How can constant pain in the jaws and face be treated?
Patient: My daughter has been suffering from constant jaw pain with intermittent, zinging pain up her face and down her neck since having her wisdom teeth removed 6 weeks ago. She has seen an oral surgeon, neurologist and GP.  MRI and CT scan were negative. She has a history of lymphoma; treated with chemo and stem cell transplant. GP started her on low dose Amitryptiline about 1 week ago with minimal results. Do you have any further advice? Doctor: Hi..Thanks for the query..It looks like it can either be a nerve pain or due to jaw joint related problems..Similar pain symptoms can be seen in Trigeminal Neuralgia as Trigeminal Nerve is the nerve of face..It can be due to trauma, infection or inflammation of the nerve..If the pain started after wisdom tooth extraction then it can be most probably related to jaw joint related problems..Amitriptyline can help in a few days, however the dose can be gradually increased if needed..Also the regular painkillers like Ibuprofen, naproxen, Ketorolac etc can be advised..Hope this helps..Regards..