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Is there anybody else who suffers from nerve pain brought upon by nerve injury? Specifically from oral surgery or maybe some other trauma? Any insights from anyone,even from people who don't have the same injury as mine would be great.
I suffer from nerve pain in the form of burning with a numb chin from a oral surgery procedure 5 months ago. The nerve involved is the inferior alveolar nerve( a branch of the trigeminal nerve). The left side of my chin is totally numb, but has burning pain. The right side of my chin is regaining a bit of feeling but also painful to touch, while having burning.
I am currently on carbamazepine and pregabalin, and I have good days and bad days, but more often than not bad days.
My doctor tells me that the nerve involved was intact and not severed. I'm not sure if that's the truth but I have no idea how to find out except if the nerve was explored then repaired, which means cutting the bone again and risking more damage. Doctors tell me that there are no imaging studies that can be done to appropriately visualise the nerve.
My options are to:
1. Wait and see if the nerve heals and take medication to control the pain
Option one is conservative and there may be a chance that it will heal, but I could miss a critical timeline to repair the damaged nerve, which is generally up to 6 to 9 months, and I could possibly be left with life long neuropathic pain in the chin area which I rate as 3-5 constant pain out of a scale of 10. The pain isn't bad if it only lasted a second per day, it's the constant nature of the pain that wears me out.
2. Have my nerve explored and repaired
Option two is more aggressive and it could be a possible cure but there are no guarantees that the pain will go away, and I could risk damaging my nerve further thus causing higher levels of pain.
Option three is a last resort, I will be left with a totally numb chin that won't heal and for some patients, pain recurs.
I am scared as hell on what to do, I have discussed this with numerous neurologists and they are not sure what to do and they say that the decision is ultimately mine to make. But I believe that they all want to manage it conservatively.
With option one I would settle for the pain I currently have for life if it doesn't heal.
With option two I would risk having more pain or no improvement but I could be cured.
With option three I could have a pain free period or be free from pain for life, but the pain could recur(maybe even worse than before).
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