Facial pain
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This document discusses common causes of facial pain, including odontogenic pain from dental issues, headaches like migraines and cluster headaches, musculoskeletal pain like temporomandibular joint disorders, and neurogenic causes such as trigeminal neuralgia. Trigeminal neuralgia causes severe stabbing facial pain and has differential diagnoses including cluster headaches and geniculate neuralgia. Burning mouth syndrome is characterized by burning pain in the mouth region, often affecting menopausal women, with no identifiable pathology.
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Oro facial pain
For undergraduate dental students from this presentation you can get the primary understanding of what the pain related to the oro facial region
Facial pain due to TMJ, trigminal neuralgia, Sjogren syndrome, Eagles etc..
This lecture covers the most common sources of facial pain, including trigeminal neuralgia, TMJ, Sjogren's, Eagles syndrome, glossopharyngeal neuralgia and other..This is based on a lecture on facial pain, given at University of Maryland School of Dental Surgery
Dr Samreen Younas
This document discusses various types of orofacial pain, their causes, symptoms, diagnosis, and treatment. It covers conditions like trigeminal neuralgia, glossopharyngeal neuralgia, postherpetic neuralgia, Eagle's syndrome, temporomandibular pain, burning mouth syndrome, atypical facial pain, migraine, cluster headache, and temporal arteritis. For each condition, it provides details on definition, etiology, clinical features, diagnostic approach, and management options. The take home message is that orofacial pains are a common cause of morbidity, definitive diagnosis can be challenging, and treatments may not always be definitive.
Facial pain
This document discusses typical and atypical facial pain from the University of Aden. [1] Trigeminal neuralgia is the most common neurological cause of facial pain in those over 50, presenting as electric shocks stimulated by touch. Treatment includes local anesthesia and tegretol. [2] Glossopharyngeal neuralgia is similar but less common, with pain on swallowing. [3] Atypical pains include migraine, temporal arteritis affecting older groups with risks of vision loss treated with prednisone, and pain from conditions like herpes zoster or Bell's palsy.
Facial pain
Pain in facial area may be due to neurologic or vascularcauses as well as can be due to dental origin.
The main causes can be Temporomandibular joint disorders or trigeminal neuralgia.
Trigeminal neuralgia can cause abrupt,searing pain due to nerve irritation or damage.
It causes pain along the course of the nerve all over the face and will mostly be on one side of the face.It is treated with anti convulsant medicines or a series of surgeries.
TMJ pain can be due to tenderness in the temporo mandibular joint.It can be unilateral or bilateral.IT can cause difficulty in chewing and even in speaking.It can also lead to difficulty in opening of mouth due soreness of joint.It is usually surgically treated.
Dr Sachdeva's Dental clinic and Facial aesthetic centre is one of the leading clinics offering treatment for facial pain in Delhi. So hurry up and come book an appointment with us at Dr.Sachdeva’s Dental Institute, Ashok Vihar, Delhi which has state of the art clinic and all the latest and advanced equipments.
To book an appointment contact:
Dr. Rajat Sachdeva
Director & Mentor
Dr Sachdeva’s Dental Aesthetic And Implant Institute
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
Phone : +919818894041,01142464041
Our Websites:
www.sachdevadentalcare.com
www.dentalimplantindia.co.in
www.dentalclinicindelhi.com
www.dentalcoursesdelhi.com
Facebook- dentalcoursesdelhi
Youtube- drrajatsachdeva
Linkedin- drrajatsachdeva
Slideshare- Dr Rajat Sachdeva
Twitter Page- drrajatsachdeva
Instagram page- surgicalmasterrajat
K-oral,m-Show of-orofacial-pain
This document discusses orofacial pain and neuralgias. It defines pain and states that approximately 40% of the British population only visit dentists for pain relief. It then lists and describes various types of orofacial pain including those related to dental issues, jaw diseases, edentulism, postoperative issues, pain triggered by chewing, neurological diseases like trigeminal neuralgia, and atypical facial pain. It provides details on diagnosing and treating specific conditions like trigeminal neuralgia and Bell's palsy.
Differential Diagnosis of Oral & Maxillofacial Pain
This document discusses the differential diagnosis of oral and maxillofacial pain. It begins by defining pain and noting that pain in this region is commonly due to dental disease. A thorough evaluation includes a history, examination, and diagnostic testing to determine the underlying cause. Causes are classified and include primary headaches, secondary headaches attributed to various conditions, and painful cranial neuropathies. The evaluation involves assessing the chief complaint, medical history, physical exam of the head, neck, mouth and muscles, and diagnostic imaging and psychosocial factors. Red flags are provided for various potential underlying conditions.
orofacial pain
abscess advanced trauma life support anterio advanced trauma life support antibiotics apically repositioned flap dental diseases dr dr shabeel drshabeel’s face eye trauma lidocaine anodontia management medical medicine misuse and abuse orthodontics teeth braces pharmacy pn preparation dental students for community based ed presentations s abscess abscess tooth active orthodonti shabeel shabeel"s shabeel’s shabeelpn trends of antimicrobial usage in dental practice View all
’s abscess abscess advanced trauma life support anterio abscess tooth active orthodontics adolescent advanced trauma life support aesthetic dentistry airway management alignment of teeth amalgam anesthesia in dentistry anesthetics in dentistry anterior open bite antibiotic resistanace antibiotics antibiotics and leukopenia aphthous ulcers apically repositioned flap apicoectomy appliances arch dental arch form orthodontics braces arch length orthodontics braces arch wire orthodontist braces ayurvedha baby teeth bloger boil books braces braces teeth cancer canker sore pain cavity preparation children community based learning congenitally missing teeth cosmetic dentistry csf leaks dental dental anesthetics dental restorations dental teeth dento alveolar fractures disease
Recommended
Oro facial pain
For undergraduate dental students from this presentation you can get the primary understanding of what the pain related to the oro facial region
Facial pain due to TMJ, trigminal neuralgia, Sjogren syndrome, Eagles etc..
This lecture covers the most common sources of facial pain, including trigeminal neuralgia, TMJ, Sjogren's, Eagles syndrome, glossopharyngeal neuralgia and other..This is based on a lecture on facial pain, given at University of Maryland School of Dental Surgery
Dr Samreen Younas
This document discusses various types of orofacial pain, their causes, symptoms, diagnosis, and treatment. It covers conditions like trigeminal neuralgia, glossopharyngeal neuralgia, postherpetic neuralgia, Eagle's syndrome, temporomandibular pain, burning mouth syndrome, atypical facial pain, migraine, cluster headache, and temporal arteritis. For each condition, it provides details on definition, etiology, clinical features, diagnostic approach, and management options. The take home message is that orofacial pains are a common cause of morbidity, definitive diagnosis can be challenging, and treatments may not always be definitive.
Facial pain
This document discusses typical and atypical facial pain from the University of Aden. [1] Trigeminal neuralgia is the most common neurological cause of facial pain in those over 50, presenting as electric shocks stimulated by touch. Treatment includes local anesthesia and tegretol. [2] Glossopharyngeal neuralgia is similar but less common, with pain on swallowing. [3] Atypical pains include migraine, temporal arteritis affecting older groups with risks of vision loss treated with prednisone, and pain from conditions like herpes zoster or Bell's palsy.
Facial pain
Pain in facial area may be due to neurologic or vascularcauses as well as can be due to dental origin.
The main causes can be Temporomandibular joint disorders or trigeminal neuralgia.
Trigeminal neuralgia can cause abrupt,searing pain due to nerve irritation or damage.
It causes pain along the course of the nerve all over the face and will mostly be on one side of the face.It is treated with anti convulsant medicines or a series of surgeries.
TMJ pain can be due to tenderness in the temporo mandibular joint.It can be unilateral or bilateral.IT can cause difficulty in chewing and even in speaking.It can also lead to difficulty in opening of mouth due soreness of joint.It is usually surgically treated.
Dr Sachdeva's Dental clinic and Facial aesthetic centre is one of the leading clinics offering treatment for facial pain in Delhi. So hurry up and come book an appointment with us at Dr.Sachdeva’s Dental Institute, Ashok Vihar, Delhi which has state of the art clinic and all the latest and advanced equipments.
To book an appointment contact:
Dr. Rajat Sachdeva
Director & Mentor
Dr Sachdeva’s Dental Aesthetic And Implant Institute
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
Phone : +919818894041,01142464041
Our Websites:
www.sachdevadentalcare.com
www.dentalimplantindia.co.in
www.dentalclinicindelhi.com
www.dentalcoursesdelhi.com
Facebook- dentalcoursesdelhi
Youtube- drrajatsachdeva
Linkedin- drrajatsachdeva
Slideshare- Dr Rajat Sachdeva
Twitter Page- drrajatsachdeva
Instagram page- surgicalmasterrajat
K-oral,m-Show of-orofacial-pain
This document discusses orofacial pain and neuralgias. It defines pain and states that approximately 40% of the British population only visit dentists for pain relief. It then lists and describes various types of orofacial pain including those related to dental issues, jaw diseases, edentulism, postoperative issues, pain triggered by chewing, neurological diseases like trigeminal neuralgia, and atypical facial pain. It provides details on diagnosing and treating specific conditions like trigeminal neuralgia and Bell's palsy.
Differential Diagnosis of Oral & Maxillofacial Pain
This document discusses the differential diagnosis of oral and maxillofacial pain. It begins by defining pain and noting that pain in this region is commonly due to dental disease. A thorough evaluation includes a history, examination, and diagnostic testing to determine the underlying cause. Causes are classified and include primary headaches, secondary headaches attributed to various conditions, and painful cranial neuropathies. The evaluation involves assessing the chief complaint, medical history, physical exam of the head, neck, mouth and muscles, and diagnostic imaging and psychosocial factors. Red flags are provided for various potential underlying conditions.
orofacial pain
abscess advanced trauma life support anterio advanced trauma life support antibiotics apically repositioned flap dental diseases dr dr shabeel drshabeel’s face eye trauma lidocaine anodontia management medical medicine misuse and abuse orthodontics teeth braces pharmacy pn preparation dental students for community based ed presentations s abscess abscess tooth active orthodonti shabeel shabeel"s shabeel’s shabeelpn trends of antimicrobial usage in dental practice View all
’s abscess abscess advanced trauma life support anterio abscess tooth active orthodontics adolescent advanced trauma life support aesthetic dentistry airway management alignment of teeth amalgam anesthesia in dentistry anesthetics in dentistry anterior open bite antibiotic resistanace antibiotics antibiotics and leukopenia aphthous ulcers apically repositioned flap apicoectomy appliances arch dental arch form orthodontics braces arch length orthodontics braces arch wire orthodontist braces ayurvedha baby teeth bloger boil books braces braces teeth cancer canker sore pain cavity preparation children community based learning congenitally missing teeth cosmetic dentistry csf leaks dental dental anesthetics dental restorations dental teeth dento alveolar fractures disease
25 introduction and types of neuralgias
This document discusses various types of neuralgias, including primary and secondary neuralgias. Primary neuralgias include trigeminal neuralgia, glossopharyngeal neuralgia, and geniculate neuralgia. Trigeminal neuralgia causes sudden, severe facial pain and is the most common type of neuralgia. Secondary neuralgias are caused by identifiable lesions that can irritate nerves, with examples being tumors, multiple sclerosis, and herpes zoster infection. The document provides details on symptoms, causes, and treatments for different neuralgias.
Pain
Pain is an unpleasant sensory experience associated with actual or potential tissue damage. Facial pain can originate from various structures innervated by cranial nerves like the trigeminal nerve. It can be nociceptive, neuropathic, inflammatory, acute, chronic, or referred pain from other sources. A thorough history, exam of the head and neck, and diagnostic tests are needed to diagnose the underlying cause. Common conditions include dental issues, TMJ disorders, trigeminal neuralgia, post-herpetic neuralgia, migraine, cluster headaches, and psychogenic or idiopathic facial pain syndromes. Careful diagnosis is important to guide appropriate treatment.
Orofacial Pain
The document discusses various types of orofacial pain including trigeminal neuralgia, post-herpetic neuralgia, atypical facial pain, and burning mouth syndrome. It covers the etiology, pathophysiology, clinical manifestations, diagnosis and management of each condition. Chronic pain is defined as pain persisting beyond tissue healing. Neuroplastic changes in the central nervous system are believed to underlie chronic pain. Treatment involves cognitive therapy, medications like anticonvulsants, antidepressants and opioids, as well as surgical options in some cases.
Orofacial pain
1. The document discusses various types of orofacial pain including somatic, neurogenic, and psychogenic pain. It describes trigeminal neuralgia as a common type of neurogenic pain characterized by sharp, electric shock-like pain in the face that is triggered by stimulation of specific trigger zones. 2. Evaluation of orofacial pain involves taking a thorough medical history and performing physical and neurological examinations. Differential diagnosis considers local causes as well as neurological disorders. 3. Treatment depends on the underlying cause but may include medications, nerve blocks, surgery, or a combination. Carbamazepine is first-line treatment for trigeminal neuralgia.
Differential diagnosis of orofacial pain
Differential diagnosis of orofacial pain can be divided into acute and chronic categories. Acute pain includes dental, periodontal, sinus, and salivary gland issues and is usually inflammatory in origin. Chronic pain includes myofascial pain, TMJ disorders, migraines, and various neuropathies. Neuropathic pain includes trigeminal neuralgia, postherpetic neuralgia, glossopharyngeal neuralgia, and complex regional pain syndrome. Management depends on the underlying cause and includes medications, physical therapy, and occasionally surgery.
Orofacial pain
This document discusses the evaluation, classification, causes and treatment of orofacial pain. It defines orofacial pain as unpleasant sensation caused by noxious stimuli along nerve pathways to the central nervous system. The evaluation of orofacial pain patients involves medical history, pain characteristics, physical exam and diagnostic tests. Pain is classified as somatic, neurogenic or psychogenic based on origin. Common causes include local dental issues, neurological conditions like trigeminal neuralgia, and psychogenic factors. Treatment depends on diagnosis but may include medications, nerve blocks or surgery.
Facial pain
Facial pain can be caused by conditions like trigeminal neuralgia, migraines, post-herpetic neuralgia, and temporomandibular arthritis. Trigeminal neuralgia causes sharp, stabbing pain on one side of the face and is often triggered by mundane activities like washing, shaving, or talking. It is commonly treated with medications or microvascular decompression surgery. Post-herpetic neuralgia is nerve pain that develops after a shingles outbreak and is confined to the affected dermatome. Temporomandibular arthritis, also called Costen's syndrome, produces severe aching pain in the jaw worsened by chewing and is linked to dental issues. Diagnosis
Trigeminal neuralgia - Dr Sanjana Ravindra
Trigeminal neuralgia is a neuropathic facial pain condition characterized by sudden, severe, brief stabbing pains in the face that are triggered by everyday activities like eating or talking. The pain is caused by abnormalities in the trigeminal nerve that transmits sensations from the face to the brain. Carbamazepine is first-line pharmacological treatment to slow nerve signaling, providing pain relief. When medications fail to control pain, surgical options like microvascular decompression or gamma knife radiosurgery aim to decompress the trigeminal nerve from vascular compression. Proper diagnosis involves distinguishing TN from other facial pain conditions through evaluation of pain characteristics, triggers, and response to treatments.
Sphenopalatine Neuralgia
Sphenopalatine neuralgia, also known as cluster headaches, is a condition characterized by extremely painful attacks on one side of the head. Episodes typically occur in clusters, with periods of remission in between. Diagnosis is based on the pattern and symptoms of attacks. Treatment involves acute abortive therapies like oxygen and triptans to stop individual attacks, transitional therapies like steroids to control early episodes, and preventative medications like verapamil, lithium, and melatonin to suppress future attacks. While not life-threatening, cluster headaches can severely impact quality of life due to the intensity of pain.
Orofacial pain
Orofacial pain can be somatic, neuropathic, or psychogenic in origin. Somatic pain results from stimuli affecting structures like teeth, skin or bone and is usually acute and localized. Neuropathic pain is abnormal nerve pain that may be paroxysmal or continuous, as seen in trigeminal neuralgia. Psychogenic pain has no physical cause and is characterized as diffuse, chronic pain that worsens with stress. Common causes of orofacial pain include dental diseases, sinusitis, temporomandibular joint disorders, and neurological conditions like trigeminal neuralgia.
Oro facial pain
Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. It is initiated by specialized nerve endings called nociceptors and transmitted by neurons. There are four processes involved in pain: transduction, transmission, modulation, and perception. Pain can be classified as nociceptive (resulting from tissue damage) or neuropathic (resulting from damage or disease affecting the nervous system). A thorough history and clinical/radiographic examination is needed to diagnose the source and type of pain. Common sources of dental pain include pulpal and periapical diseases, periodontal diseases, fractures, cysts, and tumors. Non-dental sources can also mimic dental pain and should be considered.
TRIGEMINAL NEURALGIA
This document discusses trigeminal neuralgia, a neuropathic pain condition that causes severe, sporadic facial pain. It provides information on:
1) The etiology, including neurovascular compression as a common cause.
2) Symptoms like brief, severe facial pain that may be triggered by light touch.
3) Treatment options like carbamazepine, microvascular decompression surgery, and percutaneous radiofrequency thermocoagulation of the gasserian ganglion.
4) Imaging techniques like MRI that can identify compressive vascular structures.
Diseases of Nerves
This document discusses various types of neuralgia and related conditions that cause facial pain, including:
- Trigeminal neuralgia, the most common and severe form of facial nerve pain. It causes sharp, shooting pain in the face and can be triggered by minor stimuli.
- Burning mouth syndrome, which causes a burning sensation in the mouth without any detectable cause. It has no visible lesions and the exact cause is unknown.
- Auriculotemporal syndrome, a rare condition where damage to the auriculotemporal nerve leads to facial sweating during eating due to nerve regeneration.
- Bell's palsy, an idiopathic facial paralysis or weakness of the facial
Orofacial pain 2
This document discusses pain in the orofacial region. It begins by defining pain and listing the cranial nerves involved in orofacial sensation. It then categorizes orofacial pain into local, neurological, vascular, psychogenic, and referred pain. For each type, it provides examples and brief descriptions. The document outlines the history and examination process for orofacial pain patients. It also discusses various pain measurement methods and diagnostic imaging/tests. Specific pain conditions are then described in more detail, including their symptoms, causes, and treatment options.
Neuralgias
The document discusses neuralgias that can occur after hernia repair surgery. It outlines the anatomy of relevant nerves, describes non-neuropathic and neuropathic causes of post-operative pain, and discusses methods for diagnosing and treating nerve-related pain following hernia repair surgery. These include nerve blocks, medications, nerve resection procedures, and endoscopic retroperitoneal neurectomy to address nerve entrapment.
Facial pain
This document discusses the evaluation and classification of facial pain and headache. It notes that while patients are often referred for suspected sinusitis, few actually have sinogenic pain. A thorough history is key to determining the cause, such as determining if the pain is continuous or intermittent, any precipitating or relieving factors, and the effect on daily life. Common etiologies include sinusitis, dental issues, trigeminal neuralgia, migraine, tension headaches, and atypical facial pain. A neurological examination and imaging may aid diagnosis. Proper classification is important for determining appropriate treatment.
K-oral.m-Orofacial pain
1. Oral and maxillofacial pain has many potential causes, including dental diseases, neurological conditions, and psychosocial factors. Dental diseases like pulpitis, periapical periodontitis, and periodontal abscesses are among the most common sources of pain.
2. Neurological conditions like trigeminal neuralgia, glossopharyngeal neuralgia, and Bell's palsy can also cause facial pain or paresthesia. Trigeminal neuralgia often presents as severe, intermittent, lightning-like pain on one side of the face.
3. Accurately diagnosing the underlying cause of facial pain requires a thorough medical history and clinical/radiographic examination to identify potential dental, m
Differentiating trigeminal neuropathy from trigeminal neuralgia
1. This case involves a 26-year-old female with left-sided facial pain in the trigeminal distribution along with a history of chronic migraines, depression, and hypothyroidism.
2. Based on her pain characteristics, triggers, and physical exam findings, she most likely has atypical facial pain secondary to trigeminal neuropathic pain rather than classic trigeminal neuralgia.
3. It is important to differentiate the two conditions, as trigeminal neurolysis could worsen trigeminal neuropathy pain. She will undergo nerve blocks and be considered for additional procedures depending on response. Managing her transformed migraine and multiple medications will also be important.
Presentation on Trigeminal Neuralgia
Trigeminal Neuralgia is a condition that occurs on the trigeminal nerve which is the 5th cranial nerve.
The patient experiences a paroxysmal, sharp pain which may arise by certain stimuli.
These involve touching a certain area, shaving, smiling, etc.
Trigeminal neuralgia, herpetic neuralgia, myofascial pains
This document discusses trigeminal neuralgia (TN), a painful neurological condition that causes severe, sporadic facial pain. It begins with background on TN, describing its distinctive clinical history and pain patterns. The document then covers TN's anatomy and potential pathophysiologies, risk factors, characteristics, treatment options, complications, and prognosis over time. TN is caused by compression or irritation of the trigeminal nerve and presents as sudden, severe facial pain that may be triggered by everyday activities like chewing. While medication can provide initial relief, over time additional treatments like surgery may be needed to control breakthrough pain from this disabling condition.
Atypical facial pain
Atypical facial pain describes a type of chronic dull pain that may affect one or both sides of the face and is not associated with nerve distributions. It has no clear underlying cause. Management involves eliminating potential systemic or local causes, counseling, and cognitive behavioral therapy or antidepressant therapy to address pain beliefs and anxiety. Cognitive behavioral therapy aims to help patients restructure thoughts about their pain and change avoidance behaviors through relaxation, distraction, and activity.
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25 introduction and types of neuralgias
This document discusses various types of neuralgias, including primary and secondary neuralgias. Primary neuralgias include trigeminal neuralgia, glossopharyngeal neuralgia, and geniculate neuralgia. Trigeminal neuralgia causes sudden, severe facial pain and is the most common type of neuralgia. Secondary neuralgias are caused by identifiable lesions that can irritate nerves, with examples being tumors, multiple sclerosis, and herpes zoster infection. The document provides details on symptoms, causes, and treatments for different neuralgias.
Pain
Pain is an unpleasant sensory experience associated with actual or potential tissue damage. Facial pain can originate from various structures innervated by cranial nerves like the trigeminal nerve. It can be nociceptive, neuropathic, inflammatory, acute, chronic, or referred pain from other sources. A thorough history, exam of the head and neck, and diagnostic tests are needed to diagnose the underlying cause. Common conditions include dental issues, TMJ disorders, trigeminal neuralgia, post-herpetic neuralgia, migraine, cluster headaches, and psychogenic or idiopathic facial pain syndromes. Careful diagnosis is important to guide appropriate treatment.
Orofacial Pain
The document discusses various types of orofacial pain including trigeminal neuralgia, post-herpetic neuralgia, atypical facial pain, and burning mouth syndrome. It covers the etiology, pathophysiology, clinical manifestations, diagnosis and management of each condition. Chronic pain is defined as pain persisting beyond tissue healing. Neuroplastic changes in the central nervous system are believed to underlie chronic pain. Treatment involves cognitive therapy, medications like anticonvulsants, antidepressants and opioids, as well as surgical options in some cases.
Orofacial pain
1. The document discusses various types of orofacial pain including somatic, neurogenic, and psychogenic pain. It describes trigeminal neuralgia as a common type of neurogenic pain characterized by sharp, electric shock-like pain in the face that is triggered by stimulation of specific trigger zones. 2. Evaluation of orofacial pain involves taking a thorough medical history and performing physical and neurological examinations. Differential diagnosis considers local causes as well as neurological disorders. 3. Treatment depends on the underlying cause but may include medications, nerve blocks, surgery, or a combination. Carbamazepine is first-line treatment for trigeminal neuralgia.
Differential diagnosis of orofacial pain
Differential diagnosis of orofacial pain can be divided into acute and chronic categories. Acute pain includes dental, periodontal, sinus, and salivary gland issues and is usually inflammatory in origin. Chronic pain includes myofascial pain, TMJ disorders, migraines, and various neuropathies. Neuropathic pain includes trigeminal neuralgia, postherpetic neuralgia, glossopharyngeal neuralgia, and complex regional pain syndrome. Management depends on the underlying cause and includes medications, physical therapy, and occasionally surgery.
Orofacial pain
This document discusses the evaluation, classification, causes and treatment of orofacial pain. It defines orofacial pain as unpleasant sensation caused by noxious stimuli along nerve pathways to the central nervous system. The evaluation of orofacial pain patients involves medical history, pain characteristics, physical exam and diagnostic tests. Pain is classified as somatic, neurogenic or psychogenic based on origin. Common causes include local dental issues, neurological conditions like trigeminal neuralgia, and psychogenic factors. Treatment depends on diagnosis but may include medications, nerve blocks or surgery.
Facial pain
Facial pain can be caused by conditions like trigeminal neuralgia, migraines, post-herpetic neuralgia, and temporomandibular arthritis. Trigeminal neuralgia causes sharp, stabbing pain on one side of the face and is often triggered by mundane activities like washing, shaving, or talking. It is commonly treated with medications or microvascular decompression surgery. Post-herpetic neuralgia is nerve pain that develops after a shingles outbreak and is confined to the affected dermatome. Temporomandibular arthritis, also called Costen's syndrome, produces severe aching pain in the jaw worsened by chewing and is linked to dental issues. Diagnosis
Trigeminal neuralgia - Dr Sanjana Ravindra
Trigeminal neuralgia is a neuropathic facial pain condition characterized by sudden, severe, brief stabbing pains in the face that are triggered by everyday activities like eating or talking. The pain is caused by abnormalities in the trigeminal nerve that transmits sensations from the face to the brain. Carbamazepine is first-line pharmacological treatment to slow nerve signaling, providing pain relief. When medications fail to control pain, surgical options like microvascular decompression or gamma knife radiosurgery aim to decompress the trigeminal nerve from vascular compression. Proper diagnosis involves distinguishing TN from other facial pain conditions through evaluation of pain characteristics, triggers, and response to treatments.
Sphenopalatine Neuralgia
Sphenopalatine neuralgia, also known as cluster headaches, is a condition characterized by extremely painful attacks on one side of the head. Episodes typically occur in clusters, with periods of remission in between. Diagnosis is based on the pattern and symptoms of attacks. Treatment involves acute abortive therapies like oxygen and triptans to stop individual attacks, transitional therapies like steroids to control early episodes, and preventative medications like verapamil, lithium, and melatonin to suppress future attacks. While not life-threatening, cluster headaches can severely impact quality of life due to the intensity of pain.
Orofacial pain
Orofacial pain can be somatic, neuropathic, or psychogenic in origin. Somatic pain results from stimuli affecting structures like teeth, skin or bone and is usually acute and localized. Neuropathic pain is abnormal nerve pain that may be paroxysmal or continuous, as seen in trigeminal neuralgia. Psychogenic pain has no physical cause and is characterized as diffuse, chronic pain that worsens with stress. Common causes of orofacial pain include dental diseases, sinusitis, temporomandibular joint disorders, and neurological conditions like trigeminal neuralgia.
Oro facial pain
Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. It is initiated by specialized nerve endings called nociceptors and transmitted by neurons. There are four processes involved in pain: transduction, transmission, modulation, and perception. Pain can be classified as nociceptive (resulting from tissue damage) or neuropathic (resulting from damage or disease affecting the nervous system). A thorough history and clinical/radiographic examination is needed to diagnose the source and type of pain. Common sources of dental pain include pulpal and periapical diseases, periodontal diseases, fractures, cysts, and tumors. Non-dental sources can also mimic dental pain and should be considered.
TRIGEMINAL NEURALGIA
This document discusses trigeminal neuralgia, a neuropathic pain condition that causes severe, sporadic facial pain. It provides information on:
1) The etiology, including neurovascular compression as a common cause.
2) Symptoms like brief, severe facial pain that may be triggered by light touch.
3) Treatment options like carbamazepine, microvascular decompression surgery, and percutaneous radiofrequency thermocoagulation of the gasserian ganglion.
4) Imaging techniques like MRI that can identify compressive vascular structures.
Diseases of Nerves
This document discusses various types of neuralgia and related conditions that cause facial pain, including:
- Trigeminal neuralgia, the most common and severe form of facial nerve pain. It causes sharp, shooting pain in the face and can be triggered by minor stimuli.
- Burning mouth syndrome, which causes a burning sensation in the mouth without any detectable cause. It has no visible lesions and the exact cause is unknown.
- Auriculotemporal syndrome, a rare condition where damage to the auriculotemporal nerve leads to facial sweating during eating due to nerve regeneration.
- Bell's palsy, an idiopathic facial paralysis or weakness of the facial
Orofacial pain 2
This document discusses pain in the orofacial region. It begins by defining pain and listing the cranial nerves involved in orofacial sensation. It then categorizes orofacial pain into local, neurological, vascular, psychogenic, and referred pain. For each type, it provides examples and brief descriptions. The document outlines the history and examination process for orofacial pain patients. It also discusses various pain measurement methods and diagnostic imaging/tests. Specific pain conditions are then described in more detail, including their symptoms, causes, and treatment options.
Neuralgias
The document discusses neuralgias that can occur after hernia repair surgery. It outlines the anatomy of relevant nerves, describes non-neuropathic and neuropathic causes of post-operative pain, and discusses methods for diagnosing and treating nerve-related pain following hernia repair surgery. These include nerve blocks, medications, nerve resection procedures, and endoscopic retroperitoneal neurectomy to address nerve entrapment.
Facial pain
This document discusses the evaluation and classification of facial pain and headache. It notes that while patients are often referred for suspected sinusitis, few actually have sinogenic pain. A thorough history is key to determining the cause, such as determining if the pain is continuous or intermittent, any precipitating or relieving factors, and the effect on daily life. Common etiologies include sinusitis, dental issues, trigeminal neuralgia, migraine, tension headaches, and atypical facial pain. A neurological examination and imaging may aid diagnosis. Proper classification is important for determining appropriate treatment.
K-oral.m-Orofacial pain
1. Oral and maxillofacial pain has many potential causes, including dental diseases, neurological conditions, and psychosocial factors. Dental diseases like pulpitis, periapical periodontitis, and periodontal abscesses are among the most common sources of pain.
2. Neurological conditions like trigeminal neuralgia, glossopharyngeal neuralgia, and Bell's palsy can also cause facial pain or paresthesia. Trigeminal neuralgia often presents as severe, intermittent, lightning-like pain on one side of the face.
3. Accurately diagnosing the underlying cause of facial pain requires a thorough medical history and clinical/radiographic examination to identify potential dental, m
Differentiating trigeminal neuropathy from trigeminal neuralgia
1. This case involves a 26-year-old female with left-sided facial pain in the trigeminal distribution along with a history of chronic migraines, depression, and hypothyroidism.
2. Based on her pain characteristics, triggers, and physical exam findings, she most likely has atypical facial pain secondary to trigeminal neuropathic pain rather than classic trigeminal neuralgia.
3. It is important to differentiate the two conditions, as trigeminal neurolysis could worsen trigeminal neuropathy pain. She will undergo nerve blocks and be considered for additional procedures depending on response. Managing her transformed migraine and multiple medications will also be important.
Presentation on Trigeminal Neuralgia
Trigeminal Neuralgia is a condition that occurs on the trigeminal nerve which is the 5th cranial nerve.
The patient experiences a paroxysmal, sharp pain which may arise by certain stimuli.
These involve touching a certain area, shaving, smiling, etc.
Trigeminal neuralgia, herpetic neuralgia, myofascial pains
This document discusses trigeminal neuralgia (TN), a painful neurological condition that causes severe, sporadic facial pain. It begins with background on TN, describing its distinctive clinical history and pain patterns. The document then covers TN's anatomy and potential pathophysiologies, risk factors, characteristics, treatment options, complications, and prognosis over time. TN is caused by compression or irritation of the trigeminal nerve and presents as sudden, severe facial pain that may be triggered by everyday activities like chewing. While medication can provide initial relief, over time additional treatments like surgery may be needed to control breakthrough pain from this disabling condition.
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Atypical facial pain
Atypical facial pain describes a type of chronic dull pain that may affect one or both sides of the face and is not associated with nerve distributions. It has no clear underlying cause. Management involves eliminating potential systemic or local causes, counseling, and cognitive behavioral therapy or antidepressant therapy to address pain beliefs and anxiety. Cognitive behavioral therapy aims to help patients restructure thoughts about their pain and change avoidance behaviors through relaxation, distraction, and activity.
Oro facial pain
The document discusses oro-facial pain and its management. It describes various types of dental pain, including short, sharp shooting pain which can be caused by conditions that expose dentin like caries, fractures, or gum recession. Tests that can help diagnose dental pain are discussed, like pulp sensitivity tests, percussion, probing, mobility and palpation. Radiographs may also reveal issues like recurrent decay or bone loss. The goal of acute pain management is to inhibit tissue damage signaling, block nerve impulses, and activate endogenous analgesia.
Non Epileptiform Seizures
This document discusses non-epileptic seizures, which are paroxysmal events that resemble epileptic seizures but are not caused by abnormal neuronal activity in the brain. Some key points:
- Non-epileptic seizures can be caused by head injuries, drugs, toxins, preeclampsia, or febrile convulsions in individuals who do not have epilepsy.
- Psychogenic non-epileptic seizures (PNES) are physical manifestations of a psychological disturbance and account for over 90% of misdiagnosed cases originally thought to be epilepsy.
- PNES are diagnosed through ruling out physical causes, patient history, and video EEG monitoring to show no brain activity changes
Facial pain non odontogenic causes
Facial pain can have non-dental causes. The document discusses chronic pain, its impact, and the importance of pain management. It defines pain and describes different types of pain including nociceptive, psychogenic, acute, and chronic pain. Barriers to proper pain management are discussed as well as the need for a multidisciplinary approach to chronic pain treatment involving both physical and psychological factors.
Non odontogenic tooth ache
non odontogenic tooth ache- referred pain, sinus pain, cardiac tooth ache, muscle pain, neuropathic pain, neurovascular pain, atypical facial pain,
Vestibular schwannoma
This document provides information on vestibular schwannoma (VS), a tumor that originates from Schwann cells in the vestibular nerve. It discusses the anatomy of the cerebellopontine angle and internal acoustic meatus where VS typically develops. The epidemiology, classification, pathology, natural history, clinical features, diagnosis and management of VS are described. Two common surgical approaches for removing VS are discussed in detail: the translabyrinthine approach and retrosigmoid approach. Both aim to fully resect the tumor while preserving facial nerve function.
Cranial nerve iii , iv and vi
Cranial nerves III, IV, and VI are described. Cranial nerve III is the oculomotor nerve, with motor nuclei in the midbrain. It innervates extraocular muscles and the iris and ciliary body. Cranial nerve IV is the trochlear nerve, with its nucleus in the midbrain. It crosses and innervates the superior oblique muscle. Cranial nerve VI is the abducent nerve, with its nucleus in the pons. It supplies the lateral rectus muscle. Palsies of each nerve are also described.
Acoustic neuroma
1. Vestibular schwannoma, also known as acoustic neuroma, is a benign tumor that arises from the vestibular nerve in the cerebellopontine angle region.
2. It is the most common tumor in this region, constituting 80% of cerebellopontine angle tumors.
3. Symptoms often include progressive hearing loss, tinnitus, and difficulty understanding speech. Cranial nerves 5, 7, 9 and 10 can also be involved.
Acoustic neuroma
The translabrynthine approach is used to surgically remove vestibular schwannomas. It provides the most direct exposure of the cerebellopontine angle but results in total hearing loss. The key steps involve complete mastoidectomy and labyrinthectomy to access the internal auditory canal. This allows for identification and preservation of the facial nerve while fully exposing the tumor for removal. Though it sacrifices any residual hearing, it allows for quick recovery and excellent postoperative facial nerve function outcomes.
The Physiology Of Pain
Understanding the pain pathway is the first step to effective pain management in veterinary patients.
Pain and pain pathways
This document provides an overview of pain and pain pathways. It defines pain, discusses the history of pain theories, and describes the different types of pain receptors and neural pathways involved in pain perception and modulation. Specifically, it outlines fast and slow pain pathways conducted by myelinated and unmyelinated fibers, discusses peripheral and central mechanisms of injury-induced pain, and classification of pain including somatic and visceral pain.
Anatomy of pain pathway
1. The document discusses the anatomy and pathways of the pain sensation system. It describes how nociceptors detect painful stimuli and transmit signals to the spinal cord and brain.
2. The spinal cord plays an important role in pain processing. It contains ascending tracts that carry pain signals to the brain and descending tracts that modulate pain. Key nuclei in the spinal cord dorsal horn relay and modulate pain transmission.
3. Pain signals are transmitted from the spinal cord via the spinothalamic tract to the thalamus and then to regions of the cerebral cortex involved in pain perception and modulation like the somatosensory, cingulate, and insular cortices. The periaqueductal
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This document discusses neuro-otological emergencies, which can be life-threatening conditions involving the ear and nervous system. Some key neuro-otological emergencies mentioned include Bell's palsy, Meniere's disease, and sudden sensorineural hearing loss. The document categorizes neuro-otological emergencies as idiopathic, traumatic, infectious/inflammatory, vascular, or neurological. It notes that these emergencies can cause symptoms like hearing loss, nerve damage, vertigo, and psychological trauma. The document provides examples of specific emergencies under each category and advises remaining calm when managing neuro-otological emergencies.
trigeminal neuralgia
The document provides an overview of neuralgia, specifically trigeminal neuralgia. It begins with definitions of trigeminal neuralgia and discusses its historical understanding. Trigeminal neuralgia is classified and its etiology, pathogenesis, general characteristics, and clinical characteristics are described. The diagnosis of trigeminal neuralgia involves clinical examination and diagnostic tests. Treatment options include pharmacological treatments primarily using carbamazepine as well as surgical treatments targeting peripheral nerves or central ganglia. Recent advances in understanding the condition are also mentioned.
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This document discusses post-herpetic neuralgia (PHN), a chronic neuropathic pain syndrome that persists after an outbreak of herpes zoster (shingles). PHN is caused by damage to large myelinated sensory nerves during a shingles outbreak, resulting in pain sensations like burning, shooting, and pressure. Treatment involves multimodal approaches like drugs, nerve blocks, and in rare cases surgery. The document focuses on intercostal nerve blocks and other nerve targets in the thoracic region that may be blocked to provide pain relief for PHN patients suffering pain in that dermatome.
Trigeminal neuralgia
This document provides information on trigeminal neuralgia, including its definition, classification, causes, and treatment. It defines trigeminal neuralgia as a disorder characterized by episodes of intense pain in the face originating from the trigeminal nerve. It classifies different types of neuralgia and lists common causes as damage to nerves from factors like old age, infection, or pressure. For trigeminal neuralgia specifically, it describes the condition as severe, brief attacks of pain in the face triggered by activities like chewing or talking. Treatment options discussed include carbamazepine and other medications as first-line treatment, with surgery like microvascular decompression for severe cases not helped by drugs.
Trigeminal neuralgia
Trigeminal neuralgia is characterized by severe, sporadic facial pain caused by compression or irritation of the trigeminal nerve. The pain is sharp, superficial, and stabbing or burning in quality. It is triggered by mild stimuli like talking, eating, or brushing teeth. Trigeminal neuralgia is often treated initially with carbamazepine or other anticonvulsants. If medications do not help, surgical options like microvascular decompression may be considered to relieve nerve compression. Post-herpetic neuralgia is a painful condition caused by reactivation of the varicella zoster virus, which causes herpes zoster. It results in pain, paresthesia and hypersensitivity in the area affected
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This document discusses trigeminal neuralgia and facial palsy. It begins by defining neuralgia as pain along the distribution of a nerve. It then classifies trigeminal neuralgia as the most debilitating form of neuralgia affecting the trigeminal nerve. It describes facial palsy as paralysis of the facial nerve causing an inability to control facial muscles. The document provides details on the anatomy, causes, symptoms, diagnosis and treatment of both conditions.
Otalgia
Otalgia, or ear pain, can originate from inside or outside the ear. Referred otalgia comes from sources outside the ear, with the most common being dental issues, sinusitis, and neck problems. The trigeminal, facial, and vagus nerves innervate both the ear and distant sites that can refer pain. Evaluation includes examination of the ear, head, neck, and sinuses as well as imaging studies and testing for conditions like thyroid disease.
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This document discusses the intracranial complications that can arise from otitis media, including meningitis, brain abscesses, lateral sinus thrombophlebitis, epidural abscesses, subdural abscesses, and otitic hydrocephalus. For each complication, the document outlines the pathology, clinical features, diagnostic process, and treatment options. The most common and serious complication is meningitis, which can develop from both acute and chronic otitis media. Brain abscesses occur in stages and present with symptoms of increased intracranial pressure. Lateral sinus thrombophlebitis involves inflammation and clotting within the venous sinus.
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This document discusses different types of otalgia (ear pain), including the neuroanatomy involved and various causes of ear pain. It describes peripheral and neuropathic pain in the ear and discusses three specific types of neuralgia - glossopharyngeal neuralgia, geniculate neuralgia, and stylohyoid syndrome. For glossopharyngeal neuralgia, it outlines the symptoms and potential causes, including compression of the 9th and 10th cranial nerves, and discusses management with anticonvulsant drugs, surgery, or microvascular decompression.
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This document discusses orofacial pain and its diagnosis. It describes how pain is transmitted through pathways in the body and classified the main types of orofacial pain as being of dental origin, non-dental origin, or psychogenic origin. It provides details on diagnosing pain based on factors like site, onset, character, radiation, exacerbating factors and severity. Common causes of dental pain include pulpal pain, periodontal pain and bone pain, while non-dental sources include neurological issues, vascular problems and disorders of the sinuses, salivary glands and more. Diagnosis relies heavily on understanding these diagnostic factors from the patient's history and description of their pain.
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The facial nerve is a mixed nerve that carries motor, sensory and parasympathetic fibers. It has several branches that innervate the muscles of facial expression. Facial nerve palsy can result from a variety of causes including Bell's palsy (idiopathic, viral), Ramsay Hunt syndrome (herpes zoster virus), tumors, trauma, infections and other conditions. Clinical testing assesses for signs of facial asymmetry, eye problems and inability to move facial muscles. Treatment depends on the underlying cause but may include eye protection, steroids, antivirals, surgery and other approaches.
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The document discusses orofacial pain and provides details on evaluating and diagnosing different types of facial pain. It describes:
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Dr. Mohammed Rhael Ali discusses various types and causes of orofacial pain in a detailed document. He outlines somatic pain originating from cells in organs like skin, mucous membranes, bones and joints, as well as neurogenic pain resulting from abnormalities in the nervous system. Specific conditions covered include trigeminal neuralgia, migraine, temporomandibular joint disorders, and atypical facial pain. The document provides criteria for evaluating orofacial pain and classifications based on origin, in addition to diagnostic methods and treatment approaches for different pain conditions.
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Otalgia, or ear pain, can be caused by primary sources within the ear or referred sources outside of the ear. Primary sources include infections like otitis externa or media, while referred sources commonly originate from structures innervated by the trigeminal, facial, or cervical nerves such as the teeth, throat, neck, or sinuses. A thorough history and physical exam seeking features of primary versus referred pain, along with inspection of the ear canal and eardrum, can often reveal the source to guide appropriate treatment. Further testing may include imaging if a non-otologic cause is suspected.
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Facial pain
- 1. FACIAL PAINFACIAL PAIN Babak Ashrafnejad MDBabak Ashrafnejad MD..
- 2. Common causes of facial painCommon causes of facial pain Odontogenic painOdontogenic pain HeadacheHeadache Musculosceletal painMusculosceletal pain TMJ painTMJ pain Neurogenic and neuropathic painNeurogenic and neuropathic pain Burning mouth syndromeBurning mouth syndrome
- 3. Odontogenic painOdontogenic pain Dental pulp :Dental pulp : inflammationinflammation TraumaTrauma necrosisnecrosis Periodontal tissue injuriesPeriodontal tissue injuries
- 4. HEADACHEHEADACHE The most common cause of facial painThe most common cause of facial pain next to odontogenic painnext to odontogenic pain MIGRANEMIGRANE Vascular disorderVascular disorder sterile trigeminal inflammationsterile trigeminal inflammation with aura , without aurawith aura , without aura CLUSTER HEADACHECLUSTER HEADACHE conjunctiva injection,lacrimation,nasalconjunctiva injection,lacrimation,nasal conjestion,rhinorrhea,miosis,ptosisconjestion,rhinorrhea,miosis,ptosis
- 5. HEADACHEHEADACHE Chronic paroxysmal hemicraniaChronic paroxysmal hemicrania Lower half migraneLower half migrane Tension type headacheTension type headache Temporal arthritisTemporal arthritis
- 6. MUSCULOSCELETAL PAINMUSCULOSCELETAL PAIN Temporomandibular disordersTemporomandibular disorders arthicular , myogenicarthicular , myogenic 1- myofacial pain: trigger point,1- myofacial pain: trigger point, taut bandtaut band 2-TMJ : disk displacement, DJD2-TMJ : disk displacement, DJD capsular inflammationcapsular inflammation
- 7. NEUROGENIC ANDNEUROGENIC AND NEUROPATHIC PAINNEUROPATHIC PAIN Trigeminal NeuralgiaTrigeminal Neuralgia
- 8. TRIGEMINAL NEURALGIATRIGEMINAL NEURALGIA Severe, unilateral pain in distributionSevere, unilateral pain in distribution of trigeminal nerve.of trigeminal nerve. Stabbing pain in seconds.Stabbing pain in seconds. Grimace (tic douloureux)Grimace (tic douloureux) Type I (Idiopathic or primary), typeType I (Idiopathic or primary), type II (secondary)II (secondary) Commonly after 50 y/o, F/m=2/1Commonly after 50 y/o, F/m=2/1 Tic convulsifTic convulsif
- 9. TRIGEMINAL NEURALGIATRIGEMINAL NEURALGIA Differential diagnosisDifferential diagnosis Cluster ticCluster tic Glossopharyngeal neuralgiaGlossopharyngeal neuralgia craniopharyngeal paincraniopharyngeal pain stabbing, burningstabbing, burning bradycardia, hypotensionbradycardia, hypotension asystole, syncopeasystole, syncope
- 10. TRIGEMINAL NEURALGIATRIGEMINAL NEURALGIA Differential diagnosisDifferential diagnosis Geniculate neuralgiaGeniculate neuralgia in sensory component of VIIin sensory component of VII commonly in herpetic infectioncommonly in herpetic infection Ramsay hunt syndromeRamsay hunt syndrome V nerve neuritis with tumor or otherV nerve neuritis with tumor or other pathologypathology
- 11. TRIGEMINAL NEURALGIATRIGEMINAL NEURALGIA Differential diagnosisDifferential diagnosis Post herpetic trigeminal neuralgiaPost herpetic trigeminal neuralgia Occipital neuralgiaOccipital neuralgia greater occipital nervegreater occipital nerve burning, stabbingburning, stabbing Reader syndromeReader syndrome oculosympathetic paralysisoculosympathetic paralysis pain with ptosis, miosispain with ptosis, miosis
- 12. TRIGEMINAL NEURALGIATRIGEMINAL NEURALGIA Differential diagnosisDifferential diagnosis Atypical facial painAtypical facial pain pain with unknown originpain with unknown origin deep burning, aching, constantdeep burning, aching, constant poorly localizedpoorly localized independent to nerve distributionindependent to nerve distribution areaarea
- 13. BURNING MOUTH SYNDROMEBURNING MOUTH SYNDROME In more than 40% of women (postIn more than 40% of women (post menoposal)menoposal) Burning in oral regionBurning in oral region No pathologic changesNo pathologic changes Changes in esteradiol level effect onChanges in esteradiol level effect on sensory branches of VII (Chordasensory branches of VII (Chorda thympany)thympany)