Intermittent facial pain

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Saturday, August 18, 2018
Pain persisting for at least 6 months is defined as chronic. Chronic facial pain conditions often take on lives of their own deleteriously changing the lives of the sufferer. Although much is known about facial pain, it is clear that those physicians who treat these conditions should continue elucidating the mechanisms and defining successful treatment strategies for these life-changing conditions. This article will review many of the classic causes of chronic facial pain due to the trigeminal nerve and its branches that are amenable to surgical therapies. Testing of facial sensibility is described and its utility introduced.
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Other causes of facial pain

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Management of Chronic Facial Pain

The diagnosis and management of facial pain below the eye can be very different dependant on whether the patient visits a dentist or medical practitioner. A structure for accurate diagnosis is proposed beginning with a very careful history. The commonest acute causes of pain are dental and these are well managed by dentists. Chronic facial pain can be unilateral or bilateral and continuous or episodic. The commonest non-dental pains are temporomandibular disorders TMDs , especially musculoskeletal involving the muscles of mastication either unilaterally or bilaterally; they may be associated with other chronic pains.
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Management of Chronic Facial Pain

Because TN is uncommon, it is not always recognised by doctors and dentists. Also diagnosis is difficult as there is no definitive test and other types of facial pain can easily be confused with TN. Diagnosis relies on the history of the complaint and its characteristics. But it may require a specialist i.
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Articles in the December issue discuss various health issues affecting school-aged children, including acne, eczema and growth disorders. Volume 44, No. Facial pain is one of the most common neurological complaints together with headache, and back and abdominal pain. In most cases, the aetiology can be ascertained from a detailed history and examination.
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