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

    Hi, It's lovely to hear that somebody is surviving this horrible condition.  However, I just want to people to know that Cyberknife is not the panacea for everyone as there is an approximate 20% fail rate and I just fell into that category and my symptoms appear to have have worsened after treatment.   I was diagnosed with TN2 approximately 10 years ago and when the disease progressed to the point where I was not responding to meds my pain specialist referred me for cyber knife.  Unfortunately Cyber knife does not appear to have worked (Procedure July 2016) and the resulting pain appears to have localised more to the teeth/jaw area and I now have no periods of relief.    The oncologist that performed the procedure was so concerned that he put me on steroids to reduce the inflammation and these worked within hours and they eliminated all pain.  However, the side effects of being on the steroids were almost as bad as the pain, almost total insomnia, constant nausea, oral thrush, diarreah, upset stomach etc. I lasted three weeks before coming off those.  Three days later I have the pain again, sore gums, painful teeth, electric shocks, sore mouth, sore face and a strange tingling, soreness, and taste in my mouth and tongue which my GP ignores and puts down to TN.  This prevents me from eating and drinking normally and I frequently live on a babyfood type diet.  I am back on a mix of medications that barely scratch the surface and continue to make me feel very unwell.  i also support more research in this area and not medication.      

    • Posted

      I am so sorry you are going through so much. I cant even imagine, i dont have tn but have read alot about it and i have a friend that has it. Just went under gamma knife which i believe is different then cyber? She had her procedure early nov,no pain,however she is still on meds and will begin reduceing them this week to see how it is with less medication,her anxiety is awful right now as she is so scared the pain will return. Xx
    • Posted

      Unfortunately, it seems that my CyberKnife treatment has failed as well.  I had it done on August 18, 2016.  I was back in front on my neuro on Feb 17,2017.  Prescribed steroids and he told me to increase the oxcarb to 1200mg slowly.  What a downer!  Ten years with this stuff now.  Ugh.
    • Posted

      I'm sorry to hear your Cyber Knife didn't help.  I know there are lots of people it does help, but I didn't want people getting false hope and thinking it was going to work for everyone.  10 years is a long time with this condition and unless an individual has experienced the unrelenting pain and debilitation it causes, many people just have no idea what we go through and this often includes health professionals.  I am fortunate in that I have a very understanding pain specialist, who looks at alternatives such as Cyber knife, but there's little else out there now other than drugs.  Hope the steroids work for you.  They certainly helped my pain but are not good long term so I hear.  Take care.

    • Posted

      The CK did seem to work for a while nd I had become very optimistic.  The doc did tell me that it only had about a 66% success rate rate going in.

      He said he could try it again, but the risk of numbness is greater and the percentge of success is still low.  For now, I believe I will try the meds for a while.

    • Posted

      Hi Lee, What great news that her procedure appears to have gone well.   I can understand how her anxiety would be very high right now.  She'd be very scared that the pain will kick in again once she starts coming off the meds and she's very lucky to have such a supportive and understanding friend, it's that kind of concern that gets us through. 

    • Posted

      My consultant told me that if I had cyberknife done to one of my local hospitals, it might kill me and I see that your doctor told you that there was only  about a 66% success rate, but I am assuming that doesn't mean death for those who don't success with it.

    • Posted

      Marianne,

      I live in a city named Birmingham, Alabama in the US.  I'm surprised your Dr said that the CK might cause death.  It was a very simple procedure and it can be repeated.  

    • Posted

      I think it's because I would be having it done on the NHS and that is free, whereas you pay for it with your Medicard.  My surgeon doesn't want to do it for me because he probably thinks the NHS can't afford it and at the moment I'm taking 300 mgs of Carbamazepine 4 times a day and I don't have any pain until I eat or clean my teeth and then it hurts quite a lot.

  • Posted

    Thank you so much for all yur information. Please let me know how you are doing my husband is having the Gamma Knife Procedure April 28th and after two years of facial pain and 11 Dentists, Oral Surgeons, Neurologists, Head of Maxillofacial Dept at Loyola, Pain Mgmt Doc and now a Neurosurgeon I feel we are on our way to recovery. Please ley me know how you are doing hope all is well.
  • Posted

    I am a 14 year old and having an MRI scan next week to determine if I have TN. And it is really likely I do. I keep having attacks that I cannot cope with and it is awful. Especially as I am going through my GCSE. Amy question is what shall I do about school? I cannot go out of a lesson just because I have a really bad ear or face pain. But the school do now know that I have it so I am not sure what to do. And any tips to sooth it at home would be great because I won't get to find out my results until June so it is a long wait. So need as much as I can get.She said about putting me on an epilepsy medication aswell. Have you tried it? Did it work for you?

    • Posted

      Yes, you can leave class because you are in pain.  Let the school know that you have gotten a note from your doctor and that you are may be covered by something like  the ADA- the Americans with Disability Act in the US; here  The school is required to make resonable accomodations for you to be able to 'access the curriculum'  Find an educational advocate if there are problems- you can get assignment due dates extended, have notes from classes you've missed provided for you, get re-take for tests that you've missed.   If you need surgery you can get tutoring services at home  Talk to your doctor and get in contact with the facial pain association.  If you need medication make sure that if you have side effects, like being tired, they may try a different type.  The best thng you can do is make sure the doctor who sees you has treated many patients with a similar condition!  Good luck

  • Posted

    Cool! I hope it lasts foever! I had another kind of surgery that basically does the same thing. Burns the nerve..radiofrequency.....got off drugs, no more electricutions by that nerve!  I had the same nerve problem as you except on the other side...went through the same thing...dentists, neurologists who throw drugs at you until I found the neurosurgeon who works on TN.  I just hope it will last forever!  The only problem is that sometimes our nerves grow back over the injured part and the pain comes back. But if that happens you can just do the procedure again.

    i had to do that.

    and yes, your jaw has a numb spot making it hard to eat certain foods. But like you, I say, I will take that over TN! 

    Good luck to us all!

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