There is a medical term, prozopalgia, caused by pain of a person of unknown origin. This section of medicine is still considered to be difficult, since the etiology of pain may be hidden behind pathologies of the nervous system, ENT organs or dental abnormalities.
So, for accurate diagnosis requires examination of several narrow specialists.
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Facial pain unit
When the cheekbone or other part of the face begins to hurt, it is necessary to decide on the nature of what character is present.
There are 4 main types of facial pain:
- Somatalgia.
- Sympathetic
- Pain of a different kind, both long and short.
- Prosopalgia.
Somatalgia can manifest as a neurological reaction trigeminal nerve, prosopalgia of other types of nerves, neuralgia of the existing lingual, pharyngeal or upper laryngeal nerve canal. When sympathalgia begins to hurt the face on the overpass of the arterial canal, pulsating, burning pain. In addition, the pain of the facial vessels in the form of severe facial migraine or dangerous carotid-temoral syndrome may manifest.
Prosopalgia of various origins can cause cheekbones and face to hurt, as expressed in hypochondriac depression and depression. As well as facial palopalgia can manifest itself due to pathologies of internal organs.
Cheekbones and jaw hurt
If jaw and cheekbones face begin to reduce One should think about the development of joint dysfunction, arthritis or arthrosis. At the same time, such signs can appear in case of pathologies of blood vessels, when there is a shortage of blood supply. For the elimination of what is required to contact a vascular surgeon to eliminate the causes of the disease.
If the muscles of the jaw there are spasms in the moment of yawning or at its final stage, you should visit a dentist, surgeon and neurologist. Especially if there has previously been an injury that reminds oneself of a spasmodic action while yawning and a slight swelling of the face. In this situation, you should apply compresses cooling properties.
Also worth eat soft food, as chewing on hard foods provokes excessive strain on the cheekbone muscles. It should be remembered that during the period of yawning, part of the muscles weaken, and after that they enter into a hypertonus state at the end, provided that the increased tension was experienced before.
If the person begins to hurt the jaw, and with it the head, you need to pay attention to the possible influence of factors such as:
- Long stay at the computer.
- Tired state.
- Nervous strain.
- Sedentary mode of operation.
- Complications after jaw or spinal injury.
- Migraine.
- Lack of fresh air.
In cases where clenching jaw burdened by laying ears there is a need to go to see an ENT doctor. Since the pathology of the larynx and the development of tonsillitis, as well as the development of oncological malady, can often be the cause of this symptom.
It happens that the reason for this may lie in neuralgic diseases. Here it is recommended to permanently eliminate the habit of supporting the head with a hand, and also to conduct a telephone conversation with a clamped tube between the shoulder and the ear. You should periodically make a relaxing massage under the ear with the application of heat.
Face pain as a symptom
A large number of diseases of the human body often signals itself by the fact that the face begins to hurt.
For example, facial migraine characterized by particularly prolonged painstretching for hours and even days. An important property of the pathology is the absence of pain points, but it may be noted the presence of nausea and vomiting. The reason for this is a disease of the sympathetic ganglion of the neck above or the sympathetic tangling of the external carotid artery and the branches adjacent to it.
Accumulation of pain occurs mainly in the orbits, ear and upper jaw. In rare cases - in the nose, nose, arm or temple. Moreover, a person may ache, pulsing in the carotid and no less important temporal arteries with a drop in blood pressure. Development of a headache is not excluded.
Periodically there is such a disease as neuralgiacalled Charlene Syndrome. At the same time, the orbit and the eyeball may hurt with penetration into the nose, mostly at night. The ganglionitis of the ciliary switch occurs together with herpetic rashes on the skin of the forehead and nose. Do not omit the possibility of the presence of keratitis and iridocyclitis of the eye.
The main the focus of pain is often detected inner corner of the eye. By checking this theory, you can click on this inflamed point of the face. Often, the cause of the disease manifests itself in ethmoiditis, herpes, hypertrophy of the sinuses, frontal sinusitis and viral infection. To relieve pain and confirm the diagnosis, it is required to treat the nasal mucosa with adrenaline with dikain. It is advisable to perform this action with instillation of the eyes.
With Sluder Syndrome the face begins to hurt - the upper jaw, at the base of the nose, around the perimeter of the eye. It is important that the painful sensations are for a longer period of time relative to the trigeminal neuralgia. The starting points of the pain are not observed, but the nasal mucosa is inflamed, there is a discharge from one sinus, sometimes tearing, sneezing, increased salivation, swelling of facial tissues.
Freya syndrome caused by attacks of temporal and aural localization. Moreover, these points can hurt for half an hour. Often this is the cause of the inflammatory process of the parotid gland, combined with a malfunction of the cardiovascular system.
These actions can occur with signs of increased sweating, redness of the ear tissue during eating and increased blood pressure. Neuralgia of the nerve processes of the pharyngeal pharynx can cause the lower jaw, pharyngeal wall and tongue to hurt.
In this case, the patient experiences:
- Difficulty swallowing.
- Deformation of taste.
- Pressure drop.
- Fainting
- Dangerous bradycardia.
With ganglionitis upper point of the neck usually the face, neck and neck begin to hurt. In this case, the pain can be short-term, but prolonged discomfort is not uncommon. As a rule, at the time of diagnosis in patients with similar symptoms, Horner syndrome may occur.
Along with this, Horner's syndrome is also recorded in the presence of a neoplasm in the upper section of the lung, as well as in the presence of other types of tumors, pathologies of the aorta and heart, and elevated ocular or arterial pressure.
Diagnosis of possible pathologies
First thing should come to a specialist and describe the exact signs. After that, the doctor, relying on the collection of anamnesis and the results of the examination, will write out directions for the required examination methods. Most often, when the cheekbone starts to hurt, a general blood test, x-ray of the sinuses, computed tomography are prescribed.
Where by blood can study white blood cell countas well as erythrocyte sedimentation rate (ESR). If their values are too high, then we should talk about the likely presence of ethmoiditis, frontal sinusitis, tonsillitis or sinusitis.When collecting a test with a positive result, a negative process of inflammatory arteritis of the temporal localization is detected.
An x-ray examination of the sinuses allows you to confirm or refute the suspicion of sinusitis. In the case of tissue damage, a darkening of the examined area will be reflected in the image, which requires an immediate appeal to an ENT specialist.
If it starts to hurt in the eye socket with visual impairment a tumor, cerebral vascular aneurysm, multiple sclerosis, or sinus thrombosis of cavernous genesis can be determined based on the results of tamographic examination. In such cases, a mandatory consultation of a neurosurgeon, oculist, rheumatologist, ENT doctor and dentist is necessary.
Treatment of identified diseases
Starting to get rid of ailments, it is worth remembering that self-medication is dangerous to health. Therefore, you must adhere to the appointment of a specialist.
In conjunction with essential drugs anti-convulsant drugs can be prescribed, created to eliminate the pain of neuropathic properties. Antibiotics may also be prescribed, combined with nonsteroidal medications of group B. Under the conditions of a migraine state, it is necessary to take an anti-migraine drug.
Often the treatment of diseases of the neurological properties is carried out by means of reflexotherapy. Excellent recommendations are given to acupressure, psychotherapy and acupuncture.
Can also prescribed antidepressants, antibiotics and tranquilizers due to the fact that the basis for the pain syndrome may be a weak state of mind or pathology of psychological properties.