@sessionaire said in Lip pain solution?:
Greetings all, I am a damaged (ex ? ) trumpeter...I had been playing, trumpet and Fluegel regularly, mostly in "church rock bands" for over 30 years...
long story short, lip strain?/overuse? (orbicularis Oris) injury whilst playing (felt it happen) 12 years ago. End of lips both sides. I have had ongoing pain since then. It only pains if I talk, sing, whistle smile etc. Need to limit talking to only several short conversations per day. I am sick of taking analgesics and applying Xylocaine anaesthetic cream when it gets severe. If I remain in a "vow of silence" the pain subsides. I have not played since injured, very sad indeed ....I have sought solutions/remedies all over the world for last 10 plus years, MRIs and ultrasounds show no abnormality and there has been no surgery or obvious physical damage. I have had countless consults and discussions in person and via phone and web with Drs, professors, Neuros etc etc ... latest attempt to reduce pain was taking gabapentin, the small amount of relief was not worth the side effects of taking it.. The next (last?) throw of the dice is my Neurologist wants to try small botox injections at end of lip area... any one any thoughts? ideas? advice? experience??..
I do thank Steven very much for his thoughts on matter, over last couple of months. I just thought I would cast the net out again as I imagine the botox effects (side effects) will last at least 3 months.
Whilst I have taken up guitar and bass, which I do enjoy, it just doesn't "cut the mustard" with what you can express with a horn 
To be pain free and normal again is the goal.. to play again would be an amazing bonus..
Thanks for taking the time to read my plaintive plea
Take care
stay well, God Bless Doug
Where do you live? Just curious if there is a trumpet professor nearby you could consult with.