I’m not sure if you’re asking if surgery has damaged nerves for members, or if nerve problems are not always resolved with surgery?
I believe compression of the trigeminal nerves caused my neuralgia- I don’t get the electric shock pains but constant aching. Amitriptyline helps alot, but it was worsening before surgery & I was getting tingling & numbness over my cheek & jaw line. After surgery I hoped that this would go, but although it’s improved, it hasn’t gone completely, so I still take medication. It was definitely worsening, so surgery has helped that. It does also seem to be linked to other neck problems I have, it can worsen when that flares up. I guess that the styloids can sometimes cause permanent damage.
But I also had vascular symptoms & they’ve improved massively, I’m so glad that I was able to have surgery.
As for nerve damage during surgery, there have been a few members who’ve had some facial paralysis, tongue problems and arm/ shoulder problems. These usually improve with time. Doctors will go through these risks with you, but most doctors monitor the nerves during surgery to check any stress on them- Dr Samji definitely does this. And with experienced doctors the risks are lessened.
I hope that your phone consult goes well & that Dr Samji can help you, let us know how you get on!