Neurological Associates

Pain Management Center

Vero Beach, Florida

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RSD Puzzle # 97
RSD of the Mouth

Many thanks for your letter of 7/16/97. The type of nerve injury and problem that you have in your mouth has many different names. These include causalgia, phantom pain, neuropathic neuralgia of the mouth, and atypical RSD.

Regardless of what name is given to this condition, there is one characteristic. In this condition, the sympathetic nerves that provide sensation of pain and provide control of circulation to the soft tissues of the face and mouth are damaged. As a result, the patient develops stabbing, burning, or electric shock type of pain with a tendency for recurring frequently.

The best treatment for this condition are anticonvulsants such as Neurontin or, more effectively, Tegretol. Also, antidepressants such as Desipramine, Trazodone or Prozac. Desipramine and Trazodone are more effective than Prozac.

The worse thing that can happen in this condition is root canal exploration. Please make sure that at no time does an oral surgeon proceed with a root canal surgery on you. The root canal surgery damages and aggravates the neuropathic pain.

We do see this condition quite often. Any form of surgery aggravates this condition, as well as ice cold drinks being harmful for this condition. One simple treatment that provides good relief for pain is washing the mouth and gargling with a small amount of Milk of Magnesia followed by brushing the teeth with baking soda.

Certain foods definitely aggravate this condition, these include: hot dogs, cold cuts, liver, kielbasa, sausage, the 5 "C's" (candy, chocolate, cocktails, cookies, and cake). The foods that help this condition are low fat dairy products, and the 4 "F's" (fresh fruit, fresh vegetables, fresh fish, and fresh fowl). Fowl refers to chicken, veal, lean ham and turkey.


H. Hooshmand, M.D.

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Copyright © 1997-2006 H. Hooshmand, M.D. No part of this publication may be reproduced, transmitted, stored in a retrieval system other than this specific media, transcribed, or translated into any language without the expressed written permission from the author; H. Hooshmand, M.D. and Eric Phillips and CMNE. This material is for informational and education purposes. It is not meant to take the place of your physician. Before starting, changing, or stopping any treatments or medicines consult your physician.

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The material on the Neurological Associates Pain Management Center Homepage and all it's associated, linked or reference pages is for informational and education purposes. It is not meant to take the place of your physician. Before starting, changing, or stopping any treatments or medicines consult your physician. H. Hooshmand, M.D., Neurological Associates Pain Management Center and Associates will not be held liable for any damage or loss as a result of information provided on this page or associated documentation. Again, this WEB SITE is simply published as an information source and should not be used to treat or make judgments on RSD/CRPS. All associated material on this web site may not be copied, reproduced or quoted without expressed written permission from the owner; Copyright © 1999-2006 H. Hooshmand, M.D.

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