Chronic ear pain in 9 year old

[raggle]

Hi
Hoping someone may have a suggestion to help us get to the bottom of my 9year old sons ear pain.
5 months ago he had a bad cold, ear eache/headaches/streaming nose - the works. This cleared up after a few weeks but the ear pain stayed.
He describes the ear pain as a constant level of pain with stabbing pains that occur anything at random intervals and can last for any length of time.
Over the past months we have been to and fro ENT and paedactrics with no success. We have had 4 different sets of antibiotics, a CAT Scan, MRI Scan, Blood tests all blank. Dentist has checked his teeth.
They are saying there is now no infection in his ear and suspect its Neuropathic Pain.
Paeditricion put him on carbamazepine for 5 weeks with no effect.
We are now on 20mg amitriptyline and again no decrease in Pain. BUT since we upped from 5mg to 10 he has said that the pain has increased?
We are now waiting for a referral to Pain management
He is having a course of Acupuncture to see if that will help - so far not.
When he gets to sleep he sleeps through with no wakeups which is odd from what I can see on the net - it seems people normally have problems sleeping.
Just wondered if anyone had any ideas as my wife and I are getting very concerned.
thanks

mark

[raggle]

Hi thanks for the comments.
No not tried Oxycodone, but Codeine has been tred and it has no effect.
Doctors seem to agree with us that we dont think it is a pyschological.
He is generally a very happy boy doing well at school, lots of friends.
He has played  in a local football team for over 4 years now and it is his passion. This has stopped as he cant concentrate on playing due to the pain.

[Jerry_NJ]

My sympathy, and more difficult when in a youngster.  

The fact he gets sleep is good, thanks for that at least.  This makes me wonder too about psychological nature (Neuropathic Pain. ?) of the pain.

I do not know the pain meds you mention, has Oxycodone been tried?  That is a drug that may not be used for children - it of course doesn't fix the problem, just gives relief from pain.  I have used as an adult when I had bad tooth ache, it worked until I could get the needed dental repairs.