Cheek Pain: Causes and When to Seek Help - Family Medicine

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There is a problem with the cheek?


Hello, doctor: I have severe pain in my cheekbones, my masticatory muscles hurt, there's sharp pain in my cheekbones, talking causes pain, and eating is also painful.
Pain relievers and muscle relaxants have not been effective, and I'm still a bit worried.
Could you please tell me what this condition might be, and which specialty I should see?

Awei, 30~39 year old female. Ask Date: 2023/06/30

Dr. Lin Zhebin reply Family Medicine


Hello: The pain in your cheekbones and masticatory muscles may be related to an issue with the right temporomandibular joint.
It is recommended that you consult an otolaryngologist.
Additionally, if pain relievers and muscle relaxants are ineffective, you should consider the possibility of trigeminal neuralgia and consult a neurologist or neurosurgeon.

Reply Date: 2023/06/30

More Info


Cheek pain, especially when associated with symptoms like jaw discomfort, tenderness in the cheekbone area, and pain during chewing or speaking, can be indicative of several underlying conditions. Understanding the potential causes and knowing when to seek medical help is crucial for effective management.


Possible Causes of Cheek Pain
1. Temporomandibular Joint Disorder (TMJ): This is one of the most common causes of facial pain. TMJ disorders can result from jaw misalignment, teeth grinding (bruxism), or arthritis. Symptoms often include pain in the jaw joint, difficulty chewing, and clicking or popping sounds when moving the jaw.

2. Sinusitis: Inflammation of the sinuses can lead to facial pain, particularly around the cheeks and forehead. This is often accompanied by other symptoms such as nasal congestion, headache, and fever.

3. Dental Issues: Tooth infections, abscesses, or gum disease can cause referred pain to the cheek area. If there are any dental problems, they should be evaluated by a dentist.

4. Nerve Pain: Conditions like trigeminal neuralgia can cause severe, sharp pain in the face, including the cheeks. This pain can be triggered by activities such as chewing or talking.

5. Muscle Strain: Overuse of the muscles involved in chewing can lead to muscle strain, resulting in pain. This is often seen in individuals who chew gum excessively or have a habit of grinding their teeth.

6. Infections: Infections in the facial area, such as cellulitis or abscesses, can lead to localized pain and swelling.
7. Other Conditions: Less commonly, conditions such as fibromyalgia or systemic diseases can manifest as facial pain.


When to Seek Help
Given that over-the-counter pain relievers and muscle relaxants have not provided relief, it is advisable to seek medical attention. Here are some guidelines on when to see a doctor:
- Persistent Pain: If the pain lasts more than a few days or worsens over time.

- Severe Symptoms: If you experience severe pain that interferes with daily activities, such as eating or speaking.

- Swelling or Fever: If there is noticeable swelling in the face or if you develop a fever, which could indicate an infection.

- Neurological Symptoms: If you experience numbness, tingling, or weakness in the face, which could suggest a more serious condition.

- Dental Symptoms: If you suspect the pain may be related to dental issues, seeing a dentist is essential.


Which Specialist to See
Depending on the suspected cause of your cheek pain, you may need to consult different specialists:
- Dentist: If you suspect dental issues or if the pain is related to your teeth or gums.

- Oral and Maxillofacial Surgeon: For issues related to the jaw or facial structure.

- Ear, Nose, and Throat (ENT) Specialist: If sinusitis or other ENT-related issues are suspected.

- Neurologist: If nerve pain or neurological symptoms are present.


Conclusion
Cheek pain can arise from various causes, and understanding these can help guide you in seeking appropriate care. Given your symptoms and the ineffectiveness of over-the-counter medications, it is essential to consult a healthcare professional for a thorough evaluation and tailored treatment plan. Early intervention can lead to better outcomes and relief from discomfort.

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