Atypical Facial Pain

Question 1

What is atypical facial pain?

Answer 1

Usually upper jaw pain, unrelated to distribution of trigeminal nerve. It may cross the midline

Question 2

Signs and symptoms of atypical facial pain

Answer 2

Deep, dull boring pain
Lasts most or all day
Doesn’t disturb sleep

Question 3

Diagnosis of atypical facial pain

Answer 3

Exclusion of organic disease cause

Question 4

Management of atypical facial pain

Answer 4

Patients have often not tried simple analgesics
CBT
Amitriptyline, Duloxetine, Pregabalin, Gabapentin