How I survived, researched, and overcame Trigeminal Neuralgia

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I'm going to tell my story so it will be kind of long, but has a great end ing..promise;-). In 2011, at age 29, I noticed a sharp pain when I brushed my teeth. At the time, like many others, I assumed it was dental related. I went to the dentist and they found nothing wrong. As the weeks went on, the pain started happening when I talked, brushed, washed my face, clenched my teeth, slept, smiled, if the wind blew hard, etc. It was the WORST pain of my life. It felt like an electric shock going off in my the left side of my face by my jaw. Sometimes the pain would be just a quick stab, and other times the pain would vibrate through my face and all I could do was stop all motion and wait until it passed. I would even wake up out of my sleep sometimes from the pain if I accidentally turned on my left side. The pain would last for weeks then go away for a week and I thought it was over. BIG MISTAKE! It came back with a vengeance.

After many painful days and nights, I started looking up my symptoms on the internet (yeah for Google) and the same diagnosis kept coming up..Trigeminal Neuralgia. I was confused because although my symptoms matched, it said that this disease usually showed itself in older individuals and I was only 29. I made an appointment with my physician and after cruelly poking my facing with his finger after I told him my symptoms, he confirmed that although it was rare for my age, I had TN. He prescribed me a steroid prescription and sent me on my way. No further explanation. If I had not already researched this, I would have been lost. So I took the pills, and besides making me gain a couple pounds, the pain remained. By now, I had researched so much about TN, I felt like an expert. I called my physician and asked to be referred to a Neurologist.

Long story short on this part, Before the Neurologist saw me , he sent me to get MRI which was clean so no MS and he spent all of three minutes seeing me, told me I had TN, gave me a prescription for TEGRETOL, and sent me on my way. No further explanation about my disease. He failed to tell me that the Tegretol would make me CRAZY!!!!!!!!! I am a teacher and the Tegretol had me so nuts, some days I couldn't even function. I have a 2 1/2 yr old and between the Tegretol and pain, I'm sure I was a pain for my child.

The Tegretol did help a little but I could not see myself having to live the rest of my life on Tegretol. It would have been HELL!!! I had already researched Gamma Ray treatment and surgery to cut skull open and put something in between nerve and blood vessel. Both did not appeal to me.

THIS IS WHEN IT GETS GOOD!!! I live in Alabama (US) and one day when I was researching, I saw that a Neurosurgeon in Birmingham, AL, Dr. Swaid N. Swaid does something called CYBERKNIFE TREATMENT. CYBERKNIFE is a non invasive radio surgery that is used to treat everything from cancerous and non cancerous tumors and TRIGEMINAL NEURALGIA!!! It beams a high dose of radiation to the area that precisely goes to the spot needed. I felt like this was my only hope. I called to make an appointment and luckily, a referral was not needed since my Dr. and Neurologist were of no help. I went to see Dr. Swaid the next month and he was the first Dr. to sit down and explain exactly what I had and the treatment options. Because of my age, he thought the brain surgery was better but I told him that I would rather do the Cyberknife. The brain surgery, besides be invasive, would make me have to take 2-3 weeks to recuperate while Cyberknife, I would go into treatment 1-5 times, depending on my xray of my nerves and lay on the table for 45 minutes and left the robot do it's thing and get up and be just fine. No pain, no cutting!

Made my appointment for Cyberknife, went in to talk to Radiologist who told me Cyberknife was just as good as the invasive method. He actually drew me a picture to describe what was going on in my face and told me that I was suffering from Trigeminal Neuralgia in my 3rd trigeminal nerve (the one by the lower jawline). After they looked at my

Xray, they decided I only needed one treatment. They made a mold of my face that is like a net they had to put on my face to keep me prefectly still. I laid on the table, listened to the music of my choice, and listened to the robotic arm buzz over my face for @ 40 minutes. Got up and was on my way. I was warned that the results would not be

immediate. The radiation slowly kills the nerve that is being affected. But month after month, sure enough, the pain became less and less. I went to see Dr. Swaid every 3 month for the next 9 months. He said by the 6th month, if the pain was gone, most likely it would be gone forever. The only side effect I have is that sometimes when I chew on that side of my face, because the nerve was killed, I get a little painless tightening in my jaw (like lock jaw) for a few seconds. I laugh because I'll take that anyday over TN and it only happens usually when I chew something really tough on that side

I have been pain free for about a year now but I'll never forget the worst part of my life. I encourage anyone dealing with TN TO DO YOUR RESEARCH and do what is best for you. If you have a Hospital that offers Cyberknife in your area, I encourage you to look into it. Never give up hope that you can't overcome this and know that there are others that have had to deal with this too....You DO NOT have to settle for taking medication for this disease for the rest of your life! RESEARCH, RESEARCH RESEARCH. God Bless!!!

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  • Posted

    Thank u so much for sharing this. Great story and I totally agree RESEARCH. Good luck 😀
  • Posted

    Hello , 

    Interesting to hear that progress is being made by some with Gamma Knife. I have a recurrence of TN after an absence of 10 years! I'm now 59 and had it previously for many years. Forgive me I'm not a Doctor but have spoken to a number of Doctors and specialists here in the UK. I must remind every reader there are significant risks with some of these procedures particurly MVD which has a Morbidity risk as does any Inter Cranial procedure. I realise as a sufferer that for some there's no option but sadly none of these procedures come risk free. 

    • Posted

      I chose Cyberknife over MVD because it was painless and less invasive. The only downside are the normal side effects that could happen with receiving a dosage of radiation such as higher risk for cancer later on. But anyone who has gone through the pain of TN would probably be willin to risk certain side effects for relief

  • Posted

    I'm 77 year old women living in Chennai, TamilNadu, India. I'm suffering from TN for the last 10 years. I am taking Zenoxa 600 mg morning and night for all these years. Overall 1200 mg of this painkiller everyday. I had all the painful symptoms of TN. These tablets did helped me a lot though occasionally pain comes back at times. For the last one month, I am getting the sever pain again inspite of taking 1200 mg Zenoxa and increasing the dosage to 1800mg and adding Proxyvon & Ultraset. It is horrifying to experience the pain again and I could never wash my face and I fear touching it. While searching Net on the solution, I came across this experience of CyberKnife. Thanks for sharing. Will search for such a treatment in my area. If anyone in Chennai\India have experiece with cyberknife treatment, please share.
  • Posted

    Hello, I really need to know if you are still pain free? It's five years later. I'd like you to know that I'm new to the forum and have been diagnosed this year 2016. sad
  • Posted

    I am 22 years old and I just got diagnosed with TN. I was having pain at night on the right side of my face, so j went to the dentist thinking I must need a root canal. The dentist found nothing major, but did find a small cavity on my upper back molar. He numbed me up, and filled the cavity. I went home, went to bed and woke up at 3 am in severe pain! I went to the dr. The next day and they told me it was TN, and the dentist made it worse by filling the cavity. The pain was excruciating because of the "trauma" from dental work. I was prescribed gabapentin for nerve pain and oxycodone to help me sleep. 2 days later the pain wasn't getting better so they sent me to get an MRI to check for masses or MS. Everything was clear, but the doctors there advised me to switch to carbamazepine so I did. I've been on 200 mg twice a day for 3 days, then they upped it to 400 mg twice a day. I am having the most uncomfortable side effects to this medication, and they have increased with the mg changing. My whole face is numb (especially my tongue)I can't focus on anything, I can't drive, I'm nauseous from vertigo like symptoms, and I run a restaurant that I have to be at in 2 days! Does anyone recommend a different medication to take or know the symptoms I am talking about?
    • Posted

      That's scary but I have been on oxcarbazepine an it made my tongue numb an lips when I went up on a dose but it quit working for me so I'm about to try carmazepine with gabapentin

    • Posted

      Hello, I've had tn for about 3 months now, worst pain ever.I was on 200mg of tegretol and 100mg of gabapetine, then increased dose to 300mg gabepentin. Both made me break out in severe rash and was hospitalized for 5 days. Liver levels off whack and now off of both meds, now on baclafen and tramadol, not really working. Other meds worked but horrible side effects, looking for other options, don't want surgery but might have to

    • Posted

      So you need an amazing neuro or gp.

      For myself, I am OK on gabapentin and tegretol. Where are you situated? I'm sure there is someone in your area that can help, I'm in Australia so quite far away from you I believe. Hopefully there is a solution regardless.

  • Posted

    TN and MS

    I have had TN for 4 years, it presented itself in the classic way, tooth pain.  I went to the dentist and he performed unnecessary dental work.   The pain gradually changed to electric shocks when talking, eating, brushing my teeth, touching my face evening the ring of the phone.  I consulted my family doctor who put me on naproxen.  The pain just got worse, I went to see my neurologist who started me on tegretol 200mg twice a day.  This was wonderful,the pain disappeared. After a month the pain was back, the dose of tegretol increased.  This was 4 years ago, I am told I have a plaque in my brain at the location that is responsible for the trigeminal nerve function.  I am now taking 600 mg of slow release tegretol at breakfast and then 400mg for both lunch and supper.  I take  lyrica 150mg 3 times a day, I have had unsuccessful cyberknife treatment and have had a Thermolesion rhyzotomy which has stopped the electric shocks.  Unfortunately for me I now have something called anasthsia dolorosa which was a result of the surgery. I am still on meds  which make me dizzy and nauseous, I have not been able to work as a nurse in 10 months and I have constant burning pain in the right side of my face but at the same time have complete numbness.  My husband has been very supportive but he can't understand what I'm going through.  I just want to speak to someone who does..

    • Posted

      Just read your post and can so relate! i had a brain tumor resected way back in 2005 and when i woke up from surgery was happy the surgery went well but woke up with numbness on the right side and a constant burning sensation...of course noone could tell me what it was until finally a doctor months later at least told me it was nerve pain.  I searched it and discovered it was also known as "atypical trigeminal neuralgia" but also was thankful for your post as i had never heard the term anesthesia dolorosa so thank you for that.  now after several years i'm suddenly starting to get those electric shocks ....if they still little i can deal with it but am assuming they will continue to get worse.  anyway i just wanted to reach out and let you know i do know what you are going through.  it is pretty much awful.  funny things i have noticed for me is it gets worse throughout the day....drinking cold drinks help.  as does ice cream for some reason-only temporary but i'll take 5 minutes.  and any kind of exercise actuall does help...it's hard to get started when you are feeling so awful but i went to a yoga class yesterday and did notice i felt better from it.  i will research thermolesion rhyzotomy as i see that may be in my future.  i was on lyrica a long time ago and it worked for about a year then just stopped working.  so i just quit it.  now i want to go back on again....anyway just wanted to reach out and say i do get what you are going through as noone else seems to understand what it's like.....it's strange what makes it worse and how easy it is to withdraw from the world.  
    • Posted

      That's so terribly painful I have buying crushing tn that feels like a vice grip on my head but not like yours I'm sorry

    • Posted

      I understand and it is making me crazy, I just want pain to go away... tired of being In pain and feeling sleepy bcuz of meds.
  • Posted

    Hi - I too live in Alabama (Decatur) - how encouraging to hear something positive.

    My pain started about two years ago and happened just occasionally so that I wrote it off like I do all pain.  Then 18 months ago I had a wallop of pain and took note.  Then throughout 2015 it came more and more often.

    My pain is in, around and behind my right eye.  Electric shocks (minor and major), along with the occasional wallop where it's like someone took a hammer and hit me up alongside the right side of my head sending shockwaves to my eye.  Those are strong enough to make me double-over (if standing) and jerk wildly if laying down.  I hate those.  While they all last for about 5-10 seconds, I sometimes get a headache from the top of my head down through my jaw that feels like someone is pressing a pillow hard against the side of my face.

    An MRI was done and there is no tumor.

    I am 55 yr old female and the neurologist has me on 600mg of Gralise ER nightly and I'm to go back to him at the end of June.  He told me I needed to progress slowly up to 1800-2400mg of neurontin (which is the gralise).  Holy Cow - how will I be able to work?  My GP said to me "I hope you told you're not going to do that"?

    So I'm researching, reading "Striking Back against Trigeminal Neuralgia".

    My concern is that within less than 24mos I have this pain and it seems to be progressing so rapidly that I'm scared.

    I know STRESS is a big no-no to avoid, cold air across my face, high humidity, bending over, any exertion will set it off.

    I have noticed that I get the zaps on the top, side, back of head as well - all on the right side - EXCEPT....

    I've now noticed that the left side is starting to get some minor shocks to the eye and I'm scared of this disease.  I'm scared of losing my job and my insurance (which my job provides).

    I know that MS is a "cousin" to TN and I'm scared of that as well...is it possible I'm starting to get it is all I think about.  I'm clumsier than I used to me, I "swagger" up stairs (as a co-worker said one day this week), my left leg is a little weaker than my right but I've been atributing that to having had a hip replacement 2yrs ago.

    I will have to go see Dr Swaid and see if he can help me - thank you for your positive story.

    • Posted

      Hi Pamela1960,

      Have you been tested for B12 deficiency? I have/had many of the symptoms you write about (electric shocks, weakness, pain) and was diagnosed with it. Even if you are in the "low normal range" of B12 you can have neurological symptoms. Get tested for B12 deficiency before you start supplementing so they can find out your true levels. Make sure your doctor tests you for B12 deficiency even if you don't have pernicious anemia. Also, most B12 deficiency is caused by absorption issues...so even if you eat food products (animal products, mainly) where you could get B12 you might still be deficient.

      Also, you mentioned a hip surgery. There is a good chance they gave you nitrous oxide for anesthesia. That depletes B12 levels.... Low B12 can mimic symptoms of MS.

      Plus, there have been additional studies to show that B12 helps TN itself even if you're not deficient.

      Good luck!

      Heather

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