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DrThomasMd, Board Certified MD
Category: Neurology
Satisfied Customers: 64015
Experience:  Internal medicine doctor, diagnose and treat neurology patients, many years
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Is there any help diagnosis of ATFP. My quality of life @ 53

Customer Question

Is there any help for the diagnosis of ATFP. My quality of life @ 53 is so sad. Plus I got hit with this pain 2 months after my 2nd lumbar Spinal Fusion. And of all the jobs in the world I have been a Flight Attendant with American Airlines for 28 years. I choose life, with the help from GOD, and he is the one that started typing this message to the Professionals.
Submitted: 11 months ago.
Category: Neurology
Expert:  DrThomasMd replied 11 months ago.


I believe you are talking about atypical facial pain, correct?

Customer: replied 11 months ago.
DUKE indicated according to MRI no surgical procedures would work. MRI CLEAR
Customer: replied 11 months ago.
Please help 😀 I am seeing Dr. Joel Napenas DDS aka Oral Medicine Doctor. June 6, 2016
Customer: replied 11 months ago.
He is located @ Carilinas Center for Oral Health. My pain is left nostril only. Klonopin worked great for 6 months
Expert:  Camille-Mod replied 11 months ago.
Hello,I'm Camille, and I’m a moderator for this topic. I sent your requested Expert a message to follow up with you here, when they are back online.
If I can help further, please let me know. Thank you for your continued patience.
Customer: replied 11 months ago.
Thank You Camille
Customer: replied 11 months ago.
You are the Best
Expert:  Camille-Mod replied 11 months ago.
you are very welcome, thank you for your kind patience :-)
Customer: replied 11 months ago.
Is the questions I ask in my e mail?
Customer: replied 11 months ago.
Camille I can't find where the doctor replied
Expert:  Camille-Mod replied 11 months ago.
HI, you will receive and email that will tell you when Dr. Thomas comes back online and responds to you on this question. The alert email will contain a link to this question, so you don't have to stay online waiting.
Thank you
Expert:  DrThomasMd replied 11 months ago.

What is your question about this disorder?

Customer: replied 11 months ago.
Surgery seems to be a NO according to DUKE. Klonopin worked for 6 months. All anti-consultant meds didn't help. Any suggestions
Expert:  DrThomasMd replied 11 months ago.

lyrica, is not on your list I believe

I don't see lidocaine patches, which are topical.


And other choices......

Customer: replied 11 months ago.
I have taken Effexor 150 mg for 18 years. Would this interact with lyrica. Effexor for Fibromyalgia
Expert:  DrThomasMd replied 11 months ago.


This can increase side effects in some cases.

It is a moderate interaction and has to be monitored by your doctor.

OK, so you might have more questions or want to give me more information: Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent—that’s how we are paid, per rating]. If you forgot something, come back. I am here