Has she worked with or seen a psychologist who deals with chronic pain patients? There are alternative ways to dealing with chronic pain that they can help her acquire. Given that she is being seen at Mayo, have they suggested this to her? If not, it would be a good place to start and I would ask their opinion as to what is best. I have done a lot of work on Mindfulness for chronic pain and it has helped me a lot so I throw this out there based on my own experience. I also received this advice from a long time sufferer of TN who also used these tools. They don't get rid of the pain, they just help you understand it and deal with it better. I also take meds for my TN - baclofen, ultram, and klonopin when needed. I do hope you find something that helps her. Take care

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