Facial Discomfort: Causes and When to Seek Help

My cheeks feel strange?

Hello Doctor: Since yesterday, I've suddenly felt something unusual in both of my cheeks.
It's a bit hard to describe, but it feels somewhat stiff when I move my cheeks, and there's no pain—just a slight soreness when my cheeks are at rest.
Other than that, I don't have any discomfort in other parts of my body; it's mainly just my cheeks that feel quite uncomfortable.
Recently, I've been staying at home with the air conditioning on.
Before last week, my routine was staying up late and waking up late, but I've started adjusting to a normal schedule this week.
However, I've mostly been lying down or sitting at home without exercising.
Could you please explain why I'm experiencing this condition? What can I do to alleviate it? If it persists for a long time without improvement, will it be too late to see a doctor? Is it okay to visit an ENT specialist at a small clinic? I would like to avoid large hospitals due to the pandemic.
Thank you.

Li, 20~29 year old female. Ask Date: 2021/07/17

Dr. Jiang Junyi reply Neurology

Dear Ms.
Li,
Your symptoms may suggest lactic acid accumulation in the facial muscles.
I wonder if you have been using your masticatory muscles frequently? Additionally, if your symptoms progress, it may be necessary to consider some autoimmune issues.
It is recommended to improve your symptoms by supplementing with B vitamins, hydration, and electrolytes.
Blood tests should include differential diagnoses for possible complications such as anemia, hyperthyroidism/hypothyroidism, diabetes, autoimmune diseases, neurosyphilis, and central nervous system disorders.

If you are concerned, I suggest consulting a physician nearby, such as an otolaryngologist or internist.
If the symptoms progress, you may want to discuss further evaluation and treatment with a neurologist.
Please ensure to practice self-protection, maintain cleanliness and disinfection, and adhere to preventive health measures before and after your medical visit.
Wishing you good health and peace.
Dr.
Jiang, Taoyuan Medical Center

Reply Date: 2021/07/17

More Info

Facial discomfort, particularly the sensations you are experiencing in your cheeks, can be attributed to a variety of causes. The symptoms you describe—stiffness when moving your cheeks and a mild aching sensation when at rest—may suggest several underlying issues. Here’s a breakdown of potential causes and recommendations on when to seek help.

Possible Causes
1. Muscle Tension or Strain: Given that you recently adjusted your sleep schedule and have been mostly sedentary, muscle tension could be a contributing factor. Prolonged periods of inactivity or poor posture can lead to muscle stiffness, even in the facial muscles.

2. Temporomandibular Joint (TMJ) Disorders: TMJ disorders can cause discomfort in the jaw and surrounding areas, including the cheeks. If you have been clenching your jaw or grinding your teeth, this could lead to stiffness and discomfort.

3. Nerve Irritation: Conditions such as trigeminal neuralgia can cause facial discomfort. This condition is characterized by sudden, severe facial pain, but it can also present as a feeling of stiffness or discomfort.

4. Sinus Issues: If you have been experiencing any nasal congestion or sinus pressure, this could lead to discomfort in the facial area. Sinusitis can cause a feeling of fullness or pressure in the cheeks.

5. Stress and Anxiety: Emotional stress can manifest physically, leading to muscle tension and discomfort in various parts of the body, including the face.

6. Dehydration or Nutritional Deficiencies: Lack of hydration or certain vitamins and minerals can lead to muscle cramps and discomfort. Ensure you are drinking enough water and consuming a balanced diet.

Recommendations for Relief
- Gentle Stretching and Massage: Try gently massaging your cheeks and performing light stretches to relieve tension. This can help improve blood circulation and reduce stiffness.

- Heat Therapy: Applying a warm compress to your cheeks may help relax the muscles and alleviate discomfort.

- Hydration and Nutrition: Ensure you are well-hydrated and consuming a balanced diet rich in vitamins and minerals. Foods high in magnesium, potassium, and calcium can be particularly beneficial for muscle function.

- Regular Movement: Incorporate light physical activity into your routine, even if it’s just walking around your home. This can help reduce muscle stiffness and improve overall circulation.

When to Seek Help
If your symptoms persist for more than a few days without improvement, or if they worsen, it would be advisable to seek medical attention. While it may not be necessary to visit a large hospital, a local clinic or an ear, nose, and throat (ENT) specialist could be a good starting point. They can evaluate your symptoms and determine if further investigation is needed.

Additionally, if you experience any of the following symptoms, seek medical attention promptly:
- Severe or worsening pain
- Swelling in the face or jaw
- Difficulty opening your mouth or chewing
- Numbness or tingling in the face
- Any signs of infection, such as fever or drainage

Conclusion
In summary, while your symptoms may be related to muscle tension or other benign causes, it’s important to monitor your condition. Implementing some self-care strategies may provide relief, but do not hesitate to seek professional help if your discomfort continues or escalates. Taking proactive steps can help ensure that any underlying issues are addressed in a timely manner.

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