Aching face - Causes, Symptoms and Treatment .MF .

August 12, 2017 17:52 | Head

Facial pain (prosopalgia) - a pain in the face of different reasons.

For some reason it hurts the person

human person has a rich innervation of the branches of the trigeminal nerve.Sympathetic innervation of the face is made from segments C8-D2-3 lateral horns of the spinal cord, there are preganglionic fibers to the upper cervical node.Some of them, which is not interrupted, comes to cranial autonomic nodes - ciliary, pterygopalatine, sublingual, submandibular, otic, which are interrupted and branch out into tissues of the face.The parasympathetic innervation of the face made structures of the brain stem, nerve nuclei - 3, 7, 9,10 cranial nerve fibers of which are sent to the nerve ganglia.Nerve ganglia (node) - a complex nervous education - peripheral reflex center, which includes sensory, motor (motor), the parasympathetic and sympathetic cells.Therefore, node failure manifests all violations - sensitive, movement disorders, severe autonomic reaction - redness, sweating, salivation and dacryo-, pa

resthesia (sensation of crawling on the skin, tingling, burning ...).These ganglia have a close relationship with the trigeminal nerve: ciliary - with the first branch, the pterygopalatine - the second branch, the ear and submandibular - with the third.

Any abnormality in the face, head and neck can cause pain in the face.

most complete classification of facial pain

1. Somatalgiya:
- trigeminal neuralgia;
- prosopalgia in lesions of other nerves, somatic sensitive fibers - neuralgia glossopharyngeal, superior laryngeal nerve.

2. sympathalgia - pain in the face during the arterial trunks, burning, throbbing, accompanied by severe vegetative reactions:
- vascular facial pain (facial migraine, carotid-temporal syndrome ...)
- sympathalgia directly connected with the defeat of the autonomic innervation of the face (auricular-temporal syndrome, neuralgia pterygopalatine, otic host ...)

3. Co-facial pain.

4. prosopalgia with hypochondriac-depressive states, hysteria ...

5. prosopalgia with visceral disease.

diseases for which there are pains in the face

Facial migraine features a long duration of pain attack - hours, days, the lack of trigger zones (points, a touch which can provoke an attack of pain), the presence of nausea, vomiting, localized painmore in line with the course of the vessels than the nerves.Occurs when the defeat of the superior cervical sympathetic ganglion, the sympathetic plexus of the external carotid artery and its branches.Pain is localized in longer in their sockets, upper jaw, ear, at least - in the nose, nose, temple, shoulder girdle, arm, accompanied by the pulsation of the temporal and carotid arteries, the blood pressure reduction.There's also a headache on the same side.

Syndrome Charles (neuralgia nosoresnichnogo node) is characterized by severe pain in the orbit, eyeball, the proliferation (irradiation) in the nose for 20 minutes to hours, often at night.Gangliitis ciliary assembly is accompanied by cold sores on the skin of the forehead and nose, possible eye damage to the development of keratitis, iridocyclitis.The epicenter of the pain - is the inner corner of the eye.Having pressed on this point can cause an attack of pain.The most common cause of the disease becomes ethmoiditis, sinusitis, nasal turbinate hypertrophy, viral infection, herpes.To confirm the diagnosis and treatment of pain can hold lubrication of the nasal mucosa in the upper turbinate dikainom with adrenaline at the same time you can drip the eye.

Syndrome Sludera (gangliitis pterygopalatine node) is characterized by the appearance of pain in the upper jaw, the root of the nose, around the eyes, pain longer than trigeminal neuralgia.Trigger points are not available.Pronounced autonomic manifestations: often red mucous membrane of the nose, there are discharge from one nostril, at least - lacrimation, salivation, sneezing, skin edema.By ties knot with 1-2 branches of the trigeminal nerve and the superior cervical ganglion attack pattern may change, the pain may radiate to the occipital region, neck and shoulder girdle.lubrication can be carried out with a solution dikaina mucosa posterior regions of the middle nasal passage to confirm the diagnosis.

Syndrome Frey (neuralgia of the mandibular nerve) - burning pain is not long (20 - 30 minutes), mainly in the temporal and parotid region, no Triggers point during the meal there is profuse sweating (hyperhidrosis) and redness (hyperemia) in the parotidarea, pyrexia (fever), hypersensitivity (hypersensitivity).This local vegetative-vascular disorders in the parotid region.The most common cause of the syndrome are diseases of the parotid gland (infectious abscess after surgery ...)

neuralgia glossopharyngeal nerve - pains are concentrated in the root of the tongue, tonsils, back of the throat, around the corner of the lower jaw, varies taste, swallowing difficult.At the height of attack is possible syncope, bradycardia, decreased blood pressure.The attack can be lubricated to stop dikainom root of the tongue, the tonsils.

gangliitis verhnegosheynogo node - paroxysmal pain from several minutes to a day, the pain in the neck, neck, shoulder girdle, perivascular face.On examination revealed Horner's symptom (ptosis, drooping of the upper eyelid, miosis - constriction of the pupil, enophthalmos - retraction of the eyeball), pain paravertebral points in the cervical spine, violation of sensitivity.
be affected by infections node (for herpes infection - there are blisters in the innervation area), intoxications, cervical spine injuries.Horner symptom may occur with other serious diseases of the tumor apex of the lung, thyroid, aortic aneurysm ... Therefore, the appearance of such symptoms it is necessary to see a doctor and be examined.

glossalgia, glossodiniya - pain in the language, discomfort, burning, tingling, numbness, lasting and permanent.Pain may be present in the oral mucosa - stomalgiya.Most often this condition occurs in diseases of the gastrointestinal tract.

Pain syndrome in diseases of the teeth is prolonged, the pain may radiate from the tooth across the jaw, neck and even the shoulder blade.Pain provoked by cold, biting may increase in temperature.Pain in the face can occur with the pulp, periodontal disease, the pathology of bite after prosthetics and as a complication of anesthesia.

Pain face in diseases of the paranasal sinuses nose - sinusitis, sinusitis, pansinusitis - pain (often Expander character) in the areas of the nose, sinuses, radiating to the eye, possibly in the ears, difficulty in nasal breathing or nasal discharge, increasedtemperature, deterioration of general condition, trigger points are missing, a permanent pain syndrome - one or both sides.


Postherpetic neuralgia - a common complication of acute herpes infection, there are sharp pains in a place where there were blisters, the pain may persist for a long time.At the heart of pain are inflammatory changes or damage to the dorsal root ganglia of the spinal cord and peripheral nerves in the affected areas.

Temporal arteritis - acute onset with fever and tenderness on palpation of the temporal arteries, pain in the temple in the course of the arteries from hours to days.In just a few weeks the disease artery wall thickens, forms the "knots".Possible complications with the development of thrombosis eye vessels, circulatory disorders of the optic nerve and the development of blindness.More common in the elderly, combined with polymyalgia rheumatica.Besides the general analysis of blood - you must research on Revmoproby.

Pain in the face, eyeball can be at eye diseases - inflammatory diseases, trauma, tumors, glaucoma, optic neuritis.In a fit of glaucoma - severe pain in one eye, it may radiate to the temple, accompanied by redness of the eyes, dilated pupils, slackness pupillary reactions, reduced vision, "circles" before the eye when looking at the light, photophobia.When conjunctivitis patient feels a burning sensation in the eye, the eye is red, possibly souring and discharge from the eyes, swelling of the eyelids.

Pain in the face of pain can be reflected in internal diseases - with angina, gastric ... respectively zones Zakharyin-Ged (reflex pain).

Zone Zakharyin - Ged Facial:

1 - hyperopia;
2 and 8 - glaucoma;
3 -zheludok;
4 -polost nose;
5 -Rear back part of the tongue;
6 -gortan;
7 -Front half of the language;
-rogovitsa 9, the front camera eye, nasal passage;
10 organs of the chest cavity.

What examinations prescribed when a person hurts

When the pain in the face of any location you need to consult your doctor and describe your symptoms in detail.Depending on the complaints and physical examination the doctor will prescribe you the necessary examinations.Perhaps the appointment of a common blood test.The increased number of white blood cells and accelerated ESR (erythrocyte sedimentation rate) will indicate the presence of inflammation - sinusitis, sinusitis, tonsillitis, etmoidita ... Revmoproby - positive Revmoproby indicate active rheumatic process (for example, temporal arteritis).

possible appointment of radiography of the paranasal sinuses is suspected sinusitis.X-rays will be seen darkening of the affected sinus.When the patient goes to the doctor - otolaryngologist.

When the pain localized in the eye socket, visual disorders require computed tomography to exclude (confirmation) of a possible brain disease - tumors, magnetic resonance imaging (possibly in angiography mode) - to exclude (confirmation) of multiple sclerosis, thrombosis of the cavernous sinus,aneurysm of vessels of the brain ...

may need to consult experts - ophthalmologist, otolaryngologist, dentist, rheumatologist, neurosurgeon.

Pain in the face

self-medicate is dangerous due to the possible omission of serious illness and complications.It is necessary to see a doctor and be examined.

For the treatment of neuropathic pain is used anticonvulsants - carbamazepine, finlepsin, gabapentin.Also used NSAIDs - dikloberl, Ksefokam to have ... and preparations of group B.

If the pain is a symptom in any described disease, these drugs are prescribed in treatment of the underlying disease.

at diagnosis and chronic course, such as trigeminal neuralgia during exacerbation possible independent decision-prescription drugs: gabapentin (gatonin, gabagamma, gabantin, Tebantin) 300 mg 1 tablet in the evening, with a possible increase in the dose - 1 tablet 3 times a day,dikloberl - 1 tablet after meal Neurovitan 1 tablet 3 times daily.

When migraine is possible independent intake nomigrena, antimigrena, rapimiga.

used to treat neuralgia reflexology - igloukalivanie, Su-Jok, acupressure;physiotherapy - electrophoresis, darsonval;psychotherapy, antidepressants, tranquilizers.

neurologist Kobzev SV