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What Causes Severe Pain In The Cheeks?
yes i hope you can give us any direction no one else seems to have an answer. well my wife has sever pain in her right upper cheeck under her eye about an 3/4 down and shouts to her right ear , she has upper dentures and the pain is horrific at times but will go away sometimes for months , she says weather doesnt make a difference our neurologist gave pills but nothing helped something has to be done 4 or 5 years know. on and off pain like this is not bearable
posted on
Wed, 4 Jan 2017
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Fri, 20 Jan 2017
Answered on
Fri, 20 Jan 2017
Last reviewed on
Hi,
As per your query it seems that your wife is suffering from neurotic pain like Trigeminal Neuralgia or Tic Doloreux leading to recurring episodes of severe pain on face radiating to ear. Trigeminal neuralgia can occur due to disturbances associated with the fifth cranial nerve that is the Trigeminal nerve. You need to consult a Neurophysician and get evaluated for the exact cause of the nerve induced pain as there can be some causes like the most common one is a large artery impinging over the nerve causing damage of the Myelin Sheath [ a protective cover over the nerve] leading to severe electric shock like pain. Other causes are disorders like Multiple sclerosis, tumor compressing the nerve, physical trauma etc.
The common drugs given to relieve neurotic pain are Carbamazipine that is the first line drug while others like Gabapaentin, baclofen, oxycarbazipine etc, but in case if the pain does not subside then a detailed evaluation and tests like MRI SCAN can be done to rule out the underlying cause and treatment of the same can relieve.
If there is any artery impinging the nerve Microvascular decompression in which the compression over the artery is surgically removed is done. Other procedures like Balloon decompression,gama knife radiosurgery, glycerol injection etc can be done to relieve pain.
Hope this information helps. Let me know if I can assist you further.
Thanks and regards,
Dr. Honey Arora
As per your query it seems that your wife is suffering from neurotic pain like Trigeminal Neuralgia or Tic Doloreux leading to recurring episodes of severe pain on face radiating to ear. Trigeminal neuralgia can occur due to disturbances associated with the fifth cranial nerve that is the Trigeminal nerve. You need to consult a Neurophysician and get evaluated for the exact cause of the nerve induced pain as there can be some causes like the most common one is a large artery impinging over the nerve causing damage of the Myelin Sheath [ a protective cover over the nerve] leading to severe electric shock like pain. Other causes are disorders like Multiple sclerosis, tumor compressing the nerve, physical trauma etc.
The common drugs given to relieve neurotic pain are Carbamazipine that is the first line drug while others like Gabapaentin, baclofen, oxycarbazipine etc, but in case if the pain does not subside then a detailed evaluation and tests like MRI SCAN can be done to rule out the underlying cause and treatment of the same can relieve.
If there is any artery impinging the nerve Microvascular decompression in which the compression over the artery is surgically removed is done. Other procedures like Balloon decompression,gama knife radiosurgery, glycerol injection etc can be done to relieve pain.
Hope this information helps. Let me know if I can assist you further.
Thanks and regards,
Dr. Honey Arora
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