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What Causes Persistent Jaw Pain Despite Taking Medication?
Question: Thank you Dr. Spaho I am being treated with Tegretol 200mg 4 times a day, Lyrcia 200 mg 3 times a day and Prednisone 200mg once a day, and I still have pain in my jaw I can't chew or eat. I also had 3 1hr sessions of Iv's of Prednisone it lasted about 3 days and my severe attach's of screaming are gone for now but I still have the jaw problem. I thought TN cam and went for a while. I have had sever pain since last April.
Is there any hope. Since I have been on these med my eye site is poor and I drop things a lot and I my hands jerk.
Thank you XXXXXXX XXXXXXX
Is there any hope. Since I have been on these med my eye site is poor and I drop things a lot and I my hands jerk.
Thank you XXXXXXX XXXXXXX
Brief Answer:
Glicerol injections should be considered.
Detailed Answer:
Welcome back XXXXXXX and thanks for asking directly.
Of course there is hope and fortunately there are several treatment ways about trigeminal neuralgia.
Still in pain with all these drugs and side effects such vision problems, means that other treatment possibilities should be evaluated.
In addition, Prednisone can't be used for a long time because of the side effects.
As I mentioned before, glicerol injections around trigeminal ganglion at its exit from skull base is one simple technique that stops pain impulses and improves significantly your symptoms.
It is done by a Neuroradiologist under imaging guidance and usually there is no need to stay more than few hours at the hospital.
If neurovascular conflict is identified between trigeminal nerve and brain artery inside the skull, by MRI, microvascular decomprression is discussed as a permanent treatment option, but it is done surgically and complications exist.
Other possible treatment ways include gamma knife surgery and radiothermal lesioning of the trigeminal nerve.
In my opinion, you should consider glicerol injection in order to improve symptoms and reduce, or avoid drugs use.
Hope I helped you.
Let me know if I can assist you further.
Glicerol injections should be considered.
Detailed Answer:
Welcome back XXXXXXX and thanks for asking directly.
Of course there is hope and fortunately there are several treatment ways about trigeminal neuralgia.
Still in pain with all these drugs and side effects such vision problems, means that other treatment possibilities should be evaluated.
In addition, Prednisone can't be used for a long time because of the side effects.
As I mentioned before, glicerol injections around trigeminal ganglion at its exit from skull base is one simple technique that stops pain impulses and improves significantly your symptoms.
It is done by a Neuroradiologist under imaging guidance and usually there is no need to stay more than few hours at the hospital.
If neurovascular conflict is identified between trigeminal nerve and brain artery inside the skull, by MRI, microvascular decomprression is discussed as a permanent treatment option, but it is done surgically and complications exist.
Other possible treatment ways include gamma knife surgery and radiothermal lesioning of the trigeminal nerve.
In my opinion, you should consider glicerol injection in order to improve symptoms and reduce, or avoid drugs use.
Hope I helped you.
Let me know if I can assist you further.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
THANK YOU, for you answer I will try and find a doctor that does this procedure and see what I can get done.
Thanks again, XXXXXXX XXXXXXX
Thanks again, XXXXXXX XXXXXXX
Brief Answer:
You are welcome.
Detailed Answer:
I believe there is solution to your condition.
Hope to hear good things about your problems soon.
Greetings.
You are welcome.
Detailed Answer:
I believe there is solution to your condition.
Hope to hear good things about your problems soon.
Greetings.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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