ATFP; PFIP; AO; IPTP; ODP: pain, by any name, would still hurt

I am unique, peculiar, unusual, and have no underlying causes. Actually, so too is my chronic facial and dental pain.

The facial pain started one afternoon in 1998 while I was standing in a grocery store line with a loaf of bread, a carton of coffee cream, and a bag of russet potatoes. While perusing tabloid headlines such as “A Three-Headed Alien is the Father of My Baby and He Owes Me a Light-year’s Worth of Child Support,” a spot on the left side of my face started to hurt, and hasn’t stopped hurting since. The intensity of the discomfort has increased; once semi-managed by (ever larger) doses of OTC NSAIDS, now a combination of prescription meds can only blunt the pain.

Feeling left out, a nerve-dead molar (of course on the left side!) later joined in on the fun. The deep aching and throbbing can now include the rest of my teeth, and occasional electric shocks zapping mainly the lower ones. The dead teeth remain dead (this parrot is deceased) and the live ones consistently check out as fine but still hurt like h**l. My prescription meds do little or nothing for my dental pain.

Any combination of cramps in my small and/or large colon, severe headache or migraine, sinus infections, allergies, the level of stress, the constant lack of restful, REM sleep, the state of my mental health have an impact on how well I deal with chronic pain on any given day.

There is deterioration of bone caused by osteoarthritis in the back of the neck, and upper spine. Two nerves impinged on the left side of the neck and muscle spasms probably contribute to the facial pain. (However, with applied pressure at the site of the impingement, I scream because that spot hurts not because it causes an increase in my facial pain.) These conditions aren’t the root (excuse the pun) cause for my dental issues. (Some recent research suggests that misfiring nerves in the gums may cause this pain.)

Hubby and I talk about the possibility of my applying for a disability pension. This is conundrum; although having an identifiable medical condition is NO guarantee of a successful application, how do I prove my case without a specific named condition, a truly invisible illness, even with impingement, and osteoarthritis? Until I met my primary care physician in 2004, I hadn’t been able to convince ANY doctor of the existence and level of the pain. However, when considering the intractable pain, the ravaging of body, mind, and soul, the shortened life expectancy that go with many chronic illnesses and conditions, my facial and dental problems seem minor. I feel like a whiner and complainer.

But, then each time my body sabotages me, each time I try unsuccessfully to cut back on my meds, each time my pain stops me from doing even simple tasks, I think about the application. Because my case could be so difficult, complex, exhausting, and expensive to prove, I can’t stand to apply. But on nights like tonight, I can’t stand not to either.

my painaversay: my take on PFAM’s diagnosiversary

230px-Aching_tooth_cropIt’s funny, I can clearly remember the first time my face hurt. I was waiting in a grocery store line with a loaf of bread, coffee cream, and a bag of potatoes. The line was slow, so I was perusing the tabloid newspapers headlines, and magazine covers. Suddenly, in a spot just below the eye socket, on top of the cheekbone, the left side of my face started to hurt.

“Oh no,” I thought, “not ANOTHER abscessed tooth!” Several years before I’d had two teeth abscess at the same time, one on the left around where the pain was and another in a similar position on the right side of my face. By the time I got the left tooth taken care of, it had gone past severely infected/abcessed to really “bad” (I won’t go into the gross details, especially since it’s dental stuff). Both teeth had first hurt through referred pain to another tooth, so I just assumed I had dental issues yet again.

While I remember the day clearly, and the year, 1998, I never recorded the actual date on a calendar. I think it was early spring or late fall – I had a coat on, but walking home there wasn’t any snow on the ground. That was just the beginning. Little did I realize when I got home from work and the store that the morning and early afternoon was the last time I didn’t have facial pain. 2011 is my year 13  painaversary year. I did get 2 diagnosis along the way: chronic atypical facial pain, and the impingement of nerves in my neck. And, lots of “be thankful it’s not trigeminal neuralgia” (I am thankful; that’s a terrible condition), not cancer, not ________ (fill in the blank). The left side of my face feels like a combination of a severe sinus infection, several abscessed teeth with cavities, a black eye, and someone pressing down hard on my face with their thumb. And, that’s on a good day.

In a similar fashion, I can remember the first time my IBS manifested itself. I had made my special two-day pasta sauce, and invited friends over for supper. We had salad, pasta and sauce, some wine, and perhaps dessert. Coffee for sure. After they left, my stomach began to bloat; it just got bigger and bigger with my skin feeling stretched and raw. My colon “hurt,” and felt like it was on fire. Now the year I’m a bit hazy on, but I’d guess 1978 or 1979 because of remembories of the kitchen and some snippets of the conversation. Fall because we were talking about birthday plans (for me and for one of the guests). The next morning, my stomach was still distended, my colon was cramping, and it felt like I was trying to digest shards of glass.

Thus began my IBS journey. There are lots of milestones I could mark with my IBS. For example, early on the doctor I complained to the medical board about, and then, years later and a thousand miles away getting one of his “adoring” students as the specialist I was referred to. – go figure the odds on that one! Years of “well, it’s only IBS, be thankful it’s not Crohns” (knowing folks with Crohns I’ve always been thankful it wasn’t that disease!).

Photo of Armstrong on the Moons surfacePrevious causes of pain I remember too: my first period happened at the exact same time a man first walked on the moon and my first real migraine (up til then it had just been bad headaches) when I was 16.

The other health issues I now deal with just seemed to manifest themselves. My memory (probably due to the heavy-duty opiates I used to take for my facial pain, strange sleep patterns, the foggy-groggies from other meds and fibromyalgia) is shot. I know that the traumatic loss of my job in 2004 and attempts to find another sent me spiraling downward.

Most of the other symptoms I have are post-2004 or existing ones got worse. Sometime along the way, I lost my short-term memory. I developed chronic atypical odontalgia (which means healthy or root-canalled thus “dead” teeth hurt as if they are abscessed or worse). My IBS became a daily distention and painfest. My neck started constantly spasming. I developed osteoarthritis in my jaw, neck, and spine to go along with my overall osteoporosis. I lost my inner thermostat, so that my body temperature fluctuates wildly, and not in sync with the ambient temperature. I became chronically exhausted due to meds, sleep issues (I usually only sleep in two or less hour units; yet sometimes I lose a day to sleeping in longer chunks of time) and possibly fibromyalgia and who knows what else.

Somewhere on a calendar is marked the date I had an appointment with a rheumatologist (referred by my regular doctor) who told me I have fibromyalgia. That was the fall of 2010. I’m still not sure I do. But that’s another whole blog entry! Winking smile

Some days are dark; the chronic depression that waits in the corners of my mind for a chance to take center stage struts out. Then there are only tears and more tears. Tears of what might of been, what should have been, want cannot be. The negative Bluray DVDs of all my disappointments, my hurts, my losses, my defeats plays in an unending loop.

Other days contain light: I get a nice email or comment on my blog from a cyberverse friend, I had a good trip to the grocery stores (2 stops over on the train), I had enough energy and interest to finish a task. The snowdrops have pushed their way up through the frozen ground and snow. A new or favo(u)rite bird drops by our feeders.

Most years I’m glad to see December 31 and the closing of another year, with the wish that the new year will bring treasures, pleasant surprises, calm, inner peace, redemption and most of all hope, laughter, and sunshine. In a sense, I mark January 1 as my painaversary; adding another year to my symptoms.

And, at midnight on December 31, hoping that this is the year that the pain will stop or lessen, I’ll figure out my food intolerances, my doctor and I will hit up the right med to actually elevate my mood (rather than just stopping the tears), I’ll be more positive, I’ll get my energy back, good things will happen. A year to remember with fondness; a year to celebrate with joy.

Disclaimer: I am not a health care professional. While I blend antecdotal information with findings from research, I am by no means in a position to offer specific medical advice.