I underwent a three level cervical disc fusion C45,C56, and C67, anterior approach on right. I awoke from surgery with pain and headache on right side only with distribution along lower jaw, around and behind right eye, temple, and going back behind right ear toward occiput. It seems the trigeminal distribution, but rather than have the typical shooting type pain as a reaction to sensory input, it is pretty much a constant throbbing. My surgery was three weeks ago and previously I had never had any of these symptoms. I'm extremely active and refused to take pain meds with three herniated discs, but this demands medication for me to function. Could compression or stretching of the trigeminal nerve during surgery cause damage which is causing this neuralgia and head ache. I have no infection and normal blood counts. After trying two steriod dose packs and a Zpack suggested by my neurosurgeon, I went to a general practioner to make sure I had no infection or other cause. Except having high blood pressure, which I usually have low blood pressure, everything was within normal limits. I feel the BP is due to pain. I'm a working physical therapist. I don't go back to my neurosurgeon for recheck for two more weeks. I need to work and return to my active life. Please advise if you think this could be the correct diagnosis or suggest ideas. Thank you so much!