I started having problems with a dull toothache that just would not go away in 2006. In 2007 I was diagnosed with trigeminal neuralgia when the dull toothache pain went from a toothache pain to burning on the bottom lip electrical shooting pains in the cheek area and chin area and then spread into the temple area and going behind the ears. I had my surgery of MVD on February 28th of 2008. In May 4th of 2009 it all came back... Hurting much worse than before. I now take tegretol gabapentin valium in Cymbalta four times a day everyday. tegretol and gabapentin are at the highest dosage. Still I suffer some days are tolerable every other days are worse than ever and if I get my meds I start to go through withdrawals stuttering. My cognitive is off, and I went from being a social service case manager to now having a hard time spelling and getting words out but I'm trying to say this has totally taken over my life but I am still fighting and I will continue to fight for my children and grandchildren