### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
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.

### output:

Hello.your pain as per description seems to be neural in origin especially related to mandibular nerve. I can not say with purity that titanium plates are the cause of pain. But after MMA few patients get the pain u had described. first 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 your 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 your case is also not possible after 2yrs. As their healing takes place by then. Take multicity like it B1,B2,B6, B12, calcium, magnesium, alpha-lipoic acid and acetyl L-carnitine . These help in nerve cell growth.