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Facial pain Gallery

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>> Facial pain

Introduction
Facial pain is very common but remains difficult to diagnose for the non-specialist.Many Oro-facial pains are of unknown etiology or part of degenerative process that is not reversible. A wide variety of oral and facial structures can cause localized pain ,and a number of other pain syndromes can refer pain to the oral cavity and facial pain.

 

Management of Facial Pain

The essential aspect of management in primary care is to make an accurate diagnosis. The management will then depend on the identified cause of facial pain. Tricyclic antidepressants may be useful for persistent pain.

Causes

1.Opthalmic disorders.
such as Uveitis and Glucoma.
2.ENT disorders.
such as Sinusitis and Otitis media.
3.Oral disease
such as Periodontal disease.
4.Neuropathic pain Syndromes
such as :
Trigeminal Neuralgia
Occipital Neuralgia
Herpes Zoster and Post herpetic Neuralgia .
5.Cervical spine disorders
Cervicogenic Headache
6.Muscular disorders
Such as :
Fibromyalgia and Myofacial Pain .
6.Temporomandibular disorders.
such as :
Rheumatoid arthritis
Osteoarthritis
Myofacial pain Syndrome.

Treatmeant

1.Medical Treatment:
Includes NSAID for muscle pain ,muscle relaxant and medications for neuropathic pain such as anticonvulsant and antidepressant that alter the chemistry and electrical messages of the affected nervessuch as Carbamazepine(tegretol) and Pregabalin(lyrica)
2.Nerve blocks
Greater and lesser occipital nerve block for occipital neuralgia
Gasserian ganglion block for Trigeminal neuralgia
Cervical nerve blocks C2 and C3 ,facet joint block and others
3.Radiofrequency ablation
Gasserian ganglion block
Facet joint medial branch and others
4.Nerve stimulator
Trigeminal nerve
Spinal cord stimulator
Suboccipital stimulator for cervicogenic headache and occipital neuralgia .

 
 
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