<s>[INST] Not sure where to ask this but I had MMA (double jaw ) surgery two years ago and have had consistent pain in the lower left jaw from ear to chin . I have tried all sorts of natural and medical ways to take the pain away but it doesn t seem to work. Could the titanium plate be the source of this pain? My oral surgeon is willing to take it out but doesn t know if it has anything to do with the pain. It feels like the bone hurts. [/INST] hello..ur pain as per description seems to be neural in origin especially related to mandibular nerve.. I can not say with surity that titanium plates are the cause of pain.. but after MMA few patients get the pain u had described.. first of all I would like to know whether the compression of nerve is there by titanium plate.. it is very difficult to find out even by best non-invasive investigations.. If plates are compressing the nerves ur pain will be relieved permanently.. I would like to know about any nerve injury during the MMA procedure.. The nerve injury is one complication which can occur even by best precautions.. please consult a good neurosurgeon .. ur description of pain is very less.. its episodic , continuous, sharp,dull,location,radiating nature,etc .. will be deciding factor in your treatment plan.. muscular pain after 2 yrs of surgery is not common. so i had ruled it out.. and bone/ligament inflammation causing the pain in ur case is also not possible after 2yrs.. as their healing takes place by then.. take multivits like vit B1,B2,B6, B12, calcium, magnesium, alpha-lipoic acid and acetyl L-carnitine .. These help in nerve cell growth.. </s>