Atypical facial pain

There are several conditions causing facial pain. The most common ones are

Headache/ migraine
TMJD
Dental causes
Neuralgia
Atypical facial pain
Myalia (muscle pain)
Temporal Arteritis
In some patients there may be overlapping symptoms

Atypical Facial Pain

Introduction

Atypical Facial Pain (AFP) is a condition where other causes of facial pain are ruled out. It encompasses a wide range of facial/oral/dental pain. This condition is typically characterized by a burning, aching or cramping sensation. It is associated with neck ache, back ache, irritable bowel and itchy skin.

Causative Factors

As other causes of facial pain is ruled out, this is usually due to psychological reasons(stress/ depression etc)
For some patients compression of the nerves to the face by blood vessel is known to cause facial pain/Neuralgia.

Investigations

Usually it is a clinical diagnosis. Sometimes CT/MRI, xrays are done to eliminate other causes.

Treatment

Medications
Amitriptyline (Triptyl, Elavil)
Nortriptyline
Gabapentin (Neurontin)
Pregabalin (Lyrica)
Capsaicin
Counselling for depression, stress, anxiety
Hot and cold compresses
Acupuncture
Treatment of precipitation causes
Alteration of life style – Physical exercise

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