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Facial Pain 

Facial Pain
Chapter:
Facial Pain
Author(s):

Steven J. Scrivani

, Shuchi Dhadwal

, Harshiv Vyas

, and Egilius L. H. Spierings

DOI:
10.1093/med/9780199315246.003.0043
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date: 19 June 2019

Facial pain is a common but often complex and refractory condition seen in clinical care. It often causes significant suffering and morbidity. There is a high association of co-morbid medical, psychiatric, and psychosocial disorders, as with chronic pain in general. Attention to history, especially onset and aggravating factors, can be crucial in identifying the etiology. Physical examination, including neurological and myofascial exam, can often provide important clues to identifying the most appropriate treatments. Many of the chronic facial pain syndromes are unique, given the complex anatomy and specialized sensory innervation of the head, face, and neck, and often pose diagnostic challenges. Due to the host of therapies available for facial pain it is imperative for the clinician to guide patients through therapeutic options to maximize treatment efficacy.

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