Rare Headaches: When Pain Radiates to Your Teeth - Rare Disease

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Headache


Hello Dr.
Lai: I have been experiencing headaches for over a year, and my pain is quite unusual.
Once, while washing my hair, I suddenly pulled on my scalp forcefully at a specific point on the right front part of my head, and that pain suddenly radiated to the nerves in my teeth.
I often press on that area with my fingers, and it really does cause pain near the nerves of my teeth.
What should I do? Thank you for your response.

A Ru, 20~29 year old female. Ask Date: 2006/02/05

Dr. Lai Xiangrong reply Rare Disease


Your pain is indeed unusual.
The forehead is controlled by the first branch of the trigeminal nerve - the ophthalmic branch, while the teeth and lower jaw are managed by the third branch - the mandibular branch of the trigeminal nerve.
Typically, the ophthalmic branch does not affect the mandibular branch unless, in some individuals, there is an unusual connection between the first and third branches of the trigeminal nerve.
If this is the case, it may be difficult to address.
You might consider visiting a nearby neurologist to seek advice and clearly explain your symptoms.

Reply Date: 2006/02/05

More Info


Understanding your unique headache symptoms, especially when they radiate to your teeth, can be quite complex. The phenomenon you are describing, where pain in the head triggers discomfort in the teeth, is not uncommon and can be attributed to the intricate network of nerves in the head and neck region.

The primary nerve responsible for sensation in the face, including the teeth, is the trigeminal nerve. This nerve has three major branches: the ophthalmic, maxillary, and mandibular branches. The area you mentioned, the right front part of your head, is likely innervated by the ophthalmic branch, while the teeth are primarily innervated by the maxillary and mandibular branches. In some individuals, there can be unusual connections or heightened sensitivity between these branches, leading to referred pain. This means that when you experience pain in one area (like your forehead), it can manifest as pain in another area (like your teeth).

Your symptoms could be indicative of several conditions. One possibility is tension-type headaches, which can cause muscle tightness and pain that radiates. Another possibility is a form of migraine, which can also cause referred pain. In some cases, dental issues such as tooth decay or gum disease can cause pain that feels like it’s originating from the head. Additionally, if you have been experiencing significant stress or tension, this can exacerbate headaches and lead to muscle tightness in the neck and scalp, which may contribute to your symptoms.

Given that your headaches have persisted for over a year, it is advisable to seek a thorough evaluation from a healthcare professional, preferably a neurologist. They can conduct a detailed history and physical examination, and if necessary, imaging studies such as an MRI or CT scan to rule out any underlying structural issues. It may also be beneficial to consult with a dentist to rule out any dental problems that could be contributing to your symptoms.

In the meantime, there are several strategies you can employ to manage your headaches. Maintaining a regular sleep schedule, staying hydrated, and managing stress through relaxation techniques such as yoga or meditation can be beneficial. Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can provide temporary relief, but they should not be used excessively as they can lead to rebound headaches.

Physical therapy may also be helpful, particularly if muscle tension is contributing to your headaches. A physical therapist can teach you exercises to strengthen and relax the muscles in your neck and shoulders, which may alleviate some of the tension that is contributing to your headaches.

In summary, while the connection between your headaches and tooth pain can be perplexing, it is essential to approach this issue holistically. A multidisciplinary approach involving both a neurologist and a dentist may provide you with the best chance of identifying the underlying cause of your symptoms and developing an effective treatment plan. Please do not hesitate to seek medical attention, as early intervention can often lead to better outcomes.

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