The left side of the face hurts: symptoms, causes, possible diagnosis, diagnosis and self-diagnosis, advice from doctors. Pain in the face: main causes, symptoms and treatment Why the left side of the head and face hurts

Facial pain occurs predominantly with various lesions of the glossopharyngeal nerve, pterygopalatine ganglion, geniculate ganglion of the facial nerve, and nasociliary nerve. With trigeminal neuralgia, intense paroxysmal pain appears in the area of ​​innervation of the nerve branches on the face. Painful attacks are accompanied by facial hyperemia (redness), lacrimation, sweating, sometimes swelling, herpetic eruptions, motor activity of facial muscles, and decreased skin sensitivity in the area of ​​innervation of the trigeminal nerve.

Causes of facial pain

With neuralgia of the glossopharyngeal nerve, severe paroxysmal pain appears in the pharynx, tonsils, root of the tongue, angle of the lower jaw, in the auditory canal, in front of the auricle. The onset of a painful attack is often associated with talking or eating. With neuralgia of the pterygopalatine ganglion (Slader's syndrome), paroxysmal bursting pain appears first in the deep parts of the face, then spreads to the palate, tongue, skin of the temporal region, and eyeball. The pain lasts for several hours and sometimes days. There is swelling of the eyelids, conjunctival hyperemia, copious secretion of saliva, nasal mucus, lacrimation, and flushing of the skin of the cheeks.

Damage to the geniculate ganglion of the facial nerve leads to the appearance of burning paroxysmal or constant pain in the ear area with irradiation to the face, occipital region and neck. Herpetic rashes occur in the external auditory canal, paresis of the facial muscles (facial muscles), and dizziness. Neuralgia of the nasociliary nerve is associated with diseases of the paranasal sinuses, jaws and teeth, and a deviated nasal septum. It is characterized by paroxysmal excruciating pain in the area of ​​the eyeball and half of the nose. The pain intensifies at night. The skin of the forehead and nose is swollen, hyperemic, sometimes with a rash.

When examining the eye, signs of conjunctivitis, keratitis, and iridocyclitis are determined. The nasal mucosa is changed. Pain is detected in the area of ​​the inner corner of the orbit. With angioneuralgia of the branches of the external carotid artery, against the background of general malaise, paroxysmal, boring short-term pain occurs in the facial area. Sometimes it is dull, pressing, radiating to the temporo-parietal and frontal regions, eyeballs, nose. There is pain in the area where the vessels are located. A painful attack can be provoked by the consumption of alcohol, ice cream, mental fatigue and emotional stress.

For painful attacks of trigeminal neuralgia, carbamazepine (finlepsin) 0.05 g 3 times a day, tranquilizers (trioxazine 0.3 g 3 times a day, seduxen 0.005 g 2-3 times a day), antihistamines (diprazine , pipolfen 0.025 g 2-3 times a day, diphenhydramine 0.03 g 3 times a day) in combination with B vitamins and nicotinic acid. For neuralgia of the glossopharyngeal nerve, it is necessary to lubricate the palatine tonsils with a 10% solution of novocaine. For neuralgia of the pterygopalatine ganglion, the distal part of the middle turbinate is lubricated with a 3% solution of cocaine, and analgesics, seduxen, are given orally.

If the geniculate ganglion of the facial nerve is damaged, analgesics and desensitizing agents are prescribed (1 ml of 2% or 1 ml of 1% diphenhydramine solution intramuscularly). For neuralgia of the nasociliary nerve, the mucous membrane of the anterior nasal cavity is lubricated with a 5% solution of cocaine with adrenaline. To relieve painful attacks during angioneuralgia, novocaine blockades are performed with a 1% novocaine solution along the vessels. To prescribe treatment for pain in the facial area caused by neuralgia, you must consult a neurologist.

Questions and answers on the topic "Facial pain"

Question:Hello. I have been treated by dentists, neurologists and psychotherapists, but nothing helps, the diagnosis is burning pain in the face, life is like hell, I have been suffering for 3 and a half years, will TES help me?

Answer: Hello. TES for stomalgia is quite effective. But I wouldn’t start by buying a device for home. It is necessary to do 4-5 procedures in a medical setting using a professional device. If there is a reliable effect, you can buy your own. If there is no effect, then it is necessary to clarify the diagnosis, look for foci of infection, do an EEG, and perhaps try antidepressants. But all this is up to the decision of the supervising doctors.

Question:Hello, I would like to know what kind of diagnosis I was given. I went to the ENT specialist with severe pain on the left side of my face, my eye hurts, in the area where the gums are. The pain radiates to the forehead, but there is no nasal congestion as such. The nose is generally clean. I did an x-ray. Description: Intensive uniform decrease in pneumotization of the alveolar bay of the left maxillary sinus with a clear horizontal level in the middle third of the sinus. Is it possible to bypass the piercing? Antibiotics were prescribed. But they didn’t really explain what kind of picture it was and how serious it was.

Answer: Hello! You have acute left-sided purulent sinusitis. I would recommend puncturing, and then doing rinsing using the method of moving liquids (cuckoo). In this situation, it is also necessary to sanitize the nose by instilling vasoconstrictor drops (Xylene, Tizin, etc.), then after a minute, rinse with a solution of sea water (Aqua Maris, Aqualor, Dolphin or saline solution, etc.), then Chlorhexidine 0.05% (1: 1 with water) or Miramistin by pipette, then Isofra 3 times a day for a week. After an in-person examination, the doctor will prescribe you a course of antibiotic therapy.

Question:Hello, I have an unpleasant pain on the left side of my face, my nose is stuffy and often phlegm comes out of the nose in the form of a yellow liquid and when I bend my torso down, my face seems to swell. Can I treat it with some medications at home or do I need to see a doctor?

Answer: Hello! Most likely you have maxillary sinusitis (sinusitis). First you need to take an x-ray of the paranasal sinuses; if there is inflammation, then the doctor will determine the treatment depending on its nature! Most likely, broad-spectrum antibiotics will be prescribed, for example. Amoxiclav 1000 mg, also vasoconstrictor drops or sprays! Good health!

Question:Hello. Since January of this year I have been bothered by pain on the right side of my face. The cheek swells a little and turns red - barely noticeable. Sometimes there is no pain at all, but as soon as you catch a cold or somehow interfere with the body - like treating your teeth - and everything starts again. I recently had my wisdom tooth removed - on the 4th day a runny nose began, pain on the right side of my face, a throbbing sensation in my ear (right). I drip otipix, candibiotic. The temperature was 37.8. Now I seem to have recovered. The runny nose has gone away, but my right nostril is clogged and I have to constantly blow my nose. The right side of the head is a little deafened, the ear is blocked, but he can hear. Tell me, what could it be? I’ve already gone to dentists and neurologists - they all say that in their area everything is ok, the problem is something else.

Answer: Good afternoon Consult an otolaryngologist. It is necessary to do a computed tomography scan of the paranasal sinuses. Most likely this is odontogenic sinusitis. After the examination, the correct treatment will be prescribed.

Question:Hello. This morning I woke up with pain on the right side of my face! The pain did not subside in the evening, a headache was added! Which doctor should I see and what could it be? Even touching your face hurts!

Answer: Good afternoon. This could be an inflammatory process of the paranasal sinuses, or trigeminal neuralgia, which is most likely. To an ENT specialist and a neurologist.

Question:Hello. The doctors at our clinics cannot understand what is wrong with me. The fact is that for about 2 years now my temperature rises every 1-2 months (not higher than 37.5) and lasts about 1-2 weeks. It happens that there is no temperature, but the face hurts, the eyes burn and ache, the head shoots in the ear, herpes breaks out, the body and face swell, the condition is like a disease, but there is no temperature. Recently I had pain on the right side of my Adam’s apple, in my throat as if there was something on the wall of the larynx, it just hurts very badly, the aching pain goes to my head, ear, forearm. I was recently diagnosed with chronic cystitis, I don’t know if it has something to do with it. I don’t even know where else to turn. What tests and examinations are needed? I am 28 years old and have not given birth yet. I'm afraid to even imagine what will happen next. Help me understand where to turn and what to do.

Answer: Good afternoon. If your condition is accompanied by herpetic rashes, then this may be due to chronic herpetic infection. Consult an infectious disease specialist for further examination and treatment.

Probably the most unpleasant and unbearable is facial pain. Especially if it cannot be calmed down with available medications in order to at least slightly extend the time before visiting the doctor. However, you still have to do this, since there are many reasons why your face can hurt. The choice of pain treatment method depends on clarifying them.
____________________________

Causes of facial pain

It is best to consider this issue according to the localization of painful sensations. This will increase the likelihood of identifying the root cause. At the same time, in order to find out, you should try to listen to your pain. However, this method is not very suitable if the pain, due to its strength, has already covered the entire face.

  • Tissue bruise, skin irritation by a certain element.
  • Allergic reactions to cosmetics or other irritants.
  • Inflammatory processes due to skin damage by pathogenic microflora.
  • Moles can also hurt. Their pain may be due to injury or degeneration into malignant neoplasms.
  • Acne often hurts too. This means that an acute inflammatory process occurs in them.
  • Neuralgia.
  • Inflammatory processes in teeth.
  • Lesions of bone structures and paranasal sinuses.
  • Cluster headaches.
  • Atypical pain.

This problem requires serious treatment. If the skin on the face hurts due to burst blood vessels, the electrocoagulation procedure, which is carried out in clinics, can significantly help.

In the future, you should adhere to certain rules for prevention: exclude spicy foods from your diet, avoid hypothermia and overheating.

The skin hurts due to cracking.

The cause of cracking may be weathering, lack of vitamins and chemical exposure. If a person feels that the skin on their face hurts for one of these reasons, the best treatment option is the use of silicone cream with vitamin A capsules.

The cream and vitamin must be mixed proportionally and applied to the damaged areas. It would also be a good idea to take this vitamin internally. Rubbing the skin with a solution of warm milk and olive oil has a good effect.

Reasons why half of the face and the face as a whole hurt

The appearance of pain in the face, as well as pain on the skin of the face, can have many causes:It could be:

  • irritation of the facial nerve, as well as the muscles of the eye;
  • various injuries to the bones related to the facial part of the skull;
  • migraine;
  • headaches (cluster);
  • osteochondrosis, etc.

Muscle pain may indicate a malocclusion of the jaw, frequent exposure to stress, mental and neurological illnesses, or previous injuries.

Eliminating such causes is the task of a neurologist who provides treatment with medications. The bone origin of discomfort, when half of the face hurts, may have reasons such as:

  • caries, pulpitis and periodontitis in an advanced state, as a result of which osteomyelitis develops. This disease is a purulent inflammation in the bones of the face. As a rule, the left side of the face hurts or the right side - the one in which the process of decay occurs. Pain occurs along with high fever, general malaise of the patient;
  • injuries of various kinds, especially fractures of the facial bones;
  • pain in the ear, dysfunction of the temporomandibular joint.

Pain with neuralgic causes is the most difficult to diagnose. Whether the right side of the face or the left side hurts depends on the area in which a certain nerve is affected. A neurologist diagnoses and treats this disease.

There are people who complain of atypical facial pain. This name is given to pain that does not have a specific cause. Even the most thorough studies could not establish them.

The result of a depressive state, past hysteria, past neurasthenia and disorders of a similar nature is psychogenic pain in the facial area. Dental disease is also often the cause of facial pain.

When a person’s face and head hurt, the first reason for this is considered to be migraine. The peculiarity of migraine is that pain is present only on one half of the face and only in very rare cases spreads to the other.

A boring pain can torment a person for 18 hours, sometimes even thirty-six hours. The risk zone includes females aged 20-30 years.

If the left side of the face or the right side hurts, and the pain is quite severe and occurs serially, it is probably cluster pain.

There are cases in which pain radiates to the eye - it turns red and waters. Representatives of the risk group are men who abuse alcohol and smoke.

The onset of a hypertensive crisis is preceded by redness of the face and severe headache. A person clearly feels pain on the right side of the face or the left.

As a result of a sharp increase in blood pressure, nausea, vomiting, heart pain and tinnitus appear.

When a person begins to experience pain in the face, the best solution is to see a doctor.

Facial pain can be caused by many reasons. And whatever the reason, it is in any case very unpleasant and painful. Most often, the pain is constant, that is, it does not subside. It becomes impossible to function normally in this state, so the first thing you should do is consult a doctor. If this is not possible at the moment, you should determine as accurately as possible why half of your face hurts and try to reduce the impact of pain on the body. After all, discomfort in the facial area can often radiate to the eyes, teeth, and ears. Even doctors forbid to endure severe, unbearable pain, so the treatment process should begin by identifying the causes.

The frequent question of why the left side of the face and eyes hurts worries many people. Doctors recommend first identifying the most painful point, the so-called focus. This will help you avoid making mistakes in determining the cause of discomfort. However, this method is beneficial only in the first stages of inflammation, until the pain has spread throughout the entire face. Otherwise, it becomes simply impossible to determine which half of the face hurts more, the right or the left.

The causes of such pain vary from banal stressful situations to serious neurological diseases; it can be either a severe bruise or a developing infection with violent inflammatory processes.

Pain that occurs directly in the facial muscles is related to neurology. With neuroses, the work of the nerve centers that regulate muscle function decreases. As a result, certain muscles are in constant tension, which entails sharp pain in a certain part of the face.

Neuralgia

A syndrome that is associated with inflammatory processes in nerve endings. As a result, pain occurs, usually in one part of the face, which can also be accompanied by unpleasant rashes. Symptoms may also include: impaired facial expressions in a certain area of ​​the face, dry eyes, dysfunction of taste buds. The nature of the pain and its location depend on the location of the inflamed nerve.

The most common cause of pain, translated from Latin as “half of the head.” This disease disrupts the functioning of the blood supply, due to which a sufficient amount of nutrients does not reach the brain. The symptoms of migraine are quite simple - continuous, sometimes throbbing pain on one side of the face and head, which may be accompanied by nausea.

An increase in pain may occur with a sharp increase in sound or bright light

Bruises and injuries

Pain in the face area often spreads to the entire lateral part, the pain is quite sharp, often accompanied by swelling and subcutaneous hemorrhages.

It occurs due to diseases of the sinuses, as a result of which the temperature rises and pain in the ears and eyes occurs.

Glaucoma, conjunctivitis, inflammation of the orbit - all these diseases are accompanied by complications such as severe pain in the head and one half of the face.

Atypical facial pain

Most often, if the right side of the face and right eye hurt, it is caused by bruises or an infection that leads to inflammatory processes. Everything here is extremely simple: dysfunction of tissues leads to painful sensations. If the focus is located on the right side of the face, then the pain will gradually spread throughout this area.

Particular attention should be paid to inflammatory processes on the left side of the face. To people who have not experienced this problem, it may seem very confusing how pain can be felt exclusively in one area of ​​​​the face and head. However, such cases occur quite often. The primary cause of pain may be migraine. This pathology often also affects the left eye and temples.

A fairly common cause of pain in the left area of ​​the face and head is osteochondrosis of the neck. Pressure on the arteries that supply blood to the brain can cause pain. This is caused by the fact that the beneficial substances that nourish the brain are not supplied in the required quantities, which provokes the appearance of spasms. Symptoms may include pressure surges, pain in the temples and around the eyes.

If the left side of the face and eyes hurt, you should immediately consult a doctor, because often the pain does not subside, but spreads throughout the face and head

How to get rid of pain

In order to ease the hours of waiting for a doctor or completely relieve pain, you should resort to the following procedures:

  • Painkiller. But you should not get carried away with such drugs, because they only dull the pain and do not cure.
  • Massage. This procedure can not only relax, but also relieve pain.
  • Compress. Cold compresses and bandages have an analgesic effect; this can significantly ease the pain and wait until you see a doctor without discomfort.
  • Air and sleep. The modern world has brought into human life a huge amount of technology and gadgets, the use of which often causes pain in the facial area. A walk in the fresh air or good, healthy sleep can be excellent medicine.
  • Aromatherapy. Some experts note that ordinary essential oils will help relieve pain, the smell of which is extremely soothing and relaxing.
  • Coffee. But only if you are one hundred percent sure that pain in the facial area is caused by high blood pressure.
  • Psychotherapy and antidepressants. Often, severe discomfort arises due to a person’s emotional state, which only a competent psychotherapist can cope with.

These tips are universal, but will not save you from severe pain. By resorting to alternative medicine and folk methods, you can significantly harm your health. If the left side of your face and eyes hurt, you should immediately visit a neurologist. The doctor will select the necessary drugs that will stabilize metabolic processes in the body and tone the blood vessels.

Prevention of such pain consists of a good mood and reducing stressful situations. Taking care of health is an important aspect of every person’s life, so you should not self-medicate, but first of all, give preference to professionals.

Facial pain- often, these are pains in the facial area that are caused by various diseases or other reasons. Facial pain can be a symptom of a serious illness.

Face hurts - causes of pain.

The trigeminal nerve always greatly influences the human nervous system; the face has a wide network of nerve endings, each nerve node is connected into a network. Connected preganglionic fibers, which are located in the lateral horns of the spinal cord, go to the cervical angle. Some of the fibers approach the cranial nodes - pterygopalatine, auricular, ciliary and others, if they are not broken. Innervation is carried out by the brain stem and the nerve nuclei of different cranial nerves, each nerve approaches a specific zone and turns into a network of nerves, from which the fibers are directed to the ganglia. The nerve ganglion is a formation of nerves, a reflex center, it includes motor, sensitive, sympathetic and other cells. When the node is affected, the person experiences various symptoms of facial pain. Severe autonomic reaction, redness, sweating, hyperesthesia. The ganglia are connected to the ternary nerve. Ganglion - a node of nerves, the ganglion has a sheath and connects cells and tissues. Pathologies in the neck, head, face, and other external parts of the body can cause facial pain on the left and right side. There is a classification of facial pain, each part of the face is responsible for a disease of some organ, or can be the cause of a specific disease, so they created a classification of points and zones on the face that are responsible for a disease or for specific human organs.

Classification of facial pain

Why does my face hurt on the right or left side? 1. Somatalgia:

  • - neuralgia is a disease that is accompanied by pain in the face and separately in areas affected by the disease; frequent attacks of burning pain occur, depending on the severity of the disease.
  • - neuralgia of the laryngeal nerves, larynx - pain in the larynx, immediate or constant.

2. Sympathalgia - throbbing pain in the facial area in the arterial trunks, accompanied by autonomic reactions:

  • - facial vascular pain (migraine) is a neurological disease accompanied by severe and frequent headaches or pain in different areas of the face; pain can last from several minutes to several days.
  • - sympathalgia, damage to the innervation of the face (neuralgia of the ear ganglion, auriculo-temporal syndrome...).

3. Other pains, different parts of the face, long-term or instantaneous pains. 4. Hysteria, hypochondriacal - depressive state - a syndrome that is characterized by other symptoms and syndromes, such as inhibition of movement and brain activity, as well as bad mood. 5. Disease of internal organs, prosopalgia.

Diseases that cause facial pain.

Facial migraine lasts a very long time, it is accompanied by sharp and aching pain in the face, or pressure on the eyeballs, can develop into a migraine headache, is accompanied by low mood and mental anxiety (in some cases for a day), sometimes accompanied by nausea, vomiting, the pain is localized in Most in the vessels, not in the nerves. They occur when the upper cervical nodes, carotid arteries and its branches are affected. The main part of the pain falls on the ears, upper jaw, eyes, and blood pressure decreases. Headache on the left or right side of the face. Charlene syndrome- acute pain in the area of ​​the eyeballs or orbits can spread to the nose, attacks occur at night. May be accompanied by herpes rashes on the skin of the nose and forehead. Herpes is a skin disease in which inflammatory pimples appear on the skin of a sick person. The main epicenter of pain is the corner of the eye; if you press on this place, you can cause an attack of pain. The causes of pain may be frontal sinusitis, herpes, or a viral reaction. To relieve pain, you can put drops in your eyes, or smear your nasopharynx with adrenaline and dicaine. Sluder syndrome- very long-lasting pain in the nose, upper jaw, and around the eyes. Symptoms are expressed by redness of the mucous membrane, lacrimation, frequent sneezing, and salivation. The node is connected to the branches of the trigeminal nerve and therefore the pain can spread to the occipital region, or neck or other places. To confirm the diagnosis, the mucous membrane is lubricated with dicaine. Frey's syndrome- (nerve in the lower jaw) - pain in the ear and temporal areas. Lasts approximately 20-30 minutes. While eating, sweating and redness of the ear area occurs. This is a vegetative disorder (disturbances in the functioning of the heart or vascular system, which can be represented by arrhythmia, baricardia, high blood pressure, or other diseases of a vegetative nature). A common cause of the disease is inflammation of the ear gland. Neuralgia of the glossopharyngeal nerve- pain in the tongue, back of the throat, pain in the lower jaw. The disease changes the taste of food and is accompanied by difficulty swallowing. When an attack develops, it may be accompanied by fainting, baricardia, and decreased blood pressure.

Neuralgia of the glossopharyngeal nerve. Ganglionitis of the upper cervical ganglion- pain that can last from a few seconds to hours. Pain in the face, neck, back of the head. Upon examination, Horner's syndrome may be detected. The disease is also accompanied by additional sensitivity. A herpetic rash often appears in the innervation zone. Horner's symptom also appears for other reasons. It often appears with a tumor of the upper part of the lung or with other types of tumors, thyroid gland, aortic diseases, or heart disease, with high blood pressure and eye pressure. If such a symptom appears, you should consult a doctor. Glossalgia, glossodynia- burning, tingling in the tongue area, lasts a very long time and is constant. Often attacks of severe pain occur at night. Stomalgia is present. This condition occurs with gastric insufficiency. For dental diseases, the pain syndrome lasts a very long time (up to several days), and can go to the neck and even under the shoulder blade. There may be an increase in temperature and pain may increase upon contact with cold water. In the face, pain can occur during dental prosthetics, or due to malocclusion. Or for other diseases associated with dentistry. Facial pain due to sinus disease- frontal sinusitis (inflammation of the mucous membrane of the nasopharynx, it occurs as a result of inflammatory processes, there is chronic and acute frontal sinusitis), sinusitis (inflammation of the nasal sinuses, one or two, an infectious disease as a result of acute runny nose, cough or scarlet fever, or other similar diseases) and other. Pain in the sinuses, radiating to the eye, may be accompanied by tinnitus, difficulty breathing through the nose, fever, and deterioration of well-being. Constant chronic pain. Postherpetic neuralgia- may occur as a result of a herpetic infection, accompanied by pain in the area of ​​the rash. Pain persists for a long time. Damage to the ganglia and their inflammation. Temporal arteritis- palpation of the artery in the temples, acute increase in temperature, pain in the temples, lasting from several hours to days. Over the course of a few weeks, the walls of the artery thicken and nodules appear in it. Vascular thrombosis is possible, and partial or permanent blindness is also possible. Develops in old age, along with various rheumatic diseases. Pain in the face can develop as a result of eye disease- inflammation, tumor, trauma, glaucoma. With glaucoma, pain from the eye can move to the temple, while the eyes turn red and the pupils dilate. Vision drops sharply. Conjunctivitis is accompanied by redness of the eyes, burning in the eyes, souring, and mucous discharge. Facial pain can be caused by a disease of the internal organs. For example: angina pectoris is a disease in which a person feels pain in the chest area, pain appears during physical activity or emotional stress, after eating, the pain moves to another area (shoulder, shoulder blade, head), ulcer. Zakharin-Ged zones are zones that divide the face and classify pain.

Zakharyin-Ged zones.

1 - hyperopia (or farsightedness, poor vision of objects that are located far from a person), 2 and 8 - glaucoma (this is a serious eye disease, during which pressure on the eyeballs increases), 3 - stomach, 4 - nasal cavity, 5 - back tongue, 6 - larynx, 7 - part of the tongue, 9 - cornea, 10 - chest cavity.

Each area on the face, and the pain caused in it, can be a sign of some serious disease, or a problem with some internal organ.

What examination is prescribed if the face hurts:

If you experience pain in your face, you should immediately consult a doctor and describe the symptoms in detail. The doctor will order the necessary tests when he examines you. Perhaps he will order a blood test for the person. An increase in white blood cells may indicate an inflammatory process in the body. Positive tests may indicate an activated rheumatic process. The doctor may order an x-ray. X-rays may show lesions in the sinuses. An otolaryngologist can help with such diseases. If you have pain in the eye area or blurred vision, you need to undergo a computed tomography scan to rule out multiple sclerosis, vascular aneurysm, thrombosis, tumors and other diseases. Perhaps you should contact an ophthalmologist, dentist, neurosurgeon, or rheumatologist.

Treatment for facial pain:

Self-medication can be dangerous to human health; you should immediately consult a doctor. If you do not contact a doctor, a serious complication may develop. Doctors use anticonvulsants to treat neuropathic pain. These are mainly drugs such as: gabapsepin, carbamazepine (a drug that is used to relieve seizures and to relieve seizures) and others. Non-steroids, group B drugs, Xefocam, Dicloberp can also be used. These drugs are prescribed in combination with other antibiotics. If the diagnosis has already been established and the disease is chronic, then self-medication and self-administration of medications is possible. For example: gabapentin, 300 mg, 1 tablet, it is possible to increase the dose of the drug. The recommended frequency of administration is 3 times a day, 1 tablet. If migraine develops, it is possible to take antimigraine or other similar drugs on your own. In some cases, doctors allow patients to go for home treatment, without their supervision, but in cases where facial pain is not caused by any serious illness. Reflexology is used in the treatment of neuralgia. They also use acupuncture, acupressure, psychotherapy, tranquilizers, antidepressants and other strong drugs and antibiotics. Much attention is paid to psychological treatment, since the disease can be caused by a psychological disorder or poor mental state.

Facial pain occurs predominantly with various lesions of the glossopharyngeal nerve, pterygopalatine ganglion, geniculate ganglion of the facial nerve, and nasociliary nerve. With trigeminal neuralgia, intense paroxysmal pain appears in the area of ​​innervation of the nerve branches on the face. Painful attacks are accompanied by facial hyperemia (redness), lacrimation, sweating, sometimes swelling, herpetic eruptions, motor activity of facial muscles, and decreased skin sensitivity in the area of ​​innervation of the trigeminal nerve.

Causes of facial pain

With neuralgia of the glossopharyngeal nerve, severe paroxysmal pain appears in the pharynx, tonsils, root of the tongue, angle of the lower jaw, in the auditory canal, in front of the auricle. The onset of a painful attack is often associated with talking or eating. With neuralgia of the pterygopalatine ganglion (Slader's syndrome), paroxysmal bursting pain appears first in the deep parts of the face, then spreads to the palate, tongue, skin of the temporal region, and eyeball. The pain lasts for several hours and sometimes days. There is swelling of the eyelids, conjunctival hyperemia, copious secretion of saliva, nasal mucus, lacrimation, and flushing of the skin of the cheeks.

Damage to the geniculate ganglion of the facial nerve leads to the appearance of burning paroxysmal or constant pain in the ear area with irradiation to the face, occipital region and neck. Herpetic rashes occur in the external auditory canal, paresis of the facial muscles (facial muscles), and dizziness. Neuralgia of the nasociliary nerve is associated with diseases of the paranasal sinuses, jaws and teeth, and a deviated nasal septum. It is characterized by paroxysmal excruciating pain in the area of ​​the eyeball and half of the nose. The pain intensifies at night. The skin of the forehead and nose is swollen, hyperemic, sometimes with a rash.

When examining the eye, signs of conjunctivitis, keratitis, and iridocyclitis are determined. The nasal mucosa is changed. Pain is detected in the area of ​​the inner corner of the orbit. With angioneuralgia of the branches of the external carotid artery, against the background of general malaise, paroxysmal, boring short-term pain occurs in the facial area. Sometimes it is dull, pressing, radiating to the temporo-parietal and frontal regions, eyeballs, nose. There is pain in the area where the vessels are located. A painful attack can be provoked by the consumption of alcohol, ice cream, mental fatigue and emotional stress.

For painful attacks of trigeminal neuralgia, carbamazepine (finlepsin) 0.05 g 3 times a day, tranquilizers (trioxazine 0.3 g 3 times a day, seduxen 0.005 g 2-3 times a day), antihistamines (diprazine , pipolfen 0.025 g 2-3 times a day, diphenhydramine 0.03 g 3 times a day) in combination with B vitamins and nicotinic acid. For neuralgia of the glossopharyngeal nerve, it is necessary to lubricate the palatine tonsils with a 10% solution of novocaine. For neuralgia of the pterygopalatine ganglion, the distal part of the middle turbinate is lubricated with a 3% solution of cocaine, and analgesics, seduxen, are given orally.

If the geniculate ganglion of the facial nerve is damaged, analgesics and desensitizing agents are prescribed (1 ml of 2% or 1 ml of 1% diphenhydramine solution intramuscularly). For neuralgia of the nasociliary nerve, the mucous membrane of the anterior nasal cavity is lubricated with a 5% solution of cocaine with adrenaline. To relieve painful attacks during angioneuralgia, novocaine blockades are performed with a 1% novocaine solution along the vessels. To prescribe treatment for pain in the facial area caused by neuralgia, you must consult a neurologist.

Questions and answers on the topic “Facial pain”

Question:Hello. I have been treated by dentists, neurologists and psychotherapists, but nothing helps, the diagnosis is burning pain in the face, life is like hell, I have been suffering for 3 and a half years, will TES help me?

Answer: Hello. TES for stomalgia is quite effective. But I wouldn’t start by buying a device for home. It is necessary to do 4-5 procedures in a medical setting using a professional device. If there is a reliable effect, you can buy your own. If there is no effect, then it is necessary to clarify the diagnosis, look for foci of infection, do an EEG, and perhaps try antidepressants. But all this is up to the decision of the supervising doctors.

Question:Hello, I would like to know what kind of diagnosis I was given. I went to the ENT specialist with severe pain on the left side of my face, my eye hurts, in the area where the gums are. The pain radiates to the forehead, but there is no nasal congestion as such. At the moment, my nose is generally clear. I did an x-ray. Description: Intensive uniform decrease in pneumotization of the alveolar bay of the left maxillary sinus with a clear horizontal level in the middle third of the sinus. Is it possible to bypass the piercing? Antibiotics were prescribed. But they didn’t really explain what kind of picture it was and how serious it was.

Answer: Hello! You have acute left-sided purulent sinusitis. I would recommend puncturing, and then doing rinsing using the method of moving liquids (cuckoo). In this situation, it is also necessary to sanitize the nose by instilling vasoconstrictor drops (Xylene, Tizin, etc.), then after a minute, rinse with a solution of sea water (Aqua Maris, Aqualor, Dolphin or saline solution, etc.), then Chlorhexidine 0.05% (1: 1 with water) or Miramistin by pipette, then Isofra 3 times a day for a week. After an in-person examination, the doctor will prescribe you a course of antibiotic therapy.

Question:Hello, I have an unpleasant pain on the left side of my face, my nose is stuffy and often phlegm comes out of the nose in the form of a yellow liquid and when I bend my torso down, my face seems to swell. Can I treat it with some medications at home or do I need to see a doctor?

Answer: Hello! Most likely you have maxillary sinusitis (sinusitis). First you need to take an x-ray of the paranasal sinuses; if there is inflammation, then the doctor will determine the treatment depending on its nature! Most likely, broad-spectrum antibiotics will be prescribed, for example. Amoxiclav 1000 mg, also vasoconstrictor drops or sprays! Good health!

Question:Hello. Since January of this year I have been bothered by pain on the right side of my face. The cheek swells a little and turns red - barely noticeable. Sometimes there is no pain at all, but as soon as you catch a cold or somehow interfere with the body - like treating your teeth - and everything starts again. I recently had my wisdom tooth removed - on the 4th day a runny nose began, pain on the right side of my face, a throbbing sensation in my ear (right). I drip otipix, candibiotic. The temperature was 37.8. Now I seem to have recovered. The runny nose has gone away, but my right nostril is clogged and I have to constantly blow my nose. The right side of the head is a little deafened, the ear is blocked, but he can hear. Tell me, what could it be? I’ve already gone to dentists and neurologists - they all say that in their area everything is ok, the problem is something else.

Answer: Good afternoon Consult an otolaryngologist. It is necessary to do a computed tomography scan of the paranasal sinuses. Most likely this is odontogenic sinusitis. After the examination, the correct treatment will be prescribed.

Question:Hello. This morning I woke up with pain on the right side of my face! The pain did not subside in the evening, a headache was added! Which doctor should I see and what could it be? Even touching your face hurts!

Answer: Good afternoon. This could be an inflammatory process of the paranasal sinuses, or trigeminal neuralgia, which is most likely. To an ENT specialist and a neurologist.

Question:Hello. The doctors at our clinics cannot understand what is wrong with me. The fact is that for about 2 years now my temperature rises every 1-2 months (not higher than 37.5) and lasts about 1-2 weeks. It happens that there is no temperature, but the face hurts, the eyes burn and ache, the head shoots in the ear, herpes breaks out, the body and face swell, the condition is like a disease, but there is no temperature. Recently I had pain on the right side of my Adam’s apple, in my throat as if there was something on the wall of the larynx, it just hurts very badly, the aching pain goes to my head, ear, forearm. I was recently diagnosed with chronic cystitis, I don’t know if it has something to do with it. I don’t even know where else to turn. What tests and examinations are needed? I am 28 years old and have not given birth yet. I'm afraid to even imagine what will happen next. Help me understand where to turn and what to do.

Answer: Good afternoon. If your condition is accompanied by herpetic rashes, then this may be due to a chronic herpetic infection. Consult an infectious disease specialist for further examination and treatment.

Probably the most unpleasant and unbearable is facial pain. Especially if it cannot be calmed down with available medications in order to at least slightly extend the time before visiting the doctor. However, you still have to do this, since there are many reasons why your face can hurt. The choice of pain treatment method depends on clarifying them.
____________________________

Causes of facial pain

It is best to consider this issue according to the localization of painful sensations. This will increase the likelihood of identifying the root cause. At the same time, in order to find out, you should try to listen to your pain. However, this method is not very suitable if the pain, due to its strength, has already covered the entire face.

  • Tissue bruise, skin irritation by a certain element.
  • Allergic reactions to cosmetics or other irritants.
  • Inflammatory processes due to skin damage by pathogenic microflora.
  • Moles can also hurt. Their pain may be due to injury or degeneration into malignant neoplasms.
  • Acne often hurts too. This means that an acute inflammatory process occurs in them.
  • Neuralgia.
  • Inflammatory processes in teeth.
  • Lesions of bone structures and paranasal sinuses.
  • Cluster headaches.
  • Atypical pain.

What causes pain on the left side of the face or the right? – it all depends on which side the inflammatory process occurs. Moreover, in a post-stroke state, due to hemorrhage in the brain on the left side, the right side of the face is damaged and sometimes hurts, and vice versa.

Facial soreness may be related to muscles. In this case, it may be caused by malocclusion, osteochondrosis of the neck, frequent nervous strains, mental illness, neurology.

Facial pain can cause migraines, diseases of the gastrointestinal tract, disorders of the cardiovascular system, and organs of the chest cavity. It is noteworthy that pain may be associated with the development of glaucoma and other eye diseases. She often accompanies people suffering from strabismus.

Diagnosis of pain in the face

To find out the cause of pain in the face, it is not enough to know its location. To do this, you need to contact a number of specialists, in particular a therapist and a dentist.

A visit to the dental office is necessary to examine the oral cavity and exclude dental diseases, carious damage, pulpitis, and periodontitis. An x-ray is often prescribed if the examination does not provide clear indications. At the same time diseases of the bone tissue in the mouth are treated by an oral maxillofacial surgeon, who also practices dental treatment.

The therapist has the right to prescribe a complete examination of the person’s body. Any inflammation is very often reflected in blood counts. Magnetic resonance imaging may also be recommended. In cases with neuralgia, examination is carried out using computed tomography.

Treatment of facial pain

Based on the examination indicators, a number of procedures are prescribed to the sick person. To block pain associated with neuralgia, antispasmodic drugs may be recommended. In some cases, complex combination medications are prescribed. However, if the pain becomes unbearable, surgery may be an option.

Dental diseases are treated with root canal cleaning and filling. This is possible if diseases have not yet completely destroyed the teeth. Otherwise, removal followed by installation of implants will be necessary. If the toothache is phantom in nature, the patient is recommended to take sedative medications.

As a result, any facial pain requires some kind of treatment. Each of its types is subject to it. Therefore, the sooner you contact a specialist, the greater the chance of quickly getting rid of pain.

Why can your face hurt?

People often experience various spontaneous and constant pains and in different cases wonder: “Why does half of my head hurt, why does half of my face hurt, why does the right side of my face hurt, why does the left side of my head hurt, my face hurts, etc.” In this article we will try to answer all these questions and, if this article is located on a site dedicated to neuralgia, this does not mean at all that the above symptoms relate to neuralgia.

The mechanism of development of pain syndromes

Pain in half of the face or head can be a manifestation of diseases of different origins and mechanisms of development. Depending on the location, headaches and facial pains are distinguished. The latter are also divided into symptomatic, vascular and neuropathic. Even occasional facial pain or headaches are a reason to consult a doctor. Lack of adequate treatment and control of pain leads to chronicity and progression of the disease.

The final diagnosis can be made by a doctor based on a survey, clinical examination and data from additional treatment methods. However, before your appointment, you can conduct a preliminary self-diagnosis, this will help determine which doctor you need to see.

Symptomatic facial pain

They can be associated with diseases of the teeth and jaws, ENT organs, eyes and temporomandibular joint.

  • In most cases, toothache is easily identified, however, with acute inflammation of the pulp, its irradiation along the nerve branches is often observed. Pain is felt not only in the affected tooth, but throughout the entire jaw, and can radiate to the ear, temple, cheek or neck. When wisdom teeth erupt, it can also spread to the entire half of the jaw or face. A consultation with a dentist will allow you to finally determine the diagnosis and treatment method.
  • Inflammation of the paranasal sinuses (sinusitis, sinusitis, frontal sinusitis, ethmoiditis) can also manifest as pain in half of the face if the process is unilateral. At the same time, patients are also concerned about difficulty in nasal breathing, nasal discharge, increased body temperature and general weakness. Outside of an exacerbation, pain may be the only symptom. The ENT doctor will accurately determine the location of the inflammation and its cause. Treatment tactics will depend on this.
  • Eye pain is most often a symptom of glaucoma; it is accompanied by pupil dilation and blurred vision. The eyeball may hurt due to traumatic injuries, as well as conjunctivitis. If such symptoms appear, you should consult an ophthalmologist.

Pain during sinusitis is one of the symptomatic types of pain.

Neurogenic pain syndromes of the head and face

In this case, the pain is neuropathic in nature, that is, it is not caused by the action of a damaging factor on tissues and organs and does not perform an adaptive function. Painful sensations are the result of functional changes in sensory fibers or damage to the central nuclei of the brain. A typical symptom of neuralgia is severe paroxysmal pain in the innervation zone of the entire affected nerve or one of its branches, intense, piercing, but short-lived and goes away spontaneously.

Neuropathic nature of pain

There are primary and secondary neuralgia. In the first case, the most likely cause of pain is considered to be compression of the nerve by nearby vessels or the formation of a persistent pain focus in the central nervous system. Secondary neuralgia occurs as a result of long-term pain or reactive changes in facial tissues. Painful sensations in this case are less intense, but longer lasting and can persist in the interictal period.

Characteristic of neuralgia. These are points on the skin or mucous membrane, touching which causes a painful attack. Fear of irritation of these areas forces patients to refuse not only to see the dentist, but also to brush their teeth and wash their face, and also to temporarily limit their food intake.

There are several types of neuralgia, which differ mainly in the location of pain:

  • When the trigeminal nerve is affected, it occupies the entire half of the face. If only one of its branches suffers, the area of ​​pain is smaller: the upper or lower jaw hurts, less often the superciliary area and half of the forehead;
  • Neuralgia of the ciliary ganglion (Oppenheim syndrome) is manifested by sharp pain in the orbit, at the base and wing of the nose on the affected side. Attacks are accompanied by lacrimation, redness of the skin and nasal congestion;
  • With ganglionitis of the pterygopalatine ganglion (Slader syndrome), it is localized in the upper jaw, eye area, root of the nose and on the hard palate, and can radiate to the neck and back of the head;
  • Irritation of the auriculotemporal nerve (Frey's syndrome) is manifested by pain in the temple area in front of the auricle, as well as in the lower jaw;
  • When the occipital nerve is damaged, severe pain occurs in the back of the head and lower neck, which spreads to the forehead and eye socket.

Treatment for neuropathic pain can be medication or surgery. With the secondary nature of the lesion, eliminating the original cause of nerve irritation plays an important role. The use of physiotherapy has a good effect.

Pain of vascular origin

  • Cluster headache (Horton's syndrome) is manifested by short-term attacks of severe burning pain in the orbit, forehead and temple, which can spread to the entire half of the face. In addition, there is redness of the skin, conjunctiva, lacrimation and nasal congestion on the affected side. The attacks follow one after another with an interval of several hours to a day, forming a bundle of pain. The provoking factor is the intake of alcohol and vasodilating drugs. An attack of pain is best controlled by anti-migraine drugs (serotonin agonists), but they do not help prevent its recurrence.
  • Migraine is a severe unilateral throbbing headache with an epicenter in the orbit, forehead and temple. The attacks are accompanied by nausea, sometimes vomiting, sound and photophobia and last from several hours to 2-3 days. Simple analgesics do not have an analgesic effect for migraines; specific anti-migraine drugs are used to relieve an attack. Treatment is also necessary during the interictal period.
  • Cervicogenic headache has symptoms similar to occipital neuralgia. During an attack, the back of the head, neck and the entire half of the head hurt. Possible visual disturbances, sound and photophobia, nausea. The intensity of pain is significantly lower than with migraine or neuralgia; simple analgesics and anti-migraine drugs are few and ineffective. The cause is infringement of the vertebral artery in the cervical region. The attack is provoked by sudden movements of the head and prolonged exposure to an uncomfortable position. The basis of treatment is to normalize the condition of the cervical spine using physiotherapy and manual therapy; medications are used to relieve pain during an attack

Main artery of the brain

Each of us often experiences some pain in the facial area.

These sensations can appear and disappear quickly, or they can be quite long-lasting.

The pain may be localized, the skin or some part of the face may hurt.

Let's try to figure out what causes certain pains.

Reasons why the skin on the face hurts

The skin of the face is extremely sensitive and therefore highly susceptible to the influence of negative factors.

There are many reasons for pain: poor nutrition, age, chronic lack of sleep, poor cosmetic care, allergic reactions and many others. It is possible to accurately determine the cause in order to successfully get rid of it later, based on the person’s specific sensations.

Pain and itching of the skin.

If your facial skin hurts and itches, this may indicate inflammation, infection, and nervous tension. When the skin on your face hurts and itches, constant scratching can only make the situation worse.

To eliminate this problem, your doctor will prescribe regular use of a refreshing lotion and an antipruritic agent.

Painful sensations on the skin in the cheek area.

Most often, the cause of such pain is burst blood vessels. With age, blood begins to circulate through the vessels more slowly, forming stagnation in some areas.

It is where the blood stagnates that the thin vessels of the face usually burst, causing a lot of unpleasant sensations.

This problem requires serious treatment. If the skin on the face hurts due to burst blood vessels, the electrocoagulation procedure, which is carried out in clinics, can significantly help.

In the future, you should adhere to certain rules for prevention: exclude spicy foods from your diet, avoid hypothermia and overheating.

The skin hurts due to cracking.

The cause of cracking may be weathering, lack of vitamins and chemical exposure. If a person feels that the skin on their face hurts for one of these reasons, the best treatment option is the use of silicone cream with vitamin A capsules.

The cream and vitamin must be mixed proportionally and applied to the damaged areas. It would also be a good idea to take this vitamin internally. Rubbing the skin with a solution of warm milk and olive oil has a good effect.

Reasons why half of the face and the face as a whole hurt

The appearance of pain in the face, as well as pain on the skin of the face, can have many causes:It could be:

  • irritation of the facial nerve, as well as the muscles of the eye;
  • various injuries to the bones related to the facial part of the skull;
  • migraine;
  • headaches (cluster);
  • osteochondrosis, etc.

Muscle pain may indicate a malocclusion of the jaw, frequent exposure to stress, mental and neurological illnesses, or previous injuries.

Eliminating such causes is the task of a neurologist who provides treatment with medications. The bone origin of discomfort, when half of the face hurts, may have reasons such as:

  • caries, pulpitis and periodontitis in an advanced state, as a result of which osteomyelitis develops. This disease is a purulent inflammation in the bones of the face. As a rule, the left side of the face hurts or the right side - the one in which the process of decay occurs. Pain occurs along with high fever and general malaise of the patient;
  • injuries of various kinds, especially fractures of the facial bones;
  • pain in the ear, dysfunction of the temporomandibular joint.

Pain with neuralgic causes is the most difficult to diagnose. Whether the right side of the face or the left side hurts depends on the area in which a certain nerve is affected. A neurologist diagnoses and treats this disease.

There are people who complain of atypical facial pain. This name is given to pain that does not have a specific cause. Even the most thorough studies could not establish them.

The result of a depressive state, past hysteria, past neurasthenia and disorders of a similar nature is psychogenic pain in the facial area. Dental disease is also often the cause of facial pain.

When a person’s face and head hurt, the first reason for this is considered to be migraine. The peculiarity of migraine is that pain is present only on one half of the face and only in very rare cases spreads to the other.

A boring pain can torment a person for 18 hours, sometimes even thirty-six hours. The risk zone includes females aged 20-30 years.

If the left side of the face or the right side hurts, and the pain is quite severe and occurs serially, it is probably cluster pain.

There are cases in which pain radiates to the eye - it turns red and waters. Representatives of the risk group are men who abuse alcohol and smoke.

The onset of a hypertensive crisis is preceded by redness of the face and severe headache. A person clearly feels pain on the right side of the face or the left.

As a result of a sharp increase in blood pressure, nausea, vomiting, heart pain and tinnitus appear.

When a person begins to experience pain in the face, the best solution is to see a doctor.

Prosopalgia is a condition in which a person experiences headaches and pain in the face. Seizures can be short-term or long-lasting and have different localizations.

This condition may be a symptom of the development of a serious pathology. Therefore, at the first unpleasant signs, you should immediately consult a doctor.

So, pain symptoms in the facial area occur against the background of various diseases. They can be the result of dysfunction of the nervous system, ENT organs, pathologies of the eyes, teeth, injuries, etc. First, you need to understand the classification of facial pain according to the mechanism of its development:

  • somatalgia appears when the trigeminal, glossopharyngeal and laryngeal nerves are damaged. It is accompanied by severe paroxysmal pain in the jaw or other part of the head. Sometimes the half of the face in which the nerve ending is affected may hurt;
  • sympathalgia. It is the result of disturbances in the functioning of the autonomic nervous system. In this case, unpleasant sensations in the facial area begin with the nerve trunks. This category includes migraine (attacks are accompanied by pain in the face, are long-lasting or short-term), direct damage to the nerve innervating a certain area of ​​the face (for example, with neuralgia of the right ear ganglion, the patient has pain in the right side of the face);
  • prosopalgia in mental illnesses (hysteria, depression, etc.);
  • other types of pain syndromes. In this case, attacks are accompanied by lacrimation and redness of the skin, pain can be felt only on the right or left;
  • problems with internal organs that can cause pain throughout the left side of the head.

Often, when nerve endings are damaged, a person’s skin hurts and pain is felt on the right side of the face (or left, depending on the location of the damaged nerve).

Pain often appears during purulent inflammatory processes on the skin (boils, ulcers, etc.). In addition to unpleasant sensations, a person’s general condition worsens and body temperature may rise.

What are the main causes of facial pain?

So, first of all, pain in the facial area is associated with disorders of the following nature:

  • damage to nerve endings;
  • injuries or minor damage;
  • skin diseases (acne, etc.);
  • pathologies of the eyes or ears;
  • various injuries to the bones of the skull;
  • osteochondrosis of the cervical vertebrae;
  • vascular disorders.

Let's look at each of the reasons in a little more detail.

There are a huge number of nerve endings on the human face; they can be affected by inflammatory processes, infections and nervous tension. In this case we are talking about neuralgic pain. There are several types of neuralgia:

  1. Maxillofacial nerve. Characterized by paroxysmal pain on the right or left (it is important to note that only one side of the face hurts), the affected area swells and redness of the skin appears.
  2. Nasociliary nerve. In this case, the pain is localized above the eyebrow and inside the eye. Over time, it spreads to the nose and a rash may appear.
  3. Pterygopalatine node. The patient develops swelling, the process of secretion of saliva and tears on the side of the affected nerve increases.
  4. Glossopharyngeal nerve. Characterized by pain from the side of the nerve ending, the sensations become aggravated during chewing or talking.

Often, unpleasant symptoms occur when the jaw bite is disturbed (in this case, they intensify during the process of chewing food).

Another reason why the facial area hurts is migraine. The pain in this case continues for quite a long time, spreads to the entire head area, and can cause nausea or vomiting.

Facial migraine develops with trigeminal neuralgia. In this case, swelling may occur in the area of ​​the carotid artery, and it becomes difficult to turn the head. Often this condition is caused by chronic inflammation (sinusitis, sinusitis, etc.).

Among skin diseases, it is worth highlighting various types of dermatitis, acne or acne. Often, facial pain occurs due to dental diseases. In this case, it is localized in a specific place.

If the patient has pain on the right side of the face, then inflammatory processes in the sinuses or nasopharynx can be assumed. Among the pathologies that provoke attacks are:

  • sinusitis (pain is prolonged, spreads to the cheeks and cheekbones, a runny nose does not go away for a long time, the mucous membrane swells greatly);
  • frontal sinusitis (throbbing pain radiates to the forehead and nose);
  • sinusitis (unpleasant sensations are localized in the frontal area, aggravated by tilting the head);
  • otitis (in this case, pus accumulates in the ear, the pain radiates to the lower jaw and cheekbones).

Slader's syndrome is very common among ENT diseases. This is a pathological condition in which unpleasant sensations are observed in the nose, eyes and upper jaw.

This area is directly connected to the trigeminal nerve, so untimely treatment can cause inflammation. Often, pain in the face occurs due to previous injuries (jaw fracture, cut eyebrow or lip, etc.).

First aid

As an emergency treatment for pain in the face, you can take an antispasmodic.

If this condition is caused by an injury, it is recommended to apply a cold compress to the injury site.

Further treatment depends on the cause of the attack (ENT diseases, neuralgia, dental problems, etc.). If severe pain in the face or head of unknown etiology occurs, you should immediately contact a specialist.

Diagnostics

First of all, the doctor will conduct an external examination and listen to all the patient’s complaints regarding pain.

  • radiography, which will help detect possible damage to the jaw, inflammatory processes in the sinuses, etc.;
  • MRI and CT diagnostics are modern techniques that allow you to obtain a complete picture of the patient’s disease (damage to various nerve endings, the presence of tumors, etc.).

If the patient has pain on the left side of the head, then it is necessary to undergo an examination by an ophthalmologist and an ENT specialist; they can identify pathologies of the organs of vision, smell and hearing.

If your tooth hurts, you need to see a dentist who will solve this problem. For mental disorders, consultation with a psychiatrist will help.

Treatment

To select the optimal therapy, you first need to understand the reasons that cause the pain attack.

After receiving the diagnostic results, the doctor will prescribe medications, physiotherapeutic procedures, etc. When half of the face hurts due to injury or migraine, it is recommended to take a painkiller.

However, in this case, you cannot self-medicate for a long time, since medications only relieve pain, but do not treat the underlying cause. You can apply a cool compress, which will relieve the condition until the ambulance arrives.

If the cause is neurological disorders, then a neurologist treats the pain. In case of inflammation in the trigeminal nerve, anticonvulsants are prescribed.

The same medications are prescribed for chronic neurological diseases (in this case, drug therapy is used only during exacerbation).

For dental problems (caries, inflammation of the gums or tooth roots), complex treatment is carried out. It includes filling the damaged area, periodontal therapy, or complete tooth extraction.

Various creams or ointments are used to treat skin diseases. In the presence of abscesses (boils, carbuncles, etc.), surgical intervention is performed followed by antibiotic therapy.

If half of the face hurts due to inflammation of the ENT organs, then antibiotics and rinsing the sinuses with sea water are prescribed. As a last resort, they resort to surgical intervention (for purulent otitis, etc.).

Features of treatment of individual forms

It is important to remember that if the disease is not cured at the acute stage, then the likelihood of becoming chronic is very high. In this case, when exposed to negative factors, the symptoms will worsen and then subside.

For cervical osteochondrosis, therapeutic exercises are performed, chondroprotectors are prescribed, and in rare cases, surgical intervention is indicated.

If there is a tumor that pinches the nerve endings, which causes pain in the face, a biopsy must be taken.

If its malignancy is confirmed, surgical removal is performed followed by chemotherapy or radiation therapy.

It is very important to consult a doctor in time to cure the disease at an early stage, otherwise the risk of metastases spreading to other organs and systems increases.

If the cause of pain is mental disorders (various forms of hysteria, depression, etc.), then consultation with a psychiatrist and long-term use of antidepressants will be required.

To prevent relapse, the patient will be constantly monitored by a specialist. For eye pathologies (conjunctivitis, damage to nerve endings, problems with the lens or the presence of tumors), therapy is carried out depending on the nature of the pathology.

Doctors often prescribe various physiotherapeutic procedures, their type depends on the disease. This can be therapeutic massage, electrophoresis, ultrasound, acupuncture, etc.

Among folk remedies, aromatherapy can be distinguished. Proper nutrition and a healthy lifestyle will have a positive impact.

It must be remembered that self-medication often leads to the development of serious complications that are difficult to respond to conservative methods of therapy.

In conclusion

Thus, serious illnesses can be the causes of attacks of pain in the face and head.

They require timely treatment, so at the first unpleasant symptoms you should consult a doctor.

He will prescribe a comprehensive diagnosis and, depending on the pathology, select an effective treatment regimen. Delaying this process will only make the problem worse in the future.

Painful sensations cause significant discomfort to their owners. Sometimes pathological symptoms are localized in the most unexpected places. The article discusses what to do if your face hurts.

Main conditions of facial soreness

Facial pain is a fairly common manifestation that can occur under the influence of several unfavorable factors. We list the main conditions under which the facial area may become ill:

  1. Innervation of the nerves located in the facial part.
  2. Muscle spasms.
  3. Skin diseases. For example, rashes, wen.
  4. Damage to bone tissue of the facial area.
  5. The occurrence of some pathological processes in the body.

Depending on the causes, the pain can be concentrated in one point or cover the entire face and head.

When facial muscles are affected

Usually, unpleasant sensations appear when the facial muscles responsible for chewing food and facial expressions hurt. Experts identify several main factors leading to pain in moving facial muscles:

  • Incorrect closure of teeth. In this case, the load on the muscle tissue that moves the jaws is incorrectly distributed. In this case, the lower half of the head and face suffers. The situation can be corrected by installing a special brace system.
  • Nervous overstrain. Under strong emotional stress, for example, when trying to contain anger or dissatisfaction, a person may clench his teeth too hard. This contributes to the development of facial pain.
  • Psychological problems. In people with nervous system disorders, the tone of muscle tissue is often disturbed, including in the facial area. In such conditions, pain occurs. Usually it is concentrated in one half of the face - right or left.
  • With cervical osteochondrosis, spasms also spread to the facial and shoulder areas.
  • Suffered facial bruises can cause muscle pain for quite a long time until complete recovery. In this case, pathological symptoms appear on the side of the injury.

Ailments that cause pain in bone structures

Often the head and face hurt due to pathologies of bone structures. We list the diseases that cause pathological symptoms:

  • Suppuration on the cranial bones – osteomyelitis. The development of the disease is promoted by inflammatory processes of dental tissues. In this case, the facial part swells noticeably, and the skin on the face burns strongly when touched.
  • Severe injuries or falls lead to fractures of the cranial or nasal bones. In addition to the fact that the victim’s facial skin hurts, bruises and hematomas form on its surface.
  • Dysfunction of the maxillofacial joint. Develops against the background of infectious and inflammatory processes in the ears and gums. The pain can be one-sided, with the left or right side of the face affected. In more severe cases, unpleasant sensations spread over the entire surface, and also involve the frontal and occipital parts. The disease primarily affects females from thirty-five to sixty-five years of age.

Pain due to skin diseases

The facial skin is very thin and sensitive. It is not surprising that it hurts even with minor pathological processes. Consider, skin soreness appears.

Soft tissue damage

In case of mechanical damage, for example, from a fall, the delicate skin of the face suffers quite a lot. In addition to unpleasant sensations, unsightly abrasions and bruises are clearly visible.

Changes in nevus structure

Almost every person has moles on their face. In normal condition they do not cause any discomfort. However, a mole can develop into a malignant neoplasm. Therefore, you should be wary if the following signs appear:

  • the mole hurts, usually the discomfort is one-sided; for example, if the mole is located on the left, pain is felt on the left side of the face;
  • its outlines lost clarity;
  • the color and dimensions of the nevus have changed;
  • the mole is oozing or bleeding.

To avoid adverse health consequences, these signals should direct the person to an oncologist.

Acne is a normal occurrence for every teenager. However, with some ailments, such as gastrointestinal disorders, hormonal imbalances, acne can haunt a person even at an advanced age. Single superficial pimples go away easily and do not cause discomfort. It is more difficult to deal with deep-seated acne and wen. They may not go away for years, and when they are squeezed out, the face hurts and turns red. Therefore, it is better to take medical help to eliminate acne.

Allergic reactions

Women often face situations where, after applying a cream or lotion, their face hurts or itches. However, pain is not the most unpleasant thing you can experience with allergies. Additionally, the following unpleasant symptoms may appear:

  • rashes on the skin;
  • swollen face;
  • swelling of mucous tissues;
  • copious nasal mucus;
  • difficulty breathing.

Important! If after contact with an allergen you feel a disturbance in the respiratory process, you must urgently call number “03”. This sign may indicate the development of angioedema or anaphylactic shock.

What pathologies cause pain in the scalp and face?

We list the conditions that cause pain on the surface of the head and facial part:

  • bad hairstyle, long-haired people often pull their hair into a bun, and also use hard, uncomfortable accessories, for example, headbands that squeeze the head;
  • skin diseases such as eczema;
  • various pathologies of the NS;

It is quite difficult to independently identify why your head and facial area hurt. Therefore, it is better to visit a health care facility.

Neuralgic disorders of the facial area

Irritation or damage to the nerves and their processes, leading to pain, is called neuralgia. The pathology can also lead to facial pain.

Facial nerve damage

Such a manifestation is rare, since the facial nerve is assigned not a sensory, but a motor function. The pain is localized in one part of the face and radiates behind the ear. Sometimes a rash forms in the affected area. A characteristic feature of facial nerve irritation is the appearance of asymmetry during facial movements.

Trigeminal nerve entrapment

The branches of the nerve extend into the facial part, so when it is damaged, a shooting pain is felt in the face. Since the facial nerve is located on the sides of the head, discomfort is concentrated on only one side. For example, if the nerve on the right is damaged, the right side of the face hurts. At the slightest touch, the pathological symptoms intensify.

Diseases of other nervous structures

There are several large nerves in the facial area, damage to which also leads to adverse consequences. For example:

  • If the glossopharyngeal nerve is damaged, pain in the face, tonsils, larynx, and tongue is felt. Additionally, blood pressure levels decrease, a pre-fainting state appears, and even fainting is possible.
  • The right or face or neck hurts due to irritation of the superior laryngeal nerve. Feeling worse with yawning, sneezing, and rapid head movements.
  • The innervation of the pterygopalatine nerve ball, located inside the cranium, causes symptoms similar to migraine attacks, including pain in the patient’s face.

It is impossible to cure such diseases on your own. Therefore, if your left or face hurts, you should immediately visit a medical professional.

Atypical tenderness

There are situations when, even after going through all possible diagnostic procedures, health workers are unable to identify the true cause of why the face hurts. Some experts associate atypical facial pain with NS disorders. We list the characteristic signs of this condition:

  • pain in ninety percent of cases is felt by adult women;
  • pain is concentrated in the left side of the face or on the right, rarely covering the entire surface;
  • pathological symptoms increase after exposure to any irritating factors;
  • Often, in addition to the face, teeth, gums or tongue hurt;
  • There are quite long intervals between attacks, their duration reaches several months.

Atypical pain goes away as unexpectedly as it begins.

Psychogenic facial pain

This view is similar to the previous one. The difference lies in greater intensity and the presence of obvious psychological illnesses. For example, depression, claustrophobia, schizophrenia.

To get rid of pain, in addition to drug therapy, you will need to undergo a course of treatment from a psychologist or psychiatrist.

Facial pain associated with dental diseases

Dental diseases can cause severe pain in the facial part of the head. Let's take a closer look at oral ailments.

Dental pathologies that cause painful symptoms

People often have severe headaches in the absence of timely treatment for inflammatory processes occurring in dental tissues. Such as caries, periodontitis, granuloma, periostitis.

In addition to pain in the oral cavity and face, patients experience an increase in body temperature. The condition is aggravated by eating hot or cold food.

Unpleasant sensations if a tooth is pulled out

If your face hurts for several days after the dentist pulled out a tooth, there is no reason to worry. This is quite normal. However, if the pain does not go away for several days, and its intensity only increases, the cause may be:

  • poorly performed surgery;
  • the presence of dental tissue remains inside the gums;
  • the occurrence of infectious or inflammatory processes at the site of the extracted tooth.

To eliminate pathological symptoms, you will need to make an appointment with a dentist.

Ailments leading to pain in the head and facial area

Let's take a closer look at the pathologies that can lead to unpleasant sensations in the facial area.

Migraine

Migraine attacks occur in approximately fifty percent of the world's inhabitants. Their true cause has not yet been established. Migraines are characterized by unilateral pain. Patients usually complain that the left side of their face or, conversely, the right side hurts. However, in rare cases, the entire head may be affected. During migraine attacks, the following symptoms additionally appear:

  • dizziness;
  • weakness;
  • the side of the face and eyes hurt;
  • increased sweating;
  • nauseating feeling;
  • absent-mindedness;
  • sensitivity to bright lights and loud sounds.

Cluster headaches

Paroxysmal cluster pains appear unexpectedly. Most medical professionals associate them with psychological problems. Most often, painful manifestations occur in men. At the same time, the intensity of the pain is very strong - the patient feels lumbago and pulsation in the temples and facial area. The duration of attacks ranges from half an hour to three days.

Redness of the skin, headache

The face often hurts. In this case, the patient additionally notes:

  • red face;
  • increase in body temperature to thirty-eight degrees;
  • muscle weakness;
  • Half of the face and eyes hurt;
  • increased sweating;
  • lack of appetite.

Hypertension

Elevated blood pressure results in impaired blood supply to the cerebral cortex. In this case, the cells of the central nervous system experience oxygen starvation, as well as nutritional deficiency. In such conditions, the head, including the face, suffers greatly. Stabilizing the indicator will eliminate unpleasant sensations.

Facial pain due to diseases of the elements of the cardiovascular system

In pathologies of the cardiovascular system, the tone of blood vessels is significantly impaired. This causes sudden changes in blood pressure, which generally makes you feel worse. However, there are some vascular pathologies in which the facial part ache. For example, temporal arteritis. The disease is formed during the active occurrence of inflammatory processes in the carotid and temporal arteries. In this case, the pain is concentrated in the temporal, occipital and facial parts. The pathology is quite dangerous. If not treated promptly, death may occur.

Facial pain due to eye diseases

Soreness often occurs with ophthalmic disorders. A condition where the face hurts and the head can appear with:

  • working at a computer for long periods of time or watching television for many hours;
  • glaucoma;
  • pterygium;
  • blepharitis;
  • conjunctivitis.

In such cases, it is necessary to consult an ophthalmologist.

Whatever the reasons for the condition when your face hurts, you cannot ignore it. Only under the supervision of an experienced specialist can you eliminate pathological symptoms and maintain health.

The appearance of pain is always a sign of the emergence and development of a pathological process. Any part of the body and face can get sick. The causes of painful spasms of facial muscles and tissues can be varied: dental diseases, neurological disorders, problems with ENT organs. In medical practice, there is a clinical term “prosopalgia”, which refers to pain in the facial area for many reasons.

Possible causes of pain on one side of the face

The causes of pain on the face are a huge number of diseases of various organs and disorders in the physiology of the body. Localization of pain impulses, determination of the nature, intensity and accompanying symptoms can help determine the source of pain. In one situation, the skin on the face hurts, in another, the cheekbones cramp and painful sensitivity appears when chewing or when opening the mouth. Sometimes a person notices that the jaw on the left or right is swollen.

In medicine, there are a number of factors that explain why a person has pain on the left or right side of the face:

  • headaches or throbbing migraines;
  • pathologies of a neurological nature;
  • deviations in the structure of the skull bones;
  • bruises, fractures and dislocations (we recommend reading: what are the main signs of a jaw fracture?);
  • inflammatory processes in the oral cavity and nasopharynx;
  • discomfort in the eyes;
  • dental diseases;
  • arthritis;
  • complications after prosthetics and tooth extraction, damage to the oral cavity;
  • pain of unusual origin.

For pain in the cheekbone

Pain in the cheekbone is most often caused by the development of pathological diseases or injury. The most likely reasons for pain in the cheekbones or cramping of the jaw directly in the cheekbone area include:

  1. Inflammation of the temporomandibular joint. The main symptom is aching pain with increasing intensity in the ear area (we recommend reading: how is aching pain in a tooth treated?). There may also be a crunching sensation when chewing or opening the mouth. The pain is reminiscent of otitis media.
  2. Dental diseases. This can be pulpitis, caries, inflammation of gum tissue, or damage to teeth. The pain is throbbing and intensifies when you press on the sensitive area. With osteomyelitis, the temperature rises and the face swells.
  3. Neuralgia is accompanied by noise and clicking in the ears, acute and burning pain when moving the jaw, and increased salivation.
  4. Dislocation of the jaw joint. It occurs as a result of an injury or a wide yawn, as a result of which the chin moves to the side, speech becomes slurred, and aching pain appears.
  5. Arthritis of the jaw joint. Without treatment, there is a risk of serious complications.
  6. Tumor. The growth of some tumors is accompanied by constant or sharp pain in the cheekbones. These include: osteoid osteoma, osteoblastoclastoma, sarcoma of the upper jaw - a malignant and rapidly progressing tumor (we recommend reading: how osteoma of the lower jaw is treated and its consequences).

Other causes of pain in the cheekbones include:

Muscles hurt

Sometimes painful spasms occur on the face - the muscle part hurts on the right or left side. The causes of this pain are neurological problems. Pain syndrome is caused by increased muscle tone. Among the probable diseases that provoke pain in the facial muscles are the following:


  1. Neurosis. There are malfunctions in the functioning of the nerve centers that regulate muscle contraction, as a result of which they are constantly under tension.
  2. Cervical osteochondrosis develops due to metabolic disorders, loss of strength and flexibility by the intervertebral discs. Increased muscle tone is one of the signs of the disease.
  3. Inflammation of the facial muscle. This can happen as a result of injury or hypothermia. In this case, any touching of the face, turning the neck and head causes pain.

Jaw pain

Occasionally, a person may notice the occurrence of throbbing pain with a characteristic clicking sound directly in the jaw, especially when opening the mouth. The source of jawbone pain is the following factors:

  1. Chronic caries. If the tooth is completely destroyed, the carious cavity inflames the nerve endings and is accompanied by severe and unremitting pain.
  2. Arthritis of the jaw joint. Without treatment, this may result in the patient's inability to open his mouth and chew food normally.
  3. Injury to tooth enamel, which can be caused by the habit of cracking nuts with your teeth.
  4. Chronic gum inflammation. If left untreated, gingivitis progresses and spreads to the bone tissue and jaw joints, accompanied by pain and clicking (we recommend reading: how to quickly cure gingivitis at home: treatment methods).
  5. Adamantinoma. The first sign is thickening in the cheek area. At the initial stage of development, the malignant formation does not manifest itself in any way, but over time the bone tumor grows, leading to severe pain in the jaw and disruption of the chewing process.
  6. Osteogenic sarcoma. It affects only bone tissue. The development of the pathology begins with a clicking sound, and gradually stable pain sensations arise that bother the person regardless of the condition of the jaw.

Skin hurts

The skin on the face is very sensitive, so it is primarily susceptible to negative effects. The most common reasons that may result in unpleasant painful sensations are:

In addition to pain, irritation and itching on the face may appear. Possible sources of occurrence are inflammation, infection or nervous tension. An additional cause of increased skin soreness in the cheek area is burst blood vessels. This problem appears with age when blood circulation slows down.

When should you see a doctor?

Cheekbones and jaw pain can occur for various reasons, and not all of them are equally dangerous. However, regardless of the severity of the symptoms, the problem cannot be ignored. If the pain does not go away for a long time, you should consult a doctor, and not try to get rid of it yourself, dulling it with analgesics and without understanding the source.

There are symptoms that should prompt you to see a specialist, such as eye socket pain and visual impairment.

Such manifestations may indicate the presence of:

  • tumors;
  • aneurysms of cerebral vessels;
  • multiple sclerosis;
  • thrombosis

All of these are quite serious diseases, but if left untreated, other manifestations also pose a threat. This is directly related to the rapid spread of pathological reactions to neighboring organs (ears, eyes, lymph nodes, brain).

Diagnostic methods

When painful symptoms appear on the face, you must first go for an examination to a therapist, regardless of what it is: muscles, skin, cheekbones or jaw. You will need to provide a full description of your symptoms. In some cases, this is enough to make a diagnosis and prescribe appropriate treatment.

But not always, based on the patient’s complaints and visual examination, the therapist can diagnose the problem. In this case, the doctor gives a referral to more specialized specialists:

According to the preliminary diagnosis and anamnesis data, a number of laboratory tests are carried out:

  1. Blood test. It is carried out to assess the state of the immune system. The analysis can also reveal inflammatory processes and the presence of certain diseases, such as tonsillitis, sinusitis, frontal sinusitis and others.
  2. Strokes. Take from the ears and nose, if there is a runny nose.
  3. Computed tomography.
  4. X-ray of the jaw apparatus.
  5. Endoscopy.
  6. MRI of the brain.
  7. Biopsy of the problem area. It is carried out in cases where the pathological solid inflammatory neoplasm is located deep under the skin.

Methods for treating facial pain

It is not recommended to treat facial pain syndrome on your own. To smooth out the symptoms, you can take minimal measures at home, but you should not put off going to the doctor.

The course of treatment depends directly on the causes of the problem:

  • in the presence of inflammation, antibiotics and anti-inflammatory drugs are prescribed - Nurofen, Movalis and Dicloberl;
  • to combat arthrosis, special chondroprotectors are used - Chondrolon, Teraflex, Chondroxide, Artra, Structum (we recommend reading: how and with what to treat arthrosis of the maxillofacial joint?);
  • in case of dislocations, it is necessary to set the problem joint in place and fix it;
  • if the cause is a tumor, treatment may include radiation therapy, chemotherapy, or surgery.

An effective method of combating facial pain is physical therapy, which includes:

  • massage - general, acupressure and facial gymnastics;
  • acupuncture;
  • warming up;
  • reflexology.

Prevention measures

The appearance of pain on the right or left side of the face is an alarming symptom, as this can cause serious consequences. The main prevention is aimed at eliminating and preventing the causes that can provoke pain. First of all, this concerns timely and high-quality treatment of ENT diseases and dental diseases, including chronic ones, and relief of inflammatory processes. Such a therapeutic approach eliminates the possibility of further development of the disease and the occurrence of unpleasant and painful sensations, accompanied by unwanted complications.