Yawning and sneezing have caused discomfort from the cheeks to the temples?
A few days ago, I had a car accident, but I didn't hit the area that hurts.
My left cheek to the temple is painful, especially when I yawn or open my mouth wide, like when sneezing.
I'm not sure what's going on.
I visited the dentist the day before yesterday, and they asked me about any stress I might be experiencing.
They gave me some mouthwash and three painkillers, and that was it.
Thank you, doctor, can you help me with this?
Xiao Zhu, 20~29 year old female. Ask Date: 2005/10/21
Dr. Lin Mingxing reply Family Medicine
Dear Xiao Zhu,
Based on the preliminary assessment of the symptoms mentioned, it is highly likely that your left temporomandibular joint may be injured (e.g., sprain).
It would be advisable to minimize the use of your left molars for grinding hard foods in the near future, or you may consider taking pain relief and anti-inflammatory medications for two to three days.
Wishing you good health and all the best from the Department of Family Medicine, Tainan Hospital, Ministry of Health and Welfare.
Reply Date: 2005/10/21
More Info
After a car accident, experiencing facial pain, particularly in the area from your left cheek to your temple, especially during yawning or sneezing, can be concerning. This type of pain may be associated with several underlying issues, and it’s essential to consider both the immediate effects of the accident and any potential long-term consequences.
One possibility is that you may be experiencing referred pain from the temporomandibular joint (TMJ). The TMJ is located near the ear and connects the jawbone to the skull. It can become strained or injured during an accident, leading to pain that radiates to the cheeks, temples, and even the neck. Yawning and sneezing can exacerbate this pain due to the increased movement and pressure on the jaw joint.
Another consideration is the possibility of nerve involvement. The trigeminal nerve, which is responsible for sensation in the face, could be affected. Trauma to the facial area can lead to inflammation or irritation of this nerve, resulting in pain that may be triggered by certain movements, such as yawning or sneezing. This condition is known as trigeminal neuralgia, which can cause sharp, shooting pain in the face.
Additionally, if you experienced any whiplash or neck strain during the accident, this could also contribute to facial pain. The muscles and nerves in the neck can become tense or irritated, leading to referred pain in the face. This is often accompanied by headaches or discomfort in the upper back and shoulders.
It’s also worth noting that psychological factors, such as stress or anxiety following the accident, can amplify pain perception. If the dentist you visited suggested that stress might be a factor, it’s important to consider how your emotional state could be influencing your physical symptoms.
Given your symptoms and the recent history of the car accident, it is advisable to seek further evaluation from a healthcare professional, preferably one specializing in pain management or neurology. They may recommend imaging studies, such as an MRI or CT scan, to rule out any structural damage or nerve compression. Additionally, a thorough examination of your TMJ and neck may provide insights into the source of your pain.
In the meantime, managing your pain with over-the-counter analgesics, applying heat or cold packs to the affected area, and practicing relaxation techniques may help alleviate some discomfort. If you notice any worsening of symptoms, such as increased pain, swelling, or changes in sensation, it is crucial to seek medical attention promptly.
In summary, while your symptoms could be related to the recent car accident, various factors may contribute to your facial pain. A comprehensive evaluation by a healthcare professional will help determine the underlying cause and guide appropriate treatment. Remember to take care of both your physical and emotional well-being during this recovery process.
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