Diagnosing facial pain

Professional Reference articles are designed for health professionals to use. You may find the Trigeminal Neuralgia article more useful, or one of our other health articles. NICE has issued rapid update guidelines in relation to many of these. This guidance is changing frequently. Facial pain has a long list of possible causes but the diagnosis can often be made by a good history and examination. The common causes are often benign and self-limiting but it is essential not to miss those conditions that require urgent treatment - eg, temporal arteritis, or early diagnosis - eg, malignancy.
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Bell's Palsy Fact Sheet

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Differential diagnosis of facial pain and guidelines for management

If you suffer from atypical facial pain also referred to as persistent idiopathic facial pain or PFIP , you are familiar with the unbearable symptoms that present in the form of intense and unpleasant sensations on one side of your face. How many times have you found yourself staying home in agony, instead of going out and enjoying your life? Atypical facial pain is a complicated condition to define. It usually does not have a central cause; in many cases the trigeminal nerve has been injured or impinged, or demyelination loss of the outer nerve sheath can lead to the manifestation of symptoms. Other causes include dental issues, temporomandibular joint dysfunction TMJ , sinus problems or other facial nerve irritation.
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Natural Treatments for Facial Pain, Trigeminal Neuralgia

The patient presenting with facial pain can be a heartsink. Fear not — Bhaskar Ram and Sangeeta Maini are here with a succinct overview of the common non-sinogenic causes of facial pain and headache , and how to manage them. Facial pain is a common complaint in the ENT outpatient setting. Facial pain can be the presenting, and sometimes the only, complaint of many disorders that originate from head and neck structures.
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Atypical facial pain AFP is a type of chronic facial pain which does not fulfill any other diagnosis. AFP is usually burning and continuous in nature, and may last for many years. Depression and anxiety are often associated with AFP, which are either described as a contributing cause of the pain, or the emotional consequences of suffering with unrelieved, chronic pain.
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