Trigeminal Neuralgia (TN) -  Online Support Group

We are patients living with Trigeminal Neuralgia, here for your support.

Hello folks,

Thought it was about time I came on here and said hello, and share my experience of GN.

This has been a long story in the making, and for the last 2 years we thought it was TN I had, due to Atypical Facial pain alongside and a family history of TN, it all just made sense, especially since the pain I was getting was deep in my ear it was in that miss match crossover area.

This started long before I realised it, I was having one sided throat pain, clicks in my throat when dry swallowing, an ENT checked it and said all fine so never really thought about it again as something that would be a long term problem, and forgot about it.

The neuralgia started, one day after a night out clubbing, loud noise, from hot to cold when leaving, thought it was just some kind of damage to my ear, it was hitting my tonsil, tongue, and deep in my ear,same side, after a week of antibiotics for an "ear infection", gp said neuralgia, wasnt specific as to which and I started on tegretol.

I looked at options, saw geniculate, and glosso alongside the tn, but wrote them off due to the neuralgia already being in the family. ( my great aunt has had cyclical tn for many many years)

As the drugs progressed, and I became more used to being wasted, my facial pain got worse, it turns out that it was the additional meds I was taking over and above the tegs that gave me the type 2 facial pain, they were working against each other, and with the extra facial pain it was just adding to the diagnosis on TN, anyway I stopped everything but the tegs after a conversation on the brain talk forum, and the type 2 went away.

Neuros, docs, pain clinics, MRI's this going billateral, the plan was to do a tn MVD, got the last MRI, said no compression, but slight abnormality, so no op, I started looking at options, and GN came up again,I spoke to the consultant and it all fits happy with that diagnosis.

Consultant spoke to the surgeons said there is no one in scotland who will do a nerveblock, much less that particular decompression, and as far as they know no one in the uk does the op either. I have found out that there is a gamma option but there's only been 2 or 3 done, and not with huge success.

So here I am, huge teg doses, and GN it is, I would have had the MVD for TN but not this, this is a much riskier op, too risky,especially when there are so few of us with this, and surgeons just havent had the opportunity to hone their skills at doing the procedure. From what I have read even Janetta himself has only done 40 of these since 71, and 2 of those were fatalities, not all successful in the others that were completed, and he is the MVDDADDY, but that is the states, uk is another story entirely.

Do here I am, 28, and not a whole lot of options on the horizon,
As for drugs I continue with the tegs they keep the pain I get restricted to my ear, and cuts the throat and tonsil tongue pain, so stick with that. the gaba lyrica and lam, among other things give me type 2 tn pain, the endomethacin gives me stomach cramps, amatryptaline leaves me unable to get up to go to work, duloxetine and venlafaxine leave me wretching for 24 hours solid.

Heat/cold worked for the atypical pain, but nothing else, and that's gone, aromatherapy does nothing but calm me, pressure massage does nothing, accupuncture is too expensive, and it helped with the atypical but left me with an ongoing scalpel sensation on the left side in my temple, but nothing too bad, and nothing I cant deal with.

So that's a very long story short. But that's enough about me, what is everyone elses story?

Loads of love Gracie x x x

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Replies to This Discussion

Now that I have started on this site I see I started out with the throat pains but thought it was a sore throat. WEnt into my ears after antibiotics z pac. Then the zaps started. I get it bilaterally too. To me the zaps are the worse. fortunate or not, i have less feelings in my head over pains, damage to my head I think or to the nerves. Lucky me, didn't need the surgery. I can withstand thepains in my throat and burning searing in my ears, the pins and needles in the eyes without medication. When I get the zaps and they hit me over and over, nothing will take away the pain. upped the dose of neurotin when the zaps come but nothing or dose takes it away. I've had this for three years going on four now. I've had zaps so bad, I want to cut my own head open if it continued, I've had teeth pains so bad I would want to take pliers to my teeth if I knew it would help. I'm very afraid of the future pains and of the drugs that are going to be taken when or if I can feel the pains and cannot withstand them. thank you for sharing everyone, it has helped me more than any medication.
Hi Ro,

I saw an ENT about this years ago, long before the neuralgia became neuralgia, it was just a clicking when I dry swallow, I have no problems eating or drinking with it ( other than the occasional zap but that's fairly well controlled with the meds) the problem is when I dry swallow and become aware of if, because then I need to gag.

The ENT said it was normal and nothing to worry about, but after reading up about eagle syndrome it made me wonder if it was all connected, because I have some face pain too.

Eagle syndrome can often confuse a diagnosis, it can be caused my post tonsillectomy scarring, or by calcification of a ligament, or an elongated bone in the throat.
All of which can sometimes cause pressure on the cranial nerves. ( forgive the simplifying but I am on a quick break at work)

I am now waiting to see an ENT again, because I havent seen one since this started, it's just been neuros and pain consults I've had, so maybe just maybe they can opperate in through the neck or throat, it's a long shot, but I've been told they can't do an MVD for glosso in the UK

I've seen a chiro to see if that helped, it didn't but it sorted out my period pain which was a nice bonus :)
So meantime it's just 1600mg minimum of tegs a day and muddling though.

I hope that helps a little. But it might be something worth looking at.

Lots of love

Gracie x x x


Ro ~ said:
Hi Grace,

I'm sorry but long reads confuse me at times.. you mentioned the clicking and so on. I've had that for yrs and ignored it completely.
May i ask if you lose your voice at times? I do. I've also developed a problem of swallowing my meds. normally i didn't have that prob. What's your progress? did the medications help enough?

I take a ton of meds and it's still not getting better ~ although that's the expectation.

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