Still confused

Hello and thank you so much to all who responded to my post regarding my confusion re: TN diagnosis. I have possibly been in a remission as I haven’t had the burning, except mildly, for a few weeks. My upper lip is still numb, and when I lightly touch it, I feel a little buzz or tickly flutter at the outer corner of my left eye. Very weird. Anyway, I attended a facial pain symposium in early February at UCLA. All the big wigs from there were in attendance. Listened to all and took copious notes. One of the neurosurgeons, one who said that he didn’t see any TN, and recommended a spinal stimulator, did not recognize or remember me. Oh well, I’m sure he sees a lot of patients, so I’m not offended.

I also spoke with another NS and radiologist there who both said they would be happy to review my MRIs and reports and give me their opinion. However, once the NS found out that I’d seen her colleague (mentioned above), she did not want to see me. Instead, she offered me a phone consult. She called me a day after the appointed day and told me that neither she nor the radiologist saw any TN, and that I was in very good hands with her colleague (NS mentioned above). I told her that I was now REALLY confused because two NSs said and showed me the TN, and two said they didn’t see anything at all and strongly doubted the presence of TN. so, 50/50. I told her I wasn’t sure where to go from here, and she suggested that since I’d been to so many NS s and out of state, that I make a decision, and then go from there.

I spoke with my neuro when I got my most recent botox therapy for chronic migraine, and she suggested (as my friends and I suspected) that there may be some politics involved as the NS I spoke with was new on staff. She suggested I go to the head guy, Dr. Martin UCLA, and he would not be bothered about previously seen colleagues

The question still remains for me…do I have TN or not???

Oh, and the painful tooth? Well, seems that the molar next to it broke in half about 2 weeks ago, and the pain is much reduced, although not altogether gone. My dentist suggested that the previous dentists may have worked on the wrong tooth, and didn’t see the crack in the very back molar right next to it. Perhaps it was referred pain. AND, that the originally worked on molar may still be tender because there may well still be a crack in the broken molar next to it. So, maybe not bilateral TN…

Bottom line–still confused, and now feel kind of silly about this whole TN business. Since I’m not in nearly as much pain as I was a couple of months ago, I am wondering if I’m making much ado about nothing. Not sure if it’s the smart way to go, but I’m thinking of waiting to see if the pain gets worse and more frequent, then start looking again, in desperation…Lip is still numb and uncomfortable, especially doing my speech work, but I didn’t get ANY confirmation that the numbness is due to TN from anyone. Thanks again for listening. I wish you all a pain free night and day tomorrow.
Camia

How many meds have you tried?

Have you had a fiesta MRI.?

Yes you should wait and see before any proceedures!

Hi: I have had a fiesta MRI back in November. Dr. Burchiel at OHSU showed me the compression. I have tried pretty much all the meds prescribed for TN including anti seizure, anti depression, etc. I have not been able to get to therapeutic dosage for any due to intolerable side effects-most notably significant fatigue, some headaches, significantly increased /anxiety/irritability/hand tremors/ body twitches (lyrica). The only treatment that is schedule is to rebuild the and crown the broken tooth. I’ll see how the other tooth feels then.

Why is the Dr. not sending you to a neurosurgeon for an MVD????

Hi
This dr is a NS. I was unsure of what i wanted to do because, like the NS at Cedars, I was given only 50/50 chance of improvement with no certainty at all about the lip numbness. I was hoping the symposium would shed more light and offer more options. except that after watching the surgery being performed, I must make sure the NS retracts away from the 8th nerve (hearing), and does not nick the vein that covers the trigeminal nerve. That info not withstanding, such low odds of recovery and no real hope of addressing the lip issue. Also, UCLA, in its own review of procedures indicated that there are still too many cases of returning patients with cfs leakage and infections, made me nervous to proceed with MVD.

No, I've never heard of that. For the past year the continuous numbness not only of my lip, but also the front incisor and left side of the hard palate directly behind the incisor. The last sinus surgery was 2007. The burning on the left side of my nose across my face and subsequent temporary numbness with tingling and pin pricks, etc. started shortly after that surgery. It was suggested by one NS that it may be neuropathy due to sinus surgery. My ENT who did the surgeries denies this, and maintains it's due to TN.