My worst pain is often right in front of my right ear, and it radiates along my jawline, but it does not reach my throat. It also radiates to the top of my cheekbone. Do you have any co-morbidities? Illnesses that you have or had?

I usually wake up with a sore throat that never turns into a cold, since my total thyroidectomy in 2010. Nobody has anything to offer up about that except acid reflux. In fact they at first tried to diagnose my TN as acid reflux aggravating my salivary glands. They changed their minds when I told them that I avoided smiling, it was like a reality check for the intensity of the pain.

Does anybody else have trouble smiling? My facial muscles have been trained so effectively not to smile that if I try the muscles all quiver.