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[Facial pains].
Franco Regli1, Annelise Dewarrat
1Clinique de Genolier, 1272 Genolier.
Revue Medicale Suisse
|June 7, 2005
Summary
Facial pain can signal severe neurological conditions or be idiopathic orofacial pain. Effective treatments include antidepressants and cognitive behavioral therapies for chronic facial pain.
Area of Science:
- Neurology
- Pain Medicine
- Oral Medicine
Context:
- Facial pain is a complex symptom with diverse etiologies.
- Distinguishing between primary neurological disease and idiopathic orofacial pain is crucial for effective management.
- Idiopathic orofacial pain encompasses conditions like stomatodynia, odontalgia, and temporomandibular disorders.
Purpose:
- To differentiate facial pain as a symptom of severe neurological disease versus idiopathic orofacial pain.
- To present the clinical similarities among various forms of idiopathic facial pain.
- To discuss underlying mechanisms and treatment options for chronic facial pain.
Summary:
- Facial pain can be an early sign of serious neurological disorders.
- Chronic facial pain conditions, including stomatodynia, odontalgia, and temporomandibular disorders, are grouped as idiopathic orofacial pain.
- Non-nociceptive pain mechanisms and treatments like antidepressants and cognitive behavioral therapies are discussed for these chronic painful conditions.
Impact:
- Improved diagnostic clarity for patients presenting with facial pain.
- Enhanced understanding of the pathophysiology of idiopathic orofacial pain.
- Guidance on evidence-based therapeutic strategies for managing chronic facial pain, including pharmacological and psychological interventions.