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Symptoms of disease - pain in the face

Pain in the face (prosopalgia) - one of the most complicated problems in modern medicine. They can be caused by pathology of the nervous system, ENT-organs, eye, tooth-jaw system, etc. Therefore, treatment of these patients is a collaborative process of doctors of different specialties.

Pain in the face can be caused by neuralgia of the trigeminal nerve and other cranial neuralgias, diseases of the teeth and sinusal nose, degenerative changes or injury of the cervical spine, migraine, cluster headache, temporal temporal, the syndrome of the temporo-jaw joint, carotidinitis, tumors of the base of the skull, orbit and nasopharynx.

Which diseases there is pain in the face

Causes of pain in the face:

1. Neuralgia glossopharyngeal nerve is rare. It is manifested intensive paroxysmal pain in the depth of the cavity of the mouth, the root of the language, the tonsils and provoked by swallowing (especially chilled fluid), cough, chewing, talking, yawning. Sometimes the pain changes in his ear and neck. Sometimes it is felt only in the ear (antalgic form). Pain in the face can provoke a touch of the soft sky or tonsils, sometimes the pressure on tragus. The attack continues for a few seconds or minutes and may be accompanied by bradycardia, fall HELL, sometimes collapse. Particularly frequent fainting spells occur when neuralgia, caused by a tumor in the throat. Reducing the sensitivity or palsy is not revealed. There is often a spontaneous remissions from several months to several years. Perhaps a combination of the neuralgia of the trigeminal nerve, if both nerve squeezed by an elongated twisted vessel. Sometimes a similar pain syndrome is observed in tumors of the throat (including the pharynx), the language of the posterior cranial fossa, tonsillitis and peritonsillar abscess, hypertrophy styloid process. In the latter case, the pain is worse when turning the head. Neurinoma glossopharyngeal nerve is observed extremely seldom. Symptomatic neuralgia should be suspected in young patients with persistent pain and symptoms of prolapse.

2. Neuralgia of upper laryngeal nerve is characterized by paroxysmal unilateral or bilateral pain in the throat (usually at the level of the top of the thyroid cartilage or sublingual bone) and the angle of the jaw, referred in the eyes, ears, chest and girdle and accompanied by a hiccup, hyperptyalism, cough. Pain are provoked by swallowing, yawning, cough, blowing, movements of the head.

3. Neuralgia pterygopalatine ganglion (Sladera). The pain is localized in the area of the eyes, jaw, teeth, tongue, soft palate, the ear, changes in cervical-humeroscapular zone. It is a combination of the vegetative manifestations (lacrimation, and nasal congestion, puffiness of the face, the injection of sclera on the side of pain). In recent years, the reality of this syndrome are being questioned. At least, a considerable part of cases of «neuralgia pterygopalatine node» is caused by cluster headache, migraine, or cervicogenic pain.

4. Neuralgia ganglion (Charlene) is a rare condition, manifested bouts of one-sided pain in the inner corner of the eye and the root of the nose, secretions from the nose, nasal congestion, conjunctival injection, blepharospasm. Trigger points - in the field of output infraorbital nerve and outdoor nerves in the nose. Instillation in the nose cocaine-adrenal mixture eases the pain in the area of the nose, but not in the eye. In the past  Charlene's syndrome mistakenly diagnosed with cluster headaches.

5. Otalgia (pain in the ear) can be caused by a tumor of pharynx, an aneurysm of the vertebral artery thrombosis lateral venous sinus. If these possibilities have been eliminated, the pain can be associated with a migraine, cluster headache, neuralgia glossopharyngeal nerve or idiopathic otalgia. Eritrootalgia (syndrome of red ear) is characterized by intense burning pain in the ear, sometimes irradiate in the forehead, neck, lower jaw, accompanied by reddening of the skin and increase in the temperature of the auricle (as a result of the expansion of the cutaneous blood vessels). The cause of the syndrome can be cervical spondylosis, accompanied by the irritation of the third cervical spine dysfunction of the temporomandibular-jaw joint, acute neuralgia glossopharyngeal nerve, the defeat of the thalamus, idiopathic hypersensitivity pain fibers to heat.

6. Dysfunction of the temporomandibular-jaw joint causes pain not only in the field of joint (in front of the ear), but also in the person: in the area of the forehead, temple, and the lower jaw, cheek. She is accompanied by clicking or restriction of movement of the joint. The pain is often associated with myofascial syndrome in the chewing muscles, abnormal bite, inflammatory or degenerative changes in the joints. Examination reveals a local tenderness, crepitus when you open your mouth, wrong position of the articular surfaces and limit the movements of the lower jaw. Me palpate the joint easier behind, entering a finger in the external auditory meatus. The correction of bite, physiotherapy (thermal procedures, ultrasound), special exercises help to reduce the pain. A certain effect is a combination of NSAIDs with drugs and antidepressants.

7. Сarotidinia is characterized by bouts of pain and the upper part of the neck, face, ear, jaw, teeth, lasting several hours. The pain sometimes is enhanced if swallowed. It is possible to provoke the palpation of the carotid artery in the neck. Sometimes similar symptoms occur when a migraine, temporal region arteritis, bundle carotid artery or displacement of its tumor.

8. Odontogenic pain - one of the frequent causes of pain in the face. Pain in the region of the upper and lower jaw often arises as a result of irritation nerves in caries, diseases of the dental pulp, periodontal abscesses. Usually the pain is worse at night, has a pulsating character and is accompanied by the local painfulness in the area of the tooth root. The pain provoked by the cold, warm, sweet. In neuralgia of the trigeminal nerve cold, too, at first provokes pain, but then there is addictive to him. Sometimes chronic facial pain are caused by osteomyelitis of jaw with the formation of microabscesses. Do you looking for movers? Best SF moving company https://sfadamsmoving.com/ with real reviews. Find your moving service online. After the extraction of the teeth or dental surgery may occur trigeminal neuropathy, manifested by decrease of sensitivity in the lower lip, the weakness of the masticatory muscles.

9. Acute pain in the face (atypical prosopalgia) is a common syndrome, arising predominantly among women of 30-60 years. It is diagnosed if, in spite of the thorough examination, organic causes of pain have not been revealed. The pain is usually permanent. In some patients it is limited to a specific part of the face, but sometimes extends to the whole of half of the face and neck. Often the pain is often one-sided, but it can also be two-sided (as a rule, the asymmetric). As a variant of atypical facial pain consider burning pain in the mouth cavity (glossalgia or atypical odontalgia). The intensity of the pain can range (often it increases stress or thermal effects), but clearly outlined attacks are rarely observed. The pain often define as the superficial, crushing, squeezing, burning, throbbing, aching, or boring. Many patients find it difficult to its precisely localize and describe. Pain rarely bothers night. Sometimes it is accompanied by paresthesias, but objectively no sensitive or vegetative disorders, trigger zones in the area of the face is not detected. Sometimes the pain dies down for a few weeks or months, but then usually comes back again. The pain is often a cause for dental or ENT manipulation (tooth extraction, punctures of the paranasal sinuses, manipulation of the trigeminal nerve), which do not bring relief, but only increase the pain and contribute to their synchronization. In such patients frequently detected signs of depression, and in the end the pain recognize the «psychogenic» («psychalgia»). However, while the pathogenesis of atypical pain remains unclear, it is believed that they are based on a defect of the Central analgesic systems that limit the inflow of pain impulses to the system of the trigeminal nerve, which is connected with the lack of certain neurotransmitters: serotonin, norepinephrine, opiates (defect of the same mediator systems may lie in the basis of a depression). Not less important factor is the excess of the long peripheral stimulation (for example, frequent dental manipulations). Before diagnose this condition, it is important to exclude neuropathy or swelling of the trigeminal nerve, multiple sclerosis, tumors of the base of the skull.

10. Very often, muscle pain persons wrongly interpreted as trigeminal neuralgia. Muscle pain associated with a permanent excessive tension of the muscles involved in chewing, facial expressions, and some of the muscles of the neck. This pain is called «Myophascial pain syndrome of the person».
Possible reasons:
- Change of the bite, when one of the pair of teeth (upper and lower) closes prematurely (the so-called «supercontact»), create a foothold and cause the swing of the lower jaw on the type of leverage; when this happens damage to joints and muscles of the jaw.
"The peculiarities of the response to stress (the inclination of teeth clenching at the experience of some of the emotions);
- Involuntary muscle tension in the nervous exhaustion and depression, accompanied by the change of ratio in the brain substances-regulators muscle tone;
- The reflex muscle tension in osteochondrosis of the cervical spine;
- Transferred injury of the temporo-mandibular joint (hit in the jaw), moved a broken jaw.

When the disease-pain constant, uniform, sometimes radiating to the ear, can be accompanied by a noise in the ears. In the muscles of the face are detected point, especially painful when pressure is applied (trigger points).

Which doctor should I contact if there is a pain in the face

• Neurologist
• Dentist

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Do you feel face pain? You should be very careful approach to your health in general. People pay not enough attention to the symptoms of the disease and don't realize that these diseases can be critically dangerous. There are many diseases that in the beginning didn't manifest in our body, but in the end it turns out, unfortunately, it have already been treated too late. Every disease has its own specific features typical symptoms - called symptoms of the disease. Definition of symptoms is the first step in the diagnosis of diseases in general. You just need a few times a year to be screened by a doctor, not only to prevent a terrible disease, but also to maintain a healthy spirit in a body and the organism in general.

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Map of the symptoms and the types of pain is intended solely for educational purposes. We strongly recommend do NOT self-medicate; on all matters relating to the definition of the disease and ways of its treatment, contact your doctor. Md-tips is not responsible for the consequences of use information posted on the site.