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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To consider making a complaint to PALS?

29 replies

MyoOuch · 04/10/2022 20:15

I have chronic pain which started in my face three years ago, primary care (my dentist) referred me on to secondary care at the hospital (oral surgery) for suspected TMD.

I have been asking for an MRI since the beginning as the condition, whatever it is, is getting worse with time. The jaw pain started to spread spread from the jaw, to the base of my skull, pain behind my eyes, my neck, shoulders and now my whole upper back area is in chronic pain.

My jaw also deviates to the side which it didn't to begin with.. so whatever is going on is definitely getting worse. Still no imagery taken.

For years I've been back and forth to the hospital for appointments with them, they've put me on two different medications that have done nothing. I see a new person every time I go who tends to do an examination and then kick the can down the road for the next one.

I had one consultant (I think that's what she was? Member of staff in oral surgery anyway) tell me there's nothing they can do for me and it's "just how you are" - I considered making a complaint then but they redeemed themselves when another lady assured me I was a candidate for botox.

So eventually I had botox (after a two year wait and me breaking down in tears during another appointment where it was looking like they'd do nothing) essentially still treating me blindly as I hadn't had so much as an X-ray.

I've had to plead for a referral to neurology after doing my own research and wanting to rule out occipital neuralgia among other things. That can was kicked down the road for months so I went to my own GP who was shocked at the lack of progress and sent off a referral himself.

That referral was subsequently rejected as the neurology department wanted the referral to come from secondary care, for the benefit of continuity.

Cue me having to plead with oral surgery, again, to please send the referral.

Finally after almost three years and endless pointless appointments where I've travelled across the city for nothing I've had a referral sent to neurology which I'm told could take 6-12 months. I've also, after breaking down in tears again had the most recent person I saw today agree to refer me for an MRI.. which could take another 6 months.

All of this has gotten to the point where I'm unable to care adequately for my children on some days. I receive alot of support from my OH and DM as when the pain is bad it's completely debilitating and I can't function.

I'm upset and stressed that if they'd have just taken a bloody X-ray or done an MRI at the beginning they could have treat whatever this is, or put me onto somebody who could, and I wouldn't be in the state I am now.

So WIBU to make a formal complaint? Do you think I'm being entitled to believe this baseline investigation into my condition should have been done along time ago thus could have saved me alot of pain and deterioration?

OP posts:
Oinkypig · 04/10/2022 23:56

The cost of an MRI is neither hear nor there, trust me on clinics, clinicians are not contemplating how much the tests they order cost. I actually think if they considered the cost there would be less of a wait for essential tests.

Your bite is fine, it’s been your occlusion since you were about 14 ish why in the last few years would it cause problems?

I’m really not trying to be dismissive but I just would hate for you to explore miracle cures costing a fortune.

Oinkypig · 04/10/2022 23:56

I swear edit! Here not there

MyoOuch · 05/10/2022 07:55

My occlusion hasn't always been this way though, it's something that has happened over the last few years.

OP posts:
Oinkypig · 05/10/2022 19:39

@MyoOuch Occlusion doesn’t really change though (without intervention like braces or full mouth crowns) you have a skeletal base which doesn’t change and then teeth on top, even losing teeth doesn’t really change that relationship. You can grind teeth away and have a flatter occlusion, possibly you had braces as a child and have tipped into teeth moving back to where they want to be?

I’m not really sure what you think blood tests or imaging will show, there is no intervention for TMD, trigeminal neuralgia or facial pain that would only be indicated following blood tests or imaging. All the medications/Botox/supportive exercises and advice can be offered on history and symptoms.

I do think dentists and maxfac are bad at communicating and tend to tell people there is nothing “wrong” which they think should be reassuring when a patient like you is having real symptoms. What they should be saying is there isn’t anything wrong I can fix but that’s not to say there isn’t some issue that needs to be managed for you.

And I’m probably adding to those dentists not communicating well! I’ve just seen patients who pay a fortune for all sorts of fancy occlusal re-adjustments and appliances and it doesn’t help so I always advise caution.

Have you been to an oral medicine clinic yet? They can be better at managing pain but they are usually only attached to the dental hospitals.

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