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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sharp Pain In The Throat Upon Moving The Head. Had Shingles In The Forehead. Prescribed With Gabapentin For Possible Neuralgia

i have random sharp pain (like an icepick being shoved into a nerve) on the back left side of my throat . It usually occurs when i move my head to one side, stand up, or roll over in bed/couch. It usually does not last long, but is very intense. I have had this for 9 1/2 years and have seen numerous ENTs and other docs. it does not seem to be in the inner ear , however, pushing on the spot between the ear and jar sometimes seems to make it stop. When i am up moving continuously it rarely occurs. I did have shingles on the left forhead (above left eye upon returning from Afghanistan in 2003) - some thought possible neuralagia and perscribed gabapentin - just makes me sleep. Any thoughts would be greatly appreciated.
Wed, 2 Apr 2014
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ENT Specialist 's  Response
Hello

Welcome in H.C.M.

After reading your symptoms and co-relating with clinical history it appears as you may be possibly having enlarged styloid process of mastoid bone leading to Glossopharyngeal neuralgia. This may be confirmed by taking X-Ray mastoid in 30 degree lateral oblique view.

Probably a good clinical examination is necessary for proper diagnosis so please consult your ENT doctor.

Regards.
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Sharp Pain In The Throat Upon Moving The Head. Had Shingles In The Forehead. Prescribed With Gabapentin For Possible Neuralgia

Hello Welcome in H.C.M. After reading your symptoms and co-relating with clinical history it appears as you may be possibly having enlarged styloid process of mastoid bone leading to Glossopharyngeal neuralgia. This may be confirmed by taking X-Ray mastoid in 30 degree lateral oblique view. Probably a good clinical examination is necessary for proper diagnosis so please consult your ENT doctor. Regards.