What do you think?

Good morning all,

I really need some advice. I don't know where to go from here. My trouble all started with a severely infected root fracture (lower right) that took three months to properly diagnose. I had the tooth pulled by an oral surgeon who needed to clean out the infection and then later, place an implant. The pain never got better. It was a horrible tooth abscess like pain only it was located in the very back of my mouth where there wasn't even a tooth. After many appointments with the oral surgeon who said he couldn't find anything wrong, I finally ended up at the endodontist who root canaled the very back molar. Still I did not get any relief. At this point the endodontist was arguing with the oral surgeon as he could see the tooth extraction site in the lower jaw bone had not healed yet and after 8 months he thought it should have. I was refered to the Mayo and thought finally, I'm going to get to the bottom of this. I was wrong. On July 2nd I had surgery to place a tiny artificial bone in the nonhealing site and was cut all the way around my lower teeth, right side in a u shape. WORST pain I have ever had in my life. Nothing helped and the doctors acted like I was being dramatic. Even on top of the pain meds I was sent home on, I was literally shaking in pain. I healed, life went on. The pain was now in the roof of my mouth, going up my cheek into my forehead in addition to the pain in my lower right jaw. Mayo said there was nothing they could do for me and planned to refer me to the pain clinic. This took over a month to do. In the mean time, I ended up in the ER the pain was so bad. I was put on 300 mg gabapentin. This seemed to help the pain everywhere but my lower jaw. That has never left. I was sent see another specialist by my primary care doctor for the lower jaw pain as my jaw swells, the gum is red and inflamed and the pain in that area responds to antibiotics. She also slowly upped the gabapentin to 600mg and suggested I call the Mayo. The Mayo wouldn't see me but told me the gabapentin wouldn't help me and to wean myself off of it. I'm seeing another specialist for but tonight the pain came back up my cheek and into my forehead, it's almost as though someone is lightly touching that path. My MRI came back as negative for trigeminal neuralgia but does this sound familiar to any of you? I would appreciate any advice. I haven't had a day without pain in 10 months.

Sorry to hear you are going through so much pain and frustration. Many of us here, myself included,have had to see several different doctors to get the proper diagnosis and treatment.
I hope the new doctor you will be seeing will be the right one for you.
In my opinion, you should stay on the Gabapentin. 600 mg is not a very high dose, and if it is giving you some relief, I would hesitate to discontinue it. I was taking 2400 mg per day before my surgeries, and I know others have taken more. You might call the doctor who prescribed it to see if you can up your dosage. Some members here use mouthwashes and skin patches that are made with lidocaine. These are prescription, so perhaps you can get your doctor to call it in to your pharmacy?

Best of luck to you
Christine

I was just prescribed a mouthwash called magic mouthwash, It numbs the skin and helps some:)

MRI many times doesn't show the problem causing TN.Geez,Doctors are idiots sometimes.Find a good neurologist that will listen to you and help.Good luck.

MAYO are idiots.

Get a neurologist that works with trigeminal neuralgia, get some lidocaine face patches today!

Get the book, STRIKING BACK by dr. Ken Casey

Learn, read, ask, repeat…learn as much as you can… See if doc. Will give you tegretol or Trileptal…

If you have this, there is no cure, but can get remission!