Pain in the face

The treatment of facial pain, especially typical facial pain, consists of medication or surgery. A properly coordinated medication mix is the standard treatment method. The annoying thing about this pain is that the signaling system is disrupted. This makes it react faster and more intensively. This is called sensitization. A bacterium on the nerve endings may be the culprit of this serious condition. Facial pain is an irritation of a cranial nerve. There are two groups of facial pain (AGP):

  • Typical facial pain.
  • Atypical facial pain.

Typical facial pain

This can be divided into trigeminal and glossopharyngeal neuralgia. Shoots of sharp, short-lasting pain occur. These attacks may repeat at short intervals. They last so briefly that there is little point in using painkillers, such as aspirin or paracetamol, to combat the pain. However, pain attacks can sometimes be avoided by not touching the trigger points and ensuring that there is no piercing cold on the face. With trigger point therapy, the muscles that close the jaw can be treated at a later stage. These muscles are the temporalis, the masseter and the internal pterygoid. The latter concerns points in the mouth that can be addressed by treatments, including laser. Common nerve symptoms include tingling and squinting. An inflammation of the maxillary sinus often occurs in the nose.

Operation for typical facial pain

Nerve blockade, which burns through nerve nodes. This is done with a needle, which is inserted into the trigeminal muscle under local anesthesia. Part of the nerve is destroyed in this way. There is a risk that excessive treatment may lead to even more severe pain or facial numbness. A real operation, in which a kind of sponge or Styrofoam is placed between the throbbing nerve and the adjacent blood vessel, so that the throbbing of the blood vessel can no longer irritate the nerve. Side effects may include facial numbness, weakness of the chewing muscles and bleeding or infection in the surgical area. Moreover, the complaints can return over time.

Possible causes of facial pain (AGP)

  • abnormalities of the chewing system, neck complaints or ear pain
  • a poorly fitting prosthesis or a damaged nerve after a visit to the dentist.
  • a crooked nasal septum
  • bacteria and/or viruses
  • deficiencies of vitamin B6 and/or vitamin B12 due to damaged sensory nerves. In this context, have your B12 value, homocysteine and MMA tested, then take vitamin B12 injections for recovery or injections with hyaluronic acid, where magnesium is needed to promote recovery.

Medication

High doses of vitamin B6 and/or vitamin B12, aconitum D 4, MSM – in a high dose, avena sativa complex, alpha-lipoic acid 600 mg, acetyl-l-carnitine 2,000 mg, inositol 500-1,000 mg, calcium 1,000 mg + magnesium 500 mg per day. Furthermore, keeping the jaw joint supple by keeping moist, warm compresses, such as herbal sachets, on the joint for half an hour. Last but not least, a number of anti-seizure drugs have proven effective against this form of AGP. These medications, which are difficult to combine with other medications, are:

  • carhamazepine (Tegretol) 600-1,000 mg per day. There may be an effect on concentration and memory, skin problems.
  • phenytoin (Diphantoin) 200-500 mg per day. Dizziness, shaking hands and inflammation of the gums occur. sodium valproate (Depakine) 750-2,000 mg per day. Hair loss, shaky hands or weight gain are possible.
  • gabapentin (Neurontin) is a new drug that may be effective against AGP. Side effects seem to be not too bad. There are also a number of more alternative medications for facial pain.

The side effects of the above medications, which also require alcohol consumption to be avoided, are serious. Blood tests should therefore be carried out regularly, because liver damage and suppression of the bone marrow sometimes occur.

Atypical facial pain

The nagging pain lasts for hours or days. This form of AGP is very difficult to treat.
The above medicines for epilepsy do not help with this form of AGP. An operation is also pointless and unnecessarily dangerous. Perhaps tackling a bacterium or nerve at the nerve ending will provide relief. Triggers can include drafts, stress, over-fatigue, intense cold, air conditioning or shingles/herpes.

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