Oh boy, bizi! Does my wonderful Pain Management Consultant understand my levels of pain! He is an Anaesthetist who runs the Pain Clinic. He has me on:

Lidocaine Infusions - 4 weekly.
Tramadol - 100mg 4x day
Ketamine - 30-60mg 4x day
Morphine - 10mg 4x day
Arcoxia - 30mg 1x day.

The Topiramate I take for Cluster Headaches has the side effect that it dulls my Neuropathic Facial Pain/Paresthesia/TN by 25%, but it still varies between a constant nagging and occasional excruciating pain.

I have reviews every year and can see him more often if I need to. At the end of my Lidocaine cycle, when my meds have worn off or I have been a little active my pain is around 9. Doped up completely it is taken down to a 5. Of course, when Cluster Headaches attack all quantifying numbers are meaningless.

Dave.