<s>[INST] My husband has chronic carotidynia for 2 months now. Treated with valium, prednisone, pain killers, and neurontin. Also mouth wash to help kill throat pain all to no avail. He is depressed and having difficulity with stability cordination. What is next? He is misserable. [/INST] Hello, I have studied your case and carotidynia is a difficult issue to treat. It is very frustrating for patient some time. I would recommend you to take Gawain NT one nighttime to take care of this pain. If this is not showing any effect then it is better that you should plan for surgery. You need to see ENT specialist for this. As sometimes it can be migraine due to vascular aneurysm. In that case surgery may be needed. </s>