Hi. I started with Botox because the first neurologist never gave the diagnosis but said options were invasive surgery or Botox. I found Botox to be only a band aid approach and tried physiotherapy because I thought the pinched nerve could be moved . Once off Botox and physiotherapy not working, my twitches were awful and very distracting,with my eye shutting frequently. I was referred to a new neurologist who immediately diagnosed me with HFS, explained what it was and the surgery. So I went with the surgery because it can actually fix the problem. Now, 5 weeks post surgery I notice a huge improvement although if I am tired or after reading a lot twitches occur and I have nausea off and on . January 2 I see my neurosurgeon to learn how long it takes to fully recover.