12 yr old girl with acute repeating neuropathic pain

An email from Andrew (former president of the National Institute of Medical Herbalists in the UK) to Rowan Hamilton:

I had a patient last week who I thought was close to the ultimate challenge for TPR20:

12 year girl with acute repeating neuropathic pain affecting the glosso-pharyngeal nerve subsequent to a viral/bacterial infection. She was getting shooting pain from her middle ear to front of her jaw for about 20 seconds every 40 seconds (though thankfully she was managing to sleep for several hours at a time) Talking to her was difficult as she was constantly overwhelmed by the pain.

She had had the normal paracetamol and NSAIDs to no effect. GP wanted to prescribe beta blockers but mother was reluctant so came to see me. I couldn’t think of a better recipient for my second tube so gave it to her. Mother reported the following 4 days later:

After 24 hours the pain began to significantly lessen so that though still present it was no longer incapacitating. After 48 hours there was very little pain at all and she was sleeping normally. After 3 days symptoms almost cleared. Needless to say she was very grateful – and I was very impressed! Well done, dear friend – a wonderful achievement.

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