Welcome Laura!

Botox is turning out to be a good option for various pain issues but I can understand your reluctance. I take a low dose of nortryptiline for nerve pain and find it very helpful. It is dispensed frequently for migraine. A plus is my mood seems to be better even though I only take 20mg at bedtime, much lower than the antidepressant dose. I can honestly recommend the TCA family as an alternative for opiate pain meds. I hope you find relief soon.

Sending Healing Love, Littlepaw.