recurrant severe facial pain Posted: 03-13-08 18:20pm
I am going to the doctor about this
tomorrow (finally!), but I am interested
to hear other people's perspectives and
anyone who has experienced anything
similar.
I had never had any facial pain or ear
pain prior to December 2001 when I was in
my final year at college and I contracted
a severe virus, which affected my ears and
face.
Since then, I have had recurring episodes
of extremely severe facial pain - to the
point where I have wanted to take my own
life. It is really starting to affect my
life... work is very difficult due to
either the unpredictable pain or lack of
sleep and I cannot make plans to go places
because I never know when a fresh wave of
attacks is going to happen.
I have been to the doctor twice - they
suggested sinusitis and sent me away with
antibiotics. When another attack started I
began to visit my dentist as a large
proportion of the pain was focused on my
right upper molars and I thought something
was wrong with them or I might have an
abscess. Anyway, my dentist gave me more
antibiotics because he could not find
anything.
The latest attack began about a month ago.
I woke up in the early hours of the
morning with this feeling of intense
pressure in my right cheek and a heavy
feeling in that side of the face. The
pressure was replaced with the most
excrutiating pain, which continued on and
off for days. It feels like an aching
feeling combined with sharp shooting
pains. I thought maybe I was getting a
cold or something so I waited 5 days,
taking massive doses of painkillers, but
nothing seemed to hit the pain. I would
want to cry with pain, but couldn't even
manage that. During an attack I cannot do
anything. I cannot lie down as it makes it
worse. I find eating very difficult as
well as speaking/using a telephone or even
concentrating on anything. The muscles in
the right side of my face feel very tense
during an attack, almost like they are
cramping. The attacks usually last for a
few hours at a time. They seem to occur at
certain times of the day more than others.
The late afternoon/evening and night are
worse... from about 2 or 3 AM onwards is
not too bad.
I booked in to see the emergency dentist
who took X-rays of my teeth/cheek area and
tapped the teeth, made me bite on things,
blew air all around the teeth - NOTHING.
Anyway, he gave me 2 doses of antibiotics
to take side by side and said to continue
on the painkillers. I do not think the
dentists understand the meaning of the
pain I am experiencing!! I came back to my
regular dentist a week later and he
examined me - lots of tapping, air
blowing, X-ray examining... he said:
there's nothing wrong with the teeth and I
am not going to do a root canal or
extraction on a tooth which I can see
nothing wrong with. He told me to go away
and come back if the tooth hurt when I
touched it with my finger or bit on
something.
I have not gone back to the dentist
because although I feel pain in the teeth
area - I do not feel pain on application
of pressure or touch.
So... I continued. After years of this, I
think I have got this kind of resignation
and high tolerance of pain. I find it hard
to take the time off work to go see the
dentist or doctor so I have been trying to
cope as best I can.
Now I have got to the end of my tether
finally. The pain has become less
localised in the upper right back teeth
and has now become more generalised. It
seems to focus from around my jaw hinge on
the one side and spread down to my lower
jaw and my upper teeth, then up towards my
eye and back towards my ear. The pain is
still extreme aching pain topped with
sharp stabbing pulsations. Teeth feel fine
to touch. No feeling of pressure in my
face. My eye hurts if I press against it
(like if my eyelid is closed). I feel a
numbness when touching my cheek/jaw area
and pins and needles/prickling sensation -
to the point where touching my face made
me feel physically sick.
If I go to bed at night - an attack starts
about 11:30 and goes on until 2 or 3 in
the morning. I finally get to sleep then
have to get up for work at 6:45 a.m.
Sometimes a further attack starts around
7:30 a.m. otherwise I can continue to
maybe lunchtime before another one
threatens. The worst time is around 5 p.m.
onwards.
I have taken at times, in addition to
painkillers, anti-allergy tablets,
sudafed, beconese, used neilmed sinus
rinse, homeopathic sinusitis tablets,
luffa complex. Nothing has made any
inroads to resolving the situation.
I am sorry this is so long and I hope that
it makes sense.
|
MandMs
Extremely EHEALTHy
Joined: 26 Jan 2007 Posts: 1980 Location: Strumica, Macedonia
Thanks: 30
Thanked:10
Hi! Posted: 03-21-08 06:53am
Reading your post, I started to suspect
about two possible conditions.
For all these years, have you been having
several headaches a day for weeks,
sometimes months, usually interrupted by
a pain-free period of variable length or
this is everyday pain without pain-free
period?
Have you experienced a beginning of
headache as a burning sensation on the
side of your nose or deep in your eye?
Do these headaches usually come on just
after you go to sleep?
|
milsochilso
New User, Becoming EHEALTHy
Joined: 13 Mar 2008 Posts: 4
Posted: 03-24-08 16:56pm
Thank you for your reply.
It's not a really what I would class a
headache - it's facial pain in the right
hand side.
It seems to come for periods of time and
then disappear. These periods of time
could be several days or several weeks.
When it is gone... I am pain-free and take
no painkillers.
|
milsochilso
New User, Becoming EHEALTHy
Joined: 13 Mar 2008 Posts: 4
Posted: 03-24-08 17:02pm
I forgot to say - usually it starts when I
am asleep... or when I wake up I notice it
is there. Then it goes on for weeks...
with several long episodes a day rather
than a continuous pain.
I have never had a burning sensation. It
is more of a throbbing or gnawing feeling
with sharp stabbing pulsations over the
top of the baseline pain.
|
MandMs
Extremely EHEALTHy
Joined: 26 Jan 2007 Posts: 1980 Location: Strumica, Macedonia
Thanks: 30
Thanked:10
Posted: 03-27-08 07:22am
Is this facial pain, usually, triggered by
a light touch of the face or mouth?
Do you often find yourself afraid to talk,
eat, or move during periods of attacks?
Do you wince involuntarily when you feel
the intense facial pain?
|
milsochilso
New User, Becoming EHEALTHy
Joined: 13 Mar 2008 Posts: 4
Posted: 03-27-08 17:39pm
I have not noticed that it is triggered by
anything in particular, but I am afraid to
talk, eat and move during the periods of
attacks as these seem to make it a lot
worse. It is so bad that it is more than
wincing, it is the most gripping and
terrifying pain I have ever experienced.
It has made me feel extremely desperate.
|
antigone
Moderator
Joined: 27 Jan 2008 Posts: 852 Location: IL
Thanks: 40
Thanked:15
Posted: 03-28-08 02:40am
I am a neuro RN. This sounds like it could
be trigeminal neuralgia. A viral infection
can trigger the neuralgia. If you do not
get any help with your doctor consider
seeing a neurologist. There are treatments
available. This can be an excruciating
condition. I hope this helps. Let us know
how you do with the doctor.
|
MandMs
Extremely EHEALTHy
Joined: 26 Jan 2007 Posts: 1980 Location: Strumica, Macedonia
Thanks: 30
Thanked:10
Posted: 03-28-08 04:48am
This severe, stabbing pain that you feel
on one side of your face, that is one of
the most painful conditions and makes
wince involuntarily (hence the term tic)
is known as tic douloureux or trigeminal
neuralgia. These painful attacks can be
spontaneous, but they may also be provoked
by even mild stimulation of your face.
Acctually, is a neuropathic disorder of
the trigeminal nerve (it is responsible
for sensation in the face) and the pain
you feel is in areas innervated by this
nerve, that has three main branches.
The first branch is ophthalmic nerve,
responsible for sensory information from
the scalp and forehead, the upper eyelid,
the eye, the nose, the nasal mucosa, the
frontal sinuses, and parts of the meninges
(the dura and blood vessels).
The second branch is maxillary nerve,
carries sensory information mainly from
the lower eyelid and cheek, upper lip, the
upper teeth and gums, the nasal mucosa.
The third branch mandibular nerve, carries
sensory information from the lower lip,
the lower teeth and gums, the floor of the
mouth, the tongue, the chin and jaw, parts
of the external ear.
The exact cause of this painful condition
is not known, but, there are several
theories for its etiology.
As you said in your first post, you
noticed this after having an infection.
One of the theories states the same that
some infection can cause the nerve
damage. But, don't get this as a final
answer.
In most of the cases it is due to contact
between a normal artery or vein and the
trigeminal nerve at the base of the brain,
placing pressure on the nerve. This is
some kind of genetic and runs in
families.
Other reasons to have this conditions can
be due to bone abnormalities, trauma or
multiple sclerosis.
You should visit neurologist as soon as
possible, because remission is less common
the longer you have trigeminal neuralgia.
This pain can be treated with medications
(anticonvulsants, antidepressants, nerve
blocks with anesthetics) or surgery.
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