Facial Pain from Cheekbone to Temple: Which Specialist to See? - Family Medicine

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Pain radiating from the zygomatic bone to the temple?


If you are experiencing pain from the right cheekbone extending to the temple that has lasted for about two weeks, with varying intensity, you should consider seeing a specialist in neurology or an ear, nose, and throat (ENT) doctor.

Ms. Chen, 20~29 year old female. Ask Date: 2008/11/03

Dr. Chen Mengkan reply Family Medicine


Hello: Typically, these symptoms are caused by the inability of the muscles from the cheekbone to the temple to relax, which is likely associated with tension-type headaches.
However, to confirm the diagnosis, further examination at a family medicine or neurology clinic is necessary.

Reply Date: 2008/11/03

More Info


If you are experiencing facial pain that radiates from your cheekbone to your temple, it is essential to seek medical attention to determine the underlying cause of your symptoms. Given the nature of your pain, the first step would be to consult a specialist in neurology or an ear, nose, and throat (ENT) doctor. These specialists are well-equipped to evaluate facial pain and can help identify whether your symptoms are related to nerve issues, sinus problems, or other underlying conditions.

Facial pain can arise from various causes, including:
1. Trigeminal Neuralgia: This condition is characterized by sudden, severe facial pain that can be triggered by everyday activities such as chewing, speaking, or even touching the face. It is caused by irritation or damage to the trigeminal nerve, which is responsible for sensation in the face.

2. Sinusitis: Inflammation of the sinuses can lead to pain in the facial region, particularly around the cheekbones and forehead. This pain may be accompanied by other symptoms such as nasal congestion, headache, and fever.

3. Temporomandibular Joint (TMJ) Disorders: Issues with the jaw joint can cause pain that radiates to the temples and cheeks. Symptoms may include jaw clicking, difficulty chewing, and facial swelling.

4. Dental Issues: Problems with teeth or gums, such as infections or abscesses, can also manifest as facial pain. A visit to a dentist may be necessary if dental issues are suspected.

5. Migraine or Tension Headaches: These types of headaches can cause pain that radiates to the face, including the temples and cheekbones. They may be accompanied by other symptoms such as nausea, sensitivity to light, and visual disturbances.

6. Neurological Conditions: In some cases, facial pain can be a sign of more serious neurological conditions, such as multiple sclerosis or a stroke. If there are additional symptoms such as weakness, numbness, or changes in vision, it is crucial to seek immediate medical attention.

Once you see a specialist, they will likely conduct a thorough evaluation, which may include a physical examination, imaging studies (such as MRI or CT scans), and possibly nerve conduction studies to assess the function of the trigeminal nerve. Based on the findings, they will be able to recommend an appropriate treatment plan, which may include medications, physical therapy, or other interventions.

In the meantime, managing your pain with over-the-counter pain relievers, applying warm or cold compresses to the affected area, and practicing relaxation techniques may provide some relief. However, it is essential to consult a healthcare professional for a proper diagnosis and treatment plan tailored to your specific condition.

In summary, for facial pain extending from the cheekbone to the temple, start by consulting a neurologist or an ENT specialist. They will help determine the cause of your pain and guide you toward the appropriate treatment. Remember, early intervention can often lead to better outcomes, so don't hesitate to seek help.

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