Facial Numbness and Twitching: Is It Trigeminal Neuralgia?

Left facial pain, with twitching of the upper left lip?

Doctor, I have been experiencing a tingling sensation in the upper left corner of my mouth recently, and sometimes it twitches like a spasm.
There is also soreness around the inner side of my left cheekbone.
Could this be trigeminal neuralgia? P.S.
I have poor sleep quality, my eyes often feel strained, and my neck and shoulders are also sore.

Lin Sir, 30~39 year old female. Ask Date: 2020/05/02

Dr. Cai Zongzhang reply Neurology

Hello, if your symptoms persist, it is recommended to visit a neurology outpatient clinic for further evaluation and treatment.

Reply Date: 2020/05/02

More Info

Facial numbness and twitching can be concerning symptoms, and it's understandable that you are worried about the possibility of trigeminal neuralgia. Trigeminal neuralgia is characterized by sudden, severe facial pain that can be triggered by everyday activities such as eating, speaking, or even touching the face. However, the symptoms you describe, including numbness and twitching, may not align perfectly with classic trigeminal neuralgia.

The sensations of numbness and twitching in the left corner of your mouth, along with soreness around the left zygomatic area, could suggest a few different conditions. While trigeminal neuralgia primarily presents as intense pain rather than numbness, it is important to consider other potential causes for your symptoms. For instance, facial nerve disorders, such as hemifacial spasm or facial neuropathy, could lead to twitching and discomfort in the facial muscles.

Additionally, your mention of poor sleep quality, eye strain, and neck and shoulder discomfort could indicate that your symptoms are multifactorial. Stress and tension can contribute to muscle tightness and spasms, which may manifest as twitching or discomfort in the facial region. Furthermore, sleep disturbances can exacerbate these symptoms, leading to a cycle of discomfort and anxiety.

Given your symptoms, it is advisable to consult a neurologist or a healthcare professional specializing in facial nerve disorders. They can conduct a thorough examination, which may include imaging studies such as MRI or CT scans, to rule out any underlying neurological conditions. A detailed medical history and physical examination will help determine whether your symptoms are related to trigeminal neuralgia, facial nerve issues, or other conditions.

In the meantime, managing stress and improving sleep quality may help alleviate some of your symptoms. Techniques such as mindfulness, relaxation exercises, and proper sleep hygiene can be beneficial. Additionally, if you are experiencing significant discomfort, over-the-counter pain relief medications may provide temporary relief, but it is essential to discuss this with your healthcare provider.

In summary, while your symptoms could potentially be related to trigeminal neuralgia, they may also indicate other conditions affecting the facial nerves or muscles. A comprehensive evaluation by a medical professional is crucial to determine the underlying cause and appropriate treatment options. Don't hesitate to seek medical advice, as early intervention can often lead to better outcomes.

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