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facial pain
by bern1007, Jan 25, 2008 10:05PM
For the past 10 months I have been searching for the answer to my facial pain. First thought to be a dental problem, and I have had alot of dental issues. Then passed to my internist as a sinus infection. After a few rounds of antibiotics and steriods passed on to a ENT. After may nasal sprays, a cat scan, root canal specialist, and oral surgeon with the maxofacial Xray, nothing.
I am strong physically, but have expressed concern to my internist about my rapid weight gain as well, 30Ibs in the past year. Advil seems to help the pain but cold fresh air and wind as well as unidentified other things bring it on. I am very frustrated. Don't quite no where to turn. Perhaps a neurologist. have an appt with my internist monday. Do not think the pain is TMJ as it seems like my wisdom tooth, or my check bone, or my cuspid tooth, but not all together. sometimes pain runs down my neck and feels like swollen glands, sometimes down my tongue. The pain moves.
Seem to be some kind of neuralgia. Any help?
I am strong physically, but have expressed concern to my internist about my rapid weight gain as well, 30Ibs in the past year. Advil seems to help the pain but cold fresh air and wind as well as unidentified other things bring it on. I am very frustrated. Don't quite no where to turn. Perhaps a neurologist. have an appt with my internist monday. Do not think the pain is TMJ as it seems like my wisdom tooth, or my check bone, or my cuspid tooth, but not all together. sometimes pain runs down my neck and feels like swollen glands, sometimes down my tongue. The pain moves.
Seem to be some kind of neuralgia. Any help?
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I think you should be consulting a neurologist at earliest as these symptoms appear to be due some neurological pathology.
You are right in thinking that it might be due to neuralgia. I think it might be due to Trigeminal Neuralgia.
Trigeminal neuralgia is characterized by frequent, excruciating paroxysms of pain in lips, gums, cheek, or chin lasting seconds to minutes.
The Pain which is severe in nature, stabbing type, lasting for few seconds to minute and which has a triggering factor to it describes pain of trigeminal neuralgia.
Physical examination of the patient is normal. Most patients cause is compression due to overgrowth like some tumor in its pathway.
Comprehensive pain management care is helpful.
Carbamazepine is effective in 50–75% of cases.
Carbamazepine is drug of choice, but along with Baclofen it serves good result for episodic pain. There are other newer anti-convulsants like toprimate which could be tried, but it depends on neurologist comfort with the drug.
Keep me informed if you have any query.
Bye.
The trigeminal neuralgia has been mentioned, my internist would like me to see a
neurologist for diagnosis. When this happens I sometimes have a bad post nasal drip prior to it. Do you think they could be related. And although the ENT found very inflammed sinuses he didn't diagnos it as the cause of pain. I'm wondering if it could be related. Also..could this be stress related?
Thanks, you seem to be right on target!