How Long Will Facial Numbness Last After an Injury? - Neurology

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How long does facial tingling last?


Hello, doctor.
I fell and hit my face on a rock in the early morning of July 27th, resulting in significant bruising.
I went to the emergency room that night for examination and was told there were no major issues.
Two days later, I returned to the hospital for a follow-up X-ray, which also showed nothing concerning.
Currently, the swelling on my forehead has subsided and is in good condition.
However, due to the impact, I am experiencing a noticeable tingling and numbness in my left nostril and upper lip, as well as mild pain in my teeth.
I would like to know how long it will take for these symptoms to improve.

Yu, 10~19 year old female. Ask Date: 2022/07/30

Dr. Jiang Junyi reply Neurology


Dear Ms.
Yu,
You mentioned that "the impact has caused a noticeable tingling and numbness in the left nostril and upper lip, as well as mild pain in the teeth." Your symptoms may suggest compression or injury to the maxillary branch of the trigeminal nerve.
Nerve repair typically takes 2-3 weeks, and it is advisable to supplement with B vitamins and manage risk factors (such as avoiding smoking and fried foods).
If symptoms persist, I recommend consulting a neurologist for further evaluation and treatment.
Thank you for your inquiry.
If you have any related questions, feel free to discuss further!
Wishing you good health,
Dr.
Jiang Junyi
Lao Tao Medical Center

Reply Date: 2022/07/30

More Info


Facial numbness following an injury can be a concerning symptom, and its duration can vary significantly depending on several factors, including the severity of the injury, the specific nerves affected, and individual healing processes. In your case, since you experienced a fall and sustained facial trauma, it is essential to understand the potential causes and expected recovery timeline for your symptoms.

When you hit your face, particularly in areas like the forehead, nose, and upper lip, you may have impacted the sensory nerves that supply these regions. The sensations of tingling or numbness you are experiencing in your left nostril and upper lip could be due to nerve irritation or damage. The trigeminal nerve, which is responsible for sensation in the face, can be affected during such injuries, leading to symptoms like the ones you described.

In general, mild nerve injuries can take anywhere from a few days to several weeks to heal. If the nerve was merely bruised, you might start to notice improvement within a week or two as the swelling decreases and the nerve begins to recover. However, if there was more significant damage, such as a laceration or compression of the nerve, recovery could take longer, potentially several months.
It is also important to consider that the presence of pain in your teeth could indicate that the injury may have affected the dental nerves or the jaw area. This could contribute to the numbness and tingling sensations you are experiencing. If the pain persists or worsens, it would be advisable to consult a dentist or an oral surgeon to rule out any dental issues related to the injury.

In terms of management, here are some recommendations to help facilitate recovery:
1. Rest and Avoid Strain: Allow your body to heal by avoiding activities that could exacerbate your symptoms. This includes avoiding heavy lifting or strenuous facial movements.

2. Cold Compress: Applying a cold compress to the affected area can help reduce swelling and numbness. Just be sure to wrap ice in a cloth to avoid direct contact with the skin.

3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate discomfort. However, consult your healthcare provider before taking any medication, especially if you have other medical conditions or are taking other medications.

4. Follow-Up Care: Since you have already had follow-up appointments, continue to monitor your symptoms. If you notice no improvement after a few weeks, or if your symptoms worsen, it is crucial to seek further medical evaluation. This may include imaging studies, such as an MRI or CT scan, to assess for any underlying issues that may not have been evident initially.

5. Physical Therapy: In some cases, physical therapy may be beneficial, especially if there is any functional impairment or if you are experiencing persistent numbness. A therapist can provide exercises to help improve sensation and function.

In conclusion, while mild facial numbness after an injury can improve within a few days to weeks, it is essential to monitor your symptoms closely. If you experience persistent or worsening symptoms, seek medical advice promptly to ensure appropriate care and management. Your healthcare provider can give you the best guidance based on your specific situation and recovery progress.

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