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. However, the source of pain may be obscure as oral and facial structures frequently have multiple innervations, and referred pain to the ear is common. The oral cavity, particularly dental structures, is the most common source of facial pain; patients should be referred for a dental assessment when pain is precipitated or aggravated by thermal change or eating.
Atypical facial pain
Trigeminal neuralgia - Symptoms and causes - Mayo Clinic
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.
Management of Chronic Facial Pain
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.
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. For unknown reasons, AFP is significantly more common in middle aged or elderly people, and in females. Atypical odontalgia AO is very similar in many respects to AFP, with some sources treating them as the same entity, and others describing the former as a sub-type of AFP.