrose, how are you? has the pain settled at all?

im doing ok, over 6 months now since my op and i feel pretty good. im still getting zaps of pain, at times its as bad as before, i had a week off work when i had a bad spell a couple of weeks ago, 2 or 3 days of pretty extreme pain, my pain scale when it gets to above 6.5 or 7 is something like having to verbalise it, ow crikey that hurts! taking a knee,( literally where the pain makes me crumple and i have to sit down), to crying, screaming and rolling around the floor in agony. 10 is white pain, total pain. i know nothing when that happens, as it eases i often find myself on the floor rather dazed.

the other week was daily 7+ with an odd spell of 8's, 9's and the good old 10 thrown in for good measure. unlike before though when the pain passes i can literally shake myself off and carry on with what i was doing previously.

the pain phycologist helped, deep breathing, progressive muscle relaxation and talking it through with someone who listened and while not being able to help with the pain directly was at least empathetic was of great support. he talked about how our feelings contribute to our pain, he also talked about how catastrophic thoughts almost feed the pain and what to do to guide my thoughts away from it, stop fighting it, i dont want to be a tn warrior, i havent the energy to fight it every single day. he advised to stop concentrating on it, accept it and when it passes move on, he didnt suggest for a moment that it causes the pain, had a neurologist who tried to tell me that its almost brought on by ourselves! didnt see him again!

im in a much better position now than i was pre op and i would do it again tomorrow if i could. my surgeon wont even see me until the end of this year as he says he wouldnt consider anything else until at least 12 months has passed so im back on the oxcarzepine at the moment, only 400mg a day and i seem to have adjusted to them pretty well this time. i accept that im likely to live in pain for the rest of my life, it sucks but i can do this. what choice do we have? i would love it to be gone completely but from what it was to what it is i will accept and be grateful for.

i hope you are keeping well and on the road to recovery. hope the infection has all settled and cleared up. enjoy your pain free days, smile and be happy!



celticrose48 said:

Hi Borris , I had an M.V.D on february 20th this year.Pain free immediately after ..some complications after surgery .Due to communication problems between the hospital & local surgery ,the stitches were late being taken out .A week later my daughter thought that a stitch had been left in & this indeed was confirmed at the local A & E .It was infected .It appears to have healed up now .I am in a constant state of stress as a few weeks after surgery I felt a few minor strikes (nothing like before surgery though thank goodness )and then a few at random intervals.I had another today after a whole month of nothing ...to be honest I'm afraid of 'things' starting up again & feel that my life is once again being controlled albeit by a different source ..it's the not knowing of if/when 'it' will strike.I do hope your symptoms have lessened.

Hi there, my name is BB. I mentioned a few months back while recuperating, that I would check back with everyone in approx 6 months.
I had MVD surgery on May 13,2016 at the University of Washington neurological center. My surgeon was Dr. Manuel Ferriera. After diagnosing TN 5 years prior I like others, went on the Med option with Gabapentine to help keep the extreme pain in check. After 5 years, the meds stopped working and that’s when I finally decided to take the plunge. I studied all I could about the disease and sought out the best surgeon locally that I could.
My surgery took 9 hours to accomplish what was described as one of the most involved surgery my Doctor had seen.
There were several vessels that had wrapped around the nerve and it took a vast amount of time to either cut or reroute them away from the nerve.
Post operatively I have no pain so far and though I have had had to patch my left eye to accommodate dealing with some nerve inflammation of the Abducens nerve, all is quiet on the Homefront. The inflammation of the Abducens nerve was caused by accidently bumping Into this particular area while taking care of the TN issue.
The inflammation has taken a long time to reduce, and since I am in the Optical field I have had our Optometrist measure the prism diopter value needed to bring that one eye that’s not tracking, and causing double vision, to a single image.
May 20th, it took 20 prism Diopters to bring me to one image, I am now at November 30th down to 31/2 per eye or 7 total prisms "yeah !! .
As for the pain issue, there are times I feel some numbness yet on the right side of my jaw. I do also from time to time have headaches which are remedied with a couple of extra strength excedrine. As for driving, I use the patch and at times during the day, I will take it off for a couple of hours at work to give it break.
Let me know if any of you have had similar issues with double vision post op. How long had you had to wear a patch? In closing,
I continually wish the very best to everyone getting through the various timelines with this rough disease. There is hope and please keep the faith.
Educate yourselves on this disease and carefully do your homework in picking a good surgeon who has a track record of successful MVD operations. 2-3 hundred under their belts will suffice. BB
PS: oh yeah, forgot to mention, I am still pain free at 8 months. Am hoping for another 30 years or so.

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