Ok here is the story short version. I had tonsil cancer. tonsil removed and 31 tomo radiation treatments done. I had pain since the treatments ended. (sorry my comp is going crazy) I finally went to see a pain specialist and was told that I had a damaged glossalpharyngeal nerve. Long story about adjusting pain meds. While I was on gabapentin I went back to work only to have severe stabbing pain in my throat that radiated thru my ear. I was told by otolaryncologist that I needed to give it time to adjust. My throat he meant. So I did I worked in severe pain from mid Sept to beginning of Dec. I went back to pain specialist and he told me that maybe I should not be working. I had to up the gabapentin to 400 3 times a day. Now that may not be much for some of you but it killed me. I was in complete lala land and could not function. My current dose is 200 200 and 300 when I go any further up I get headaches and feel like I am drunk. I was told by one of the pain drs that he thinks maybe I have some type of allergy to the med. Anyway even though I am on this med any extra bit of talking that i do affects the pain level and eating talking coughing hot or cold things bother my throat and ear. I woke this am and coughed a couple of times now I have ear pain. So here is my question from you guys the experts. Does gabapentin continue to work at the same dose or do I need to increase level to continue to get some relief? Also I am scheduled in a week for a nerve block thru my nose with a qtip and lidocain I believe is what they said. If all my pain is in my throat and ear will going thru my nose stop it or will this need to be done thru my throat to get to the nerve that is damaged.
Please I need advice I am going crazy from this pain that doesnt seem to be going away with the gabapentin.