Involuntary Cheek Tension: Possible Causes and Solutions - Neurology

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Involuntary tension and tightening of the cheeks?


Hello doctor, I often experience involuntary tension in my cheeks (without twitching) that lasts for several hours, and this has been ongoing for two to three months.
I would like to know what might be causing this.
Thank you.

Yun, 20~29 year old female. Ask Date: 2016/12/01

Dr. Jiang Junyi reply Neurology


Hello, based on your description, if it involves the motor nerves of the nasal and facial region, it is primarily managed by the facial nerve, and it is rare to have bilateral symptoms.
Your symptoms may be related to cervical nerve muscle issues or degeneration of the cervical joints on the posterior side, which could be compressing the nerve roots.
I'm not sure if there has been any injury or prolonged incorrect posture.
I recommend that you consult a neurologist or a rehabilitation specialist to discuss examination and treatment options.
Wishing you good health and peace.
Dr.
Tao cares about you.

Reply Date: 2016/12/01

More Info


Involuntary cheek tension, where you experience tightness or a feeling of strain in your cheeks without any spasms, can be quite uncomfortable and concerning. This condition can arise from various factors, and understanding these can help in identifying potential solutions.


Possible Causes
1. Muscle Tension and Stress: One of the most common causes of involuntary muscle tension, including in the cheeks, is stress. When you are under stress, your body tends to hold tension in various muscle groups, including the facial muscles. This can lead to a sensation of tightness or discomfort in the cheeks.

2. Bruxism: If you grind your teeth or clench your jaw, a condition known as bruxism, this can lead to muscle fatigue and tension in the facial area. Many people are unaware that they grind their teeth, especially at night, which can contribute to ongoing discomfort.

3. Poor Posture: Poor posture, particularly when sitting at a desk or using electronic devices, can lead to muscle strain in the neck and face. This strain can manifest as tension in the cheeks.

4. TMJ Disorders: Temporomandibular joint (TMJ) disorders can cause pain and discomfort in the jaw and surrounding areas, including the cheeks. If you experience jaw pain, clicking, or difficulty opening your mouth, this could be a contributing factor.

5. Fatigue and Overuse: Overuse of facial muscles, whether from excessive talking, singing, or other activities, can lead to muscle fatigue and tension. If you have been more verbally active than usual, this might be a factor.

6. Medical Conditions: Certain medical conditions, such as fibromyalgia or chronic fatigue syndrome, can lead to widespread muscle tension and discomfort. If you have other symptoms, it may be worth discussing these with a healthcare provider.


Solutions and Recommendations
1. Stress Management: Implementing stress-reduction techniques can be beneficial. Practices such as mindfulness, meditation, yoga, or deep-breathing exercises can help alleviate overall muscle tension.

2. Jaw Relaxation Techniques: If bruxism is suspected, consider techniques to relax the jaw. This can include gentle stretching exercises for the jaw, avoiding hard foods, and being mindful of jaw clenching during the day.

3. Posture Correction: Pay attention to your posture while sitting or using devices. Ergonomic adjustments to your workspace can help reduce strain on your neck and facial muscles.

4. Physical Therapy: A physical therapist can provide targeted exercises and treatments to relieve muscle tension and improve posture. They can also teach you techniques to relax the facial muscles.

5. Warm Compresses: Applying a warm compress to the cheeks can help relax the muscles and reduce tension. This can be particularly soothing if the tension is related to fatigue or overuse.

6. Consult a Specialist: If the tension persists or worsens, it may be beneficial to consult a healthcare provider or a specialist, such as a dentist familiar with TMJ disorders or a neurologist, to rule out any underlying conditions.

7. Regular Breaks: If your activities involve prolonged use of facial muscles, ensure you take regular breaks to relax and stretch your face.

In conclusion, while involuntary cheek tension can be bothersome, understanding its potential causes can guide you toward effective solutions. If the condition persists or significantly impacts your daily life, seeking professional advice is essential to ensure proper diagnosis and treatment.

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