I have had tn for 1 1/2 years. It started after many sinus surgeries which caused osteomyelytis of sinus. Dental work was first trigger. Anyway, now have been on lyrica,trileptal, and nortripltyline. My triggers seem to be any stress, physical or mental to my body. Had to go on hormones cause menstral cycle was a trigger. Now whenever I get sick, cold or sinus infection, I get triggered. Pain is dull, with ocassion shooters in face and top of head like a metal pole is shoved through the top of my head and into my face eye and cheek. I met with a neurosurgeon whose only suggestion was to stay on meds, cause his solution was servering the nerve because his history with people like me, didn't have a good success rate. Are there any others with similar history who have had either mvd or severing of the nerve whom have any ideas. Right now I have been suffering for 5 days because of a dam cold.