I've a relative in Dundee with severe trigeminal neuralgia. She struggles to speak and eat and is down to 7st (5ft 8in). She reacted very badly to anti-epilepsy medication and her GP has run out of painkillers to try. He is going to refer to the pain clinic (6 month wait). She is on her own with a disabled son (in his 30's). She's trying acupuncture with a Chinese practitioner (no success).

I'm sure there is a TMJ problem. She's had a lot of dental work as she was sure the pain was from her teeth. I've had the same problem myself which responded to Physio, acupuncture, medication and a mouth guard from the maxillo-facial dept.

I am a physio, but I live 200 miles away and don't have any contacts up there. Her inability to eat is a major health issue now. Not all physios have experience of maxillo-facial problems - can anyone help?

Sheila Johnston

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