Facial Pain Syndrome in Valencia

Pain in the facial area may be due to neurological or vascular causes, but equally well may be dental in origin. The patient will often make the first attempt at diagnosis in that he or she chooses to consult either the dentist or the doctor. This may therefore lead to inappropriate diagnosis and treatment. Many patients with trigeminal neuralgia complain that their dentist treated them for dental causes of pain before finally they received the correct diagnosis. This is, however, highly understandable as dental pain is extremely common whereas trigeminal neuralgia is a rare condition and primary care medical and dental practitioners may only see three or four cases in their practising lifetime. All the neurological and vascular causes of facial pain (excluding headaches)

are rare compared to the dental and temporomandibular causes. The risk factors for some of the conditions are known, but there is little information on natural history and prognosis. Further details of the epidemiology of facial pain can be found in Epidemiology of pain, which has been written using evidence based methodology.

Trigeminal Neuralgia is an ongoing pain condition that affects certain nerves in your face. You might also hear it called “tic douloureux.” People who have this condition say the pain might feel like an electric shock, and it can sometimes be intense.

Advanced Center for Neurology & Headache have treatments that can help, including medicine and surgery.

To learn about trigeminal neuralgia, it helps to know a little about how the affected nerves are laid out.

In your head you have 12 pairs of what are called cranial nerves. The trigeminal nerves are among these pairs, and they let you feel sensations in your face. One nerve runs down each side of your head.

Each trigeminal nerve splits into three branches, controlling the feeling for different parts of your face. They are:

  • The ophthalmic branch. It controls your eye, upper eyelid, and forehead.
  • The maxillary branch. This affects your lower eyelid, cheek, nostril, upper lip, and upper gum.
  • The mandibular branch. It runs your jaw, lower lip, lower gum, and some muscles you use for chewing.

The disorder can affect any of the three nerve branches, meaning you could feel pain from your forehead to your jaw. Usually, you’ll feel pain on only one side of your face. Some people feel it on both sides. When that happens, it’s called bilateral trigeminal neuralgia.

Facial Pain Syndrome

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