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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain In Face,shoulder And Spine?

hello sir, my dad is suffering from severe pain in the right side of the face,head right shoulder near medulla and also in the spinal.he says it feels as electric shocks.. the pain starts all of a sudden and is unbearable.. nothing gives him relief for seconds, minutes or sometimes even hours.. he consulted a number of doctors eye specialists, dentists, phycisians and many. he got treated for spondiolitis but it did not help. the problem continues and has increased in the past few months. we are very much worried please suggest us what to do.
posted on Fri, 14 Mar 2014
Twitter Mon, 29 Apr 2019 Answered on
Twitter Tue, 30 Apr 2019 Last reviewed on
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Neurologist,  's  Response
Hello,

Your father sounds to be suffering from a spinal nerve being compressed if the problem is clearly over the SAME half of the head and face and can last as you say for HOURS at a time.

He may be suffering from a CERVICAL NEURITIS. That's one possibility.

The other is that something in the brain could be causing this so I would recommend obtaining an MRI of the brain with GADOLINIUM contrast to see if there could be something intracranially causing these intense pains such as a mass lesion affecting one of the sphenopalatiine ganglia which would give off the trigeminal nerve responsible for sensation of the face (on that side).

Also, imaging studies of the cervical cord may be necessary to look at the area of the spinal nucleus of the trigeminal nerve to see if that is being compromised in some way.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Dariush Saghafi, Neurologist
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What Causes Severe Pain In Face,shoulder And Spine?

Hello, Your father sounds to be suffering from a spinal nerve being compressed if the problem is clearly over the SAME half of the head and face and can last as you say for HOURS at a time. He may be suffering from a CERVICAL NEURITIS. That s one possibility. The other is that something in the brain could be causing this so I would recommend obtaining an MRI of the brain with GADOLINIUM contrast to see if there could be something intracranially causing these intense pains such as a mass lesion affecting one of the sphenopalatiine ganglia which would give off the trigeminal nerve responsible for sensation of the face (on that side). Also, imaging studies of the cervical cord may be necessary to look at the area of the spinal nucleus of the trigeminal nerve to see if that is being compromised in some way. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist