What are the common causes of facial pain around the eye and cheekbone. How can different conditions like trigeminal neuralgia, migraines, and sinusitis contribute to facial discomfort. What are the symptoms and treatment options for various facial pain conditions.

Understanding Trigeminal Neuralgia: A Common Cause of Facial Pain

Trigeminal neuralgia is a condition that can cause severe facial pain, often described as burning or shock-like sensations. This condition occurs when a blood vessel or tumor puts pressure on the trigeminal nerve at the base of the brain, causing it to misfire. In some cases, multiple sclerosis can damage the nerve’s protective covering, known as the myelin sheath, leading to similar symptoms.

Typical attacks of trigeminal neuralgia last up to two minutes and primarily affect the lower face, nose, and eye area. Some patients may experience ongoing pain rather than intermittent attacks. Treatment options for trigeminal neuralgia include medication and, in severe cases, surgical intervention.

What are the key symptoms of trigeminal neuralgia?

• Sudden, severe facial pain
• Burning or electric shock-like sensations
• Pain lasting up to 2 minutes per episode
• Discomfort primarily in the lower face, nose, and eye areas
• Potential for chronic, ongoing pain

Migraines and Facial Pain: Unraveling the Connection

Migraines are a common type of headache that can cause significant facial pain. These headaches often throb on one side of the head and can last anywhere from a few hours to several days. Many migraine sufferers experience an “aura” before the onset of pain, which may include visual disturbances such as blinking lights or blind spots.

In addition to facial pain, migraines can cause nausea and increased sensitivity to noise, light, and certain smells. Treatment for migraines typically involves a combination of lifestyle changes, such as adjusting diet and sleep habits, and medication prescribed by a healthcare provider.

How can you differentiate between a migraine and other types of facial pain?

1. Look for the presence of an aura before pain onset
2. Consider the duration of the pain (hours to days for migraines)
3. Note any accompanying symptoms like nausea or light sensitivity
4. Observe if the pain is primarily on one side of the head

Sinusitis: When Facial Pain Stems from Sinus Infections

Sinusitis occurs when the small hollow areas near your cheekbones, known as sinuses, become infected. This condition can cause pain and pressure around the nose and forehead, as well as a stuffy or runny nose. These symptoms can be similar to those of migraines, making it challenging to differentiate between the two conditions.

To distinguish sinusitis from migraines, look for additional symptoms such as fever, colored nasal discharge, a reduced sense of smell, or pain specifically around the cheek area. Treatment for sinusitis typically involves rest, pain medication, and in some cases, antibiotics prescribed by a healthcare provider.

What are the key indicators that facial pain might be due to sinusitis?

• Fever
• Colored nasal discharge
• Reduced sense of smell
• Pain concentrated around the cheek area
• Pressure and discomfort in the forehead and nose regions

Deviated Septum: A Hidden Cause of Facial Discomfort

A deviated septum occurs when the cartilage that separates your two nasal passages is damaged due to injury or illness. This condition can lead to difficulty breathing through one nostril and may cause various symptoms, including increased nasal congestion, nosebleeds, snoring, and a higher likelihood of sinus infections.

In some cases, a deviated septum can also contribute to facial pain. While mild cases may not require treatment, severe cases might necessitate surgical intervention to correct the septum’s alignment and alleviate associated symptoms.

How does a deviated septum contribute to facial pain?

A deviated septum can cause facial pain through several mechanisms:

1. Increased pressure in the nasal passages
2. Chronic sinus infections due to poor drainage
3. Referred pain from the nasal area to surrounding facial structures
4. Compensatory muscle tension in the face and jaw

Temporomandibular Joint (TMJ) Disorders: When Jaw Problems Cause Facial Pain

The temporomandibular joints (TMJs) connect your lower jaw to your skull just below your ears. These joints can be injured in accidents or damaged by habits such as teeth grinding or excessive chewing. TMJ disorders can lead to various symptoms, including pain while eating and a jaw that feels like it catches, pops, or locks in place.

Pain from TMJ disorders can radiate from the joint into the face, causing widespread discomfort. While some cases may resolve on their own, treatment options include splints, night guards, medications, physical therapy, and in severe cases, surgery.

What are the common signs of TMJ disorders?

• Pain or difficulty when chewing
• Jaw clicking, popping, or locking
• Facial pain that radiates from the jaw area
• Headaches or earaches
• Limited jaw movement or jaw stiffness

Shingles: When Viral Infections Cause Facial Pain

Shingles is a painful, blistering rash caused by the reactivation of the varicella-zoster virus, which causes chickenpox. While shingles commonly affects the torso, it can also occur on the face. The condition typically begins with a tingling or burning sensation, followed by the formation of red, fluid-filled blisters.

Facial shingles can cause significant pain and discomfort, which may persist even after the rash has healed. This lingering pain, known as postherpetic neuralgia, can be challenging to manage. Vaccination can help prevent shingles or reduce the severity of symptoms if an outbreak occurs.

How does shingles manifest when it affects the face?

Facial shingles can present with the following symptoms:

1. Tingling or burning sensation in a specific area of the face
2. Development of a red, blistering rash
3. Pain that may be intense and persist after the rash heals
4. Potential involvement of the eye, which requires immediate medical attention
5. Possible long-term nerve pain in the affected area

Oral Cancer: A Serious Cause of Persistent Facial Pain

Oral cancer can affect various parts of the mouth, including the lips, gums, tongue, roof of the mouth, cheek lining, and floor of the mouth. Tumors in these areas can cause persistent pressure, sores, swelling, and pain that affect the facial region. These symptoms typically do not resolve on their own and require medical attention.

The risk of oral cancer is significantly higher in individuals who use tobacco products. Treatment for oral cancer usually involves a combination of surgery, chemotherapy, and radiation therapy, depending on the stage and location of the cancer.

What are the warning signs of oral cancer?

• Persistent sores or ulcers in the mouth that don’t heal
• Unexplained swelling or lumps in the oral cavity
• Chronic pain in the mouth or face
• Difficulty swallowing or speaking
• Changes in the color or texture of oral tissues

Cluster Headaches: Intense, Recurring Facial Pain

Cluster headaches are a type of primary headache disorder characterized by sudden, severe pain on one side of the head and face. These headaches typically reach peak intensity within 5 to 10 minutes of onset and often occur at the same time each day for weeks or months at a time.

During a cluster headache attack, individuals may experience redness, swelling, and tearing of the eye on the affected side, as well as nasal congestion or rhinorrhea. Many patients report feeling anxious and having increased sensitivity to light, sound, or smells during an attack.

How are cluster headaches treated?

Treatment options for cluster headaches include:

1. Oxygen therapy
2. Triptans or other pain medications
3. Preventive medications to reduce frequency and severity of attacks
4. Nerve blocks or stimulation techniques
5. Lifestyle modifications to identify and avoid triggers

Salivary Gland Infections: An Overlooked Cause of Facial Pain

Salivary gland infections, also known as sialadenitis, occur when bacteria infect the glands responsible for producing saliva. This condition can cause a painful lump in the cheek or around the chin, often accompanied by fever, chills, and the presence of foul-tasting pus that drains into the mouth.

Older individuals are at a higher risk of developing salivary gland infections. Treatment typically involves a course of antibiotics prescribed by a healthcare provider to eliminate the bacterial infection and alleviate symptoms.

What are the common symptoms of a salivary gland infection?

• Painful swelling in the cheek or under the chin
• Fever and chills
• Bad-tasting discharge in the mouth
• Difficulty opening the mouth or swallowing
• Dry mouth or decreased saliva production

Dental Abscesses: When Tooth Infections Cause Facial Pain

A dental abscess occurs when bacteria infect a tooth, the surrounding gums, or the bone that supports the teeth. This infection leads to the formation of pus, which builds up pressure and can cause intense, throbbing pain that may spread to the ear and jaw. Affected teeth may feel loose, and the surrounding gums and face can become red, swollen, and tender to the touch.

Treatment for a dental abscess typically involves either tooth extraction or root canal surgery to remove the abscess and prevent further infection. It’s crucial to seek prompt dental care to avoid complications and relieve pain.

How can you identify a dental abscess?

Common signs of a dental abscess include:

1. Severe, throbbing tooth pain
2. Pain that radiates to the ear, jaw, or neck
3. Swelling in the face or cheek
4. Sensitivity to hot or cold temperatures
5. Fever and general feeling of illness

Acute Angle-Closure Glaucoma: A Medical Emergency Causing Facial Pain

Acute angle-closure glaucoma is a serious eye condition that occurs when fluid buildup in the eye is suddenly blocked from draining. This rapid increase in pressure within the eye can cause severe pain, swelling, and redness around the affected eye. Patients may experience blurred vision, see colored lights or rings, and are at risk of permanent vision loss if not treated promptly.

This condition is considered a medical emergency and requires immediate treatment. Doctors typically use medications to reduce eye pressure and may perform laser surgery to create a small hole in the iris to improve fluid drainage.

What are the warning signs of acute angle-closure glaucoma?

• Sudden, severe eye pain
• Redness and swelling around the eye
• Blurred or decreased vision
• Seeing halos or colored rings around lights
• Nausea and vomiting (often accompanying the eye pain)

Giant Cell Arteritis: An Inflammatory Cause of Facial Pain

Giant cell arteritis, also known as temporal arteritis, is a condition characterized by inflammation of the arteries in the head and scalp. This inflammation can cause significant pain around the temples on either side of the face. Patients may also experience jaw pain, fever, and unexplained weight loss.

If left untreated, giant cell arteritis can lead to serious complications, including sudden, permanent vision loss in one eye. The exact cause of this condition is unknown, but it typically affects older adults. Treatment usually involves corticosteroids to reduce inflammation and prevent complications.

How is giant cell arteritis diagnosed and treated?

The diagnosis and treatment of giant cell arteritis typically involve:

1. Physical examination and review of symptoms
2. Blood tests to check for inflammation markers
3. Temporal artery biopsy to confirm diagnosis
4. Immediate initiation of high-dose corticosteroids
5. Long-term monitoring and gradual tapering of medication

Facial pain can have numerous causes, ranging from common conditions like migraines and sinusitis to more serious issues such as tumors or vascular problems. It’s essential to pay attention to accompanying symptoms and seek medical attention if pain persists or is accompanied by concerning signs. Early diagnosis and appropriate treatment can help manage symptoms effectively and prevent potential complications. If you experience persistent or severe facial pain, consult with a healthcare provider to determine the underlying cause and develop an appropriate treatment plan.

Reasons for Facial Pain

Medically Reviewed by Carol DerSarkissian, MD on December 04, 2022

A blood vessel or a tumor pushes on the trigeminal nerve at the base of the brain and makes it misfire. Or multiple sclerosis could damage the nerve’s protective covering (myelin sheath). You might have burning or shock-like facial pain, sometimes extreme. A typical “attack” lasts up to 2 minutes and affects the lower face and sometimes the nose and eye. Pain can also be ongoing. Your doctor may treat it with drugs or surgery.

With this type of headache, face pain is a common symptom. It can throb often on one side of your head and last from a few hours to a couple of days. Some people notice an “aura” of blinking lights or visual “blind spots” just beforehand. You might be sick to your stomach, and more sensitive to noise, light, and certain smells. Your doctor can help you treat it with changes in diet and sleep habits, as well as medication. 

Small hollow areas near your cheekbones (sinuses) get infected. Some symptoms, like pain and pressure around the nose and forehead, and a stuffy or runny nose, are the same as migraines. In fact, unless you notice fever, colored snot, a lessened sense of smell, or pain around the cheek, the cause is likely a migraine, not sinusitis. Your doctor can help you treat it with rest, pain medication, and sometimes antibiotics.

An injury or illness can damage your septum, the rubbery tissue (cartilage) that separates your two nasal passages. This often makes it harder to breathe through one of your nostrils. You might have more stuffiness, nosebleeds, snoring, and sinus infections. It could also lead to facial pain. You may not need treatment, but your doctor might suggest surgery in serious cases.

The temporomandibular joints (TMJs) link your lower jaw to your skull just below your ears. You can injure them in an accident, or if you chew too hard or grind your teeth. It may hurt to eat, and your jaw could feel like it catches, pops, or locks in place. Pain can radiate from the joint into your face. It might go away on its own, but your doctor might suggest splints, night guards, medicines, physical therapy, or surgery. 

Once you’ve had chickenpox, the virus remains in your body and can come back as this painful, blistering rash. It’s more common on your belly, chest, or back, but it can break out on your face too. It might tingle, burn, and itch as the rash forms red, fluid-filled blisters. The pain can remain even after the rash heals. A vaccine can help prevent shingles or ease your symptoms.

Oral cancer can affect the lips, gums, tongue, roof of the mouth, cheek lining, or soft floor of the mouth. Tumors in these areas can cause pressure, sores, swelling, and pain that affect your facial area and won’t go away. You’re much more likely to get the disease if you use tobacco. Your doctor will treat it with surgery, chemotherapy, radiation, or some combination of therapies.

This sudden headache can cause serious pain on one side of your head and face. It peaks about 5 to 10 minutes after it starts, often at the same time every day, for weeks at a time. Your eyes and nose in particular may get red, swollen, teary, and inflamed. You could feel more anxious and sensitive to light, sound, or smell. Your doctor might treat it with oxygen, pills, electrical stimulation, or medicated nasal sprays.

Medical professionals may call it sialadenitis. Bacteria infect the glands that make the saliva that helps digest your food. You might have a painful lump in your cheek or around your chin, as well as fever, chills, and a bad-tasting pus that drains into your mouth. You’re more likely to get it if you’re older. Your doctor will likely treat it with antibiotics.

Bacteria infect your tooth, gums, or the bone that holds them together. This makes pus, which builds pressure that can cause an intense throbbing pain that spreads to your ear and jaw. Your tooth may feel loose. Your gums and face may get red, swollen, and tender to the touch. Your dentist will likely remove the tooth or do root canal surgery to get rid of the abscess and seal the tooth from further infection.

Fluid builds up quickly in your eye when it’s suddenly blocked from draining. This pushes on your optic nerve and causes pain, swelling, and redness around your eye. Your vision may blur, and you may see colored lights or rings. It happens very quickly and can cause vision loss within a day if not treated.  Doctors use drugs to ease the pressure and a laser to make a small hole in your iris to help drain fluid. 

Arteries in your head and scalp get inflamed. This can cause serious pain around your temples on either side of your face. You might also have jaw pain, fever, and weight loss. Eventually, you may have blurry vision, or sudden, permanent vision loss in one eye. It’s not clear what causes it, but it usually happens after age 50. Doctors usually treat it with high doses of corticosteroids.

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SOURCES:

American Academy of Dermatology: “Shingles.”

American Academy of Otolaryngology — Head and Neck Surgery Foundation: “Sinusitis.”

American Academy of Neurological Surgeons: “Deviated Septum,” “Trigeminal Neuralgia.”

American Cancer Society: “Oral Cavity and Oropharyngeal Cancer.”

American Migraine Foundation: “Cluster Headache,” “Sinus Headaches.”

American Optometric Association: “Glaucoma.”

American Society of Clinical Oncology: “Oral and Oropharyngeal Cancer Guide.”

Cedars-Sinai.org: “Salivary Gland Disease and Tumors.”

Cleveland Clinic: “Abscessed Tooth,” “Shingles,” “Temporomandibular Disorders (TMD): Overview.”

Harvard Health Publishing: “Salivary Gland Disorders.”

Johns Hopkins Medicine: “Acute angle closure crisis,” “Migraine Headaches. ”

Mayo Clinic: “Shingles,” “TMJ disorders,” “Deviated septum,” “Sinus headaches.”

Medicina Oral Patologia Oral y Cirugia Bucal: “Cancer and orofacial pain.”

New York Eye and Ear Infirmary of Mount Sinai: “Closed-Angle Glaucoma.”

National Health Service: “Dental abscess.”

NIH National Institute of Neurological Disorders and Stroke: “Headache: Hope Through Research,” “Trigeminal Neuralgia Fact Sheet.”

Oral Cancer Foundation: “Oral Cancer Facts.”

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One-Sided Facial Pain | 10 Causes for Pain on One Side of Face

Acute viral sinusitis

Acute viral sinusitis, also called viral rhinosinusitis or “sinus infection,” occurs when viruses take hold and multiply in the sinus cavities of the face.

It is most often caused by the same viruses that cause the common cold and spreads the same way, through an infected person’s coughing or sneezing.

Because children have small, underdeveloped sinuses, this illness is far more common in adults.

Symptoms include clear nasal discharge (not greenish or yellowish,) fever, and pain if facial sinuses are pressed.

If there is rash, severe fatigue, or neurologic symptoms (seizures, loss of sensation, weakness, or partial paralysis,) see a medical provider to rule out more serious conditions.

Diagnosis can usually be made through history and examination alone.

Antibiotics only work against bacteria and cannot help against a viral illness. Therefore, treatment consists of rest, fluids, and fever/pain reducers such as ibuprofen. (Do not give aspirin to children.) Symptoms of viral sinusitis last for about seven to ten days. As with the common cold, the best prevention is frequent and thorough handwashing.

Rarity: Common

Top Symptoms: headache, cough, sinusitis symptoms, sore throat, congestion

Symptoms that always occur with acute viral sinusitis: sinusitis symptoms

Symptoms that never occur with acute viral sinusitis: being severely ill

Urgency: Self-treatment

Viral throat infection

A sore throat is most often caused by the same viruses that cause influenza and the common cold. The illness spreads when an infected person coughs or sneezes, and then someone else inhales the airborne virus or touches a surface where it has landed.

Those most at risk for viral sore throat are children, smokers, those who work indoors with others, and anyone with a weakened immune system.

Symptoms include throat irritation; pain when swallowing or talking; red, swollen tonsils; fever; body aches; and cold-like symptoms of cough, sneezing, and runny nose.

If symptoms do not clear up within 24 hours – especially in children – a medical provider should be seen. A persistent sore throat can be a symptom of serious illness such as mononucleosis, measles, chickenpox, or croup.

Diagnosis is made through physical examination and throat swab.

Treatment involves rest, fluids, and over-the-counter pain relievers. Do not give aspirin to children. Antibiotics only work against bacteria and cannot help against a viral illness.

The best prevention is frequent and thorough handwashing.

Temporomandibular joint (TMJ) dysfunction disorder

Temporomandibular joint (TMJ) dysfunction disorder refers to long-term pain and dysfunction in the TMJ, the joint that connects the upper and lower jawbones.

The TMJ is a complex joint with complicated movements and is subject to strain and injury. Symptoms may come and go for no apparent reason. Misalignment of the teeth and jaw, and tooth grinding, are no longer believed to be a cause. Women seem to be more susceptible than men.

TMJ disorder has three types:

• Pain or discomfort in the muscles controlling the TMJ.
• Dislocation or injury to the jawbone.
• Arthritis of the TMJ.

Diagnosis is made through patient history, physical examination, and imaging. The goal is to rule out other causes such as sinus infection or facial nerve damage.

Due to the difficulty of diagnosing TMJ disorder, treatment begins with conservative methods that do not permanently change the jaw or teeth. Ice packs, soft foods, gentle stretching of the jaw muscles, and reducing stress are all encouraged. Short-term pain medications may be used. Splints, Botox, implants, and surgery are not recommended.

Rarity: Common

Top Symptoms: dizziness, pain, restricted movement, and clicking sounds from jaw, history of headaches, jaw pain, pain in the back of the neck

Symptoms that always occur with temporomandibular joint (tmj) dysfunction disorder: pain, restricted movement, and clicking sounds from jaw

Urgency: Primary care doctor

Sinus headache

Sinus headache, also called sinusitis or rhinosinusitis, is caused by either a bacterial or a viral infection of the sinuses (open spaces) behind the eyes and nose.

Symptoms include fever; thick nasal discharge which may be clear, white, greenish or yellowish; some loss of sense of smell; foul-smelling breath; and pain, congestion, and pressure over the sinus areas of the face, especially if bending forward or lying down.

A self-diagnosed “sinus headache” very often turns out to be a migraine headache with a few sinus symptoms. This requires very different treatment from an actual , and is an important reason to see a medical provider about any sort of ongoing headaches.

Diagnosis is made through patient history, physical examination, and sometimes CT scan or MRI of the head to look for changes in the sinuses.

A true sinus headache, if caused by a bacterial infection, will be treated with antibiotics. If caused by a viral infection, the symptoms can be treated with over-the-counter pain relievers and alternating hot and cold compresses.

Rarity: Common

Top Symptoms: headache, headache that worsens when head moves, facial fullness or pressure, mucous dripping in the back of the throat, sinus pain

Symptoms that always occur with sinus headache: headache

Symptoms that never occur with sinus headache: fever, being severely ill, sore throat, muscle aches, cough, drooping eyelid, wateriness in both eyes

Urgency: Self-treatment

Myofascial pain syndrome

Myofascial pain syndrome is also called chronic myofascial pain (CMP. ) Pressure on certain points of the muscles causes referred pain, meaning the pain is felt elsewhere in the body.

The cause is believed to be muscle injury through overuse, either from sports or from a job requiring repetitive motion. Tension, stress, and poor posture can also cause habitual tightening of the muscles, a form of overuse.

This overuse causes scar tissue, or adhesions, to form in the muscles. These points are known as trigger points, since they trigger pain at any stimulus.

Symptoms include deep, aching muscular pain that does not go away with rest or massage, but may actually worsen. There is often difficulty sleeping due to pain.

Myofascial pain syndrome should be seen by a medical provider, since it can develop into a similar but more severe condition called fibromyalgia.

Diagnosis is made through physical examination and applying mild pressure to locate the trigger points.

Treatment involves physical therapy, pain medications, and trigger point injections. In some cases, acupuncture and antidepressants are helpful.

Rarity: Common

Top Symptoms: dizziness, spontaneous shoulder pain, pain in the back of the neck, tender muscle knot, general numbness

Symptoms that always occur with myofascial pain syndrome: tender muscle knot

Urgency: Primary care doctor

Infection of the salivary duct (sialadenitis)

The ducts that create saliva can be infected by bacteria and is typically found after surgery in the mouth and in the elderly that take medications that slow saliva production.

You should visit your primary care physician or an urgent care today. In the most minor situation, you would need antibiotics for 10 days while the doctors identify the type of bug it is. In more severe cases, you might need to go to the hospital for antibiotics given through the blood.

Rarity: Rare

Top Symptoms: fever, chills, swelling on one side of the face, pain on one side of the face, swollen jaw

Urgency: Hospital emergency room

Cellulitis

Cellulitis is a bacterial infection of the deep layers of the skin. It can appear anywhere on the body but is most common on the feet, lower legs, and face.

The condition can develop if Staphylococcus bacteria enter broken skin through a cut, scrape, or existing skin infection such as impetigo or eczema.

Most susceptible are those with a weakened immune system, as from corticosteroids or chemotherapy, or with impaired circulation from diabetes or any vascular disease.

Symptoms arise somewhat gradually and include sore, reddened skin.

If not treated, the infection can become severe, form pus, and destroy the tissue around it. In rare cases, the infection can cause blood poisoning or meningitis.

Symptoms of severe pain, fever, cold sweats, and fast heartbeat should be seen immediately by a medical provider.

Diagnosis is made through physical examination.

Treatment consists of antibiotics, keeping the wound clean, and sometimes surgery to remove any dead tissue. Cellulitis often recurs, so it is important to treat any underlying conditions and improve the immune system with rest and good nutrition.

Rarity: Uncommon

Top Symptoms: fever, chills, facial redness, swollen face, face pain

Symptoms that always occur with cellulitis: facial redness, area of skin redness

Urgency: Primary care doctor

Carotid artery dissection

A carotid artery dissection is the tearing of the walls of the carotid arteries, which deliver blood to the brain from the aorta. This is a medical emergency.

Call 911 immediately. Diagnosis is done by CT or MRI, and treatment involves anti-clotting medication for at least 3-6 months. Surgery may be necessary for those who can’t get this medication.

Bruise of the face

A bruise is the damage of the blood vessels that return blood to the heart (the capillaries and veins), which causes pooling of the blood. This explains the blue/purple color of most bruises. Bruises of the back are common, given how exposed this area of the body is.

You can treat this at home with rest (exercise as tolerated) and ice (10-20 minutes at a time).

Rarity: Common

Top Symptoms: swelling on one side of the face, head or face injury, painful face swelling, warm and red face swelling, face bruise

Symptoms that always occur with bruise of the face: head or face injury

Urgency: Self-treatment

Acute bacterial sinusitis

Acute bacterial sinusitis, also called bacterial rhinosinusitis or “sinus infection,” has symptoms much like viral rhinosinusitis but a different treatment.

Any sinusitis usually begins with common cold viruses. Sometimes a secondary bacterial infection takes hold. Like cold viruses, these bacteria can be inhaled after an infected person coughs or sneezes.

Anyone with viral sinusitis, upper-respiratory allergy, nasal passage abnormality, lung illness, or a weakened immune system is more prone to bacterial sinusitis.

Symptoms include thick yellowish or greenish nasal discharge; one-sided pain in the upper jaw or teeth; one-sided sinus pain and pressure; fatigue; fever; and symptoms that get worse after first improving.

See a doctor right away for severe headache, high fever, stiff neck, or vision changes. These can indicate a medical emergency.

Diagnosis is made with a simple examination in the doctor’s office.

Bacterial sinusitis can be treated with antibiotics, but this is not always necessary.

Often rest, fluids, and over-the-counter pain relievers and decongestants are enough.

Prevention is done through good lifestyle and hygiene to keep the immune system strong.

Rarity: Common

Top Symptoms: fatigue, headache, cough, sinusitis symptoms, muscle aches

Symptoms that always occur with acute bacterial sinusitis: sinusitis symptoms

Symptoms that never occur with acute bacterial sinusitis: clear runny nose, being severely ill

Urgency: Primary care doctor

• Any fever today or during the last week?
• Are you experiencing a headache?
• Do you feel a painful, tight knot or band in your muscle anywhere on the body?
• Do you have a sore throat?

Self-diagnose with our free Buoy Assistant if you answer yes on any of these questions.

Pain in the face: causes, diagnosis, treatment

Pain in the face can be dull or acute, transient or chronic, affecting only one side of the face or both at once. But the reaction to this pain is always the same: it is a desire to get rid of it as soon as possible. Facial pain can be caused by trauma, neuropsychiatric disorders and infectious and inflammatory diseases. We invite you to learn more about the most common sources of facial pain and common symptoms.

Tooth abscess

Everyone who has had to deal with a tooth abscess at least once in their life knows firsthand what unbearable, incessant pain is. A dental abscess is an acute inflammation caused by a bacterial infection in the pulp (the inside of the tooth that contains nerves and blood vessels). Most often, the lesion occurs due to neglected caries, gum disease or mechanical trauma to the tooth. The most common symptoms include: constant throbbing pain, swelling of the face, redness of the gums, an unpleasant taste in the mouth, and increased body temperature. Remember that an abscess is a serious disease, so if you have the above signs, contact your dentist immediately, who will help you get rid of the pain and prevent complications.

Dry socket

After the removal of one of the permanent teeth, a blood clot forms in its place, which serves as a barrier for infection to enter the wound and promotes its rapid healing. However, if the blood clot is incompletely formed, broken up, or washed out, the bone and nerves are exposed, resulting in a painful condition commonly referred to as dry socket. Symptoms of dry socket and abscess are similar: severe pain, facial swelling, bad breath, and fever. If these symptoms appear, you should come to an appointment with the dentist or surgeon who performed the extraction of the tooth.

Temporomandibular joint dysfunction

The temporomandibular joint (TMJ) is used to open and close our mouths. Anything that interferes with the normal functioning of the TMJ can cause facial pain. The causes of the disorder may be associated with involuntary clenching of the jaw and grinding of the teeth, as well as with malocclusion. Facial and TMJ pain often results from arthritis, trauma, and dislocation. If you notice any clicking, crunching, or pain when you move your jaw, visit your orthodontist as soon as possible. Drug therapy, physiotherapy, massage and myogymnastics, wearing occlusive splints or caps help to solve the problem.

Headaches

People who often suffer from headaches complain that facial pain associated with migraine or cluster headaches can be very severe. These pains usually affect one side of the head and face. Pain is usually concentrated around the eyes, although in migraine sufferers the pain may radiate to the teeth and jaw. For minor pain, over-the-counter pain relievers usually help, but if the pain gets worse, don’t delay your visit to the doctor.

Sinusitis

Extensive facial pain, including dull pain in the upper jaw and teeth, can cause sinusitis (inflammation of the paranasal sinuses). Other common symptoms of this disease include nasal congestion, a feeling of pressure around the eyes and cheekbones, swelling of the cheeks or eyelids, ear pain, bad breath, and fever. Inflammation in sinusitis often gives a toothache, because the roots of the upper molars are adjacent to the bottom of the maxillary sinuses. Sinusitis can often be treated with common cold and flu medications, but if symptoms persist, be sure to see your GP or ENT doctor.

Trigeminal neuralgia

Trigeminal neuralgia (trigeminal neuralgia) is a chronic disease that is characterized by attacks of severe pain in the areas of innervation of the trigeminal nerve, the largest cranial nerve that transmits sensory information from the face to the brain. Specialists of the Scientific Center of Neurology believe that trigeminal neuralgia most often occurs as a result of compression of a part of the trigeminal nerve by blood vessels. As a result, recurring pain attacks – from mild tingling to extremely intense, shooting or stabbing pain – can be provoked even by a light touch on the skin, for example, when applying makeup or while brushing your teeth. Injections, medications or surgery help to stop the pain syndrome and prevent relapses of the disease.

Herpes zoster

Many of us have had chicken pox (chickenpox) as children. After the illness, the virus remains latent in the nerve fibers of a person for many years, without causing any damage to his health. Later, when immunity is weakened or in old age, the virus may reactivate, which causes herpes zoster (shingles). The infection manifests itself in the form of rashes along the affected nerve endings. The patient begins to be disturbed by severe pain and a tingling sensation on one side of the body, headache and joint pain, fever and chills. Herpes zoster can also affect the nerves of the face, causing droopy eyelids, paralysis of facial muscles, altered taste perception, blurred vision, or hearing loss. Seek immediate medical attention at the first sign to help relieve symptoms by prescribing a course of antiviral and strong anti-inflammatory drugs.

Since the causes of facial pain are very diverse in nature, the best way to get rid of problems is a comprehensive diagnosis of the disease. Having carefully studied the symptoms, the therapist or dentist will be able to make the correct diagnosis and choose the most effective treatment tactics.

How to remove paint bags under the eyes and on the cheekbones – remove cheekbone bags

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• What are paint bags
• Causes of sufi formation
• Differences between paint bags and lower eyelid hernias
• How to get rid of paint bags under the eyes: basic methods
• How to get rid of paint bags without surgery
  • Non-surgical correction of paint bags in the clinic Kosmed
• Why choose the center of medical cosmetology Kosmed

Chronic lack of sleep, irregular working hours, frequent stress, lack of physical activity negatively affect the skin of the face. Age-related changes, hereditary predisposition, rare cosmetic procedures lead to the formation of paint bags under the eyes.

Radical method of treatment – surgery. Non-surgical cosmetology techniques require an integrated approach, a person’s commitment to procedures, and a long course of therapy.

Prevention is aimed at maintaining a healthy lifestyle, giving up bad habits, correcting the hormonal background, activating the synthesis of endogenous collagen and administering drugs.

What are paint bags

In Latin, “malar” means cheekbone and zygomatic bone. Another name is sufas. They appear as a result of weakening of the muscular-ligamentous apparatus, gravitational ptosis (omission) under the influence of gravity, fluid accumulation. This leads to deformation of the cheekbones and sagging of the fat folds. The face looks tired, the skin becomes thinner and loses its former tone.

Occurs mostly after 35 years. But they are also found in younger girls and men.

Reasons for the formation of sufis

Paint bags are a cosmetic defect, not a pathology. They arise under the influence of provoking factors:

• Age. The production of collagen and elastin slows down, the loss of extensibility and elasticity of the skin, the accumulation of fat deposits, and the decrease in muscle tone. This contributes to the formation of sufis on the face.
• Hereditary burden. Cases in the family with close relatives – mothers or grandmothers.
• Fluid congestion in peripheral tissues. Causes of swelling on the cheekbones under the eyes: irrational water intake, concomitant diseases of the cardiovascular or excretory system. Drainage massage allows you to minimize manifestations. But it does not give a 100% guarantee.
• Bad habits. Tobacco smoking, alcohol abuse, unbalanced diet, cravings for snacks, cravings for fatty or salty foods. Promote the accumulation of fluid in the tissues.
• Defects or tension of the orbicular muscles of the eyes. Regular sitting at the screen of a tablet or smartphone, reading a book with small print.
• Hormonal changes. Pregnancy, breastfeeding, menopause, thyroid disease, rapid weight loss, rapid weight gain.
• Violation of the regime of work and rest, frequent stress.

Differences between paint bags and hernias of the lower eyelid

Sufas are located in the area of ​​the cheekbones. Hernia of the lower eyelid – ptosis of soft tissues under the eye, caused by protrusion of intraorbital fat, weakening of muscles, loss of skin turgor.

How to get rid of mask bags under the eyes: basic methods

There are both radical surgical and non-surgical cosmetic techniques for correcting sufs.

Surgical treatment:

• Blepharoplasty. Removal of excess fat in the cheekbones, tightening and fixation of muscle tissue. The technique is distinguished by a short rehabilitation period, the absence of noticeable sutures and scars. With sufficient qualifications and experience of the surgeon. The result is stored for 10-20 years.
• Facelift. One-stage facelift and blepharoplasty. The treatment technique is aimed at rejuvenating the middle zone of the face, raising the corners of the lips. Allows you to remove swelling under the eyes on the cheekbones and lacrimal grooves.
• Liposuction. Hardware removal of fat. Connective tissue is formed, giving the muscles tone. Disadvantages – high complexity and invasiveness of the technique, a long recovery period, a list of contraindications, restrictions after surgery.
• Lipolifting. Filling the middle third of the face with fat taken from another anatomical region (thigh, abdomen). The so-called autotransplantation. Furrows are leveled, the face acquires a youthful appearance, sufas on the cheekbones and mimic wrinkles are removed.

How to get rid of paint bags without surgery

Non-surgical methods in cosmetology:

• Lymphatic drainage massage. Allows you to eliminate edema and swelling, improves microcirculation in peripheral tissues, forms a young face oval. It prevents congestion, slows down gravitational ptosis. Disadvantages – contraindications, the need for course procedures.
• Injection correction.
• Thread lifting. Differs in the increasing effect, the maximum result in 6-8 months. The method involves the introduction of reinforcing threads to form the contour of the face and support the subcutaneous fat and muscles.
• SMAS lifting. Local exposure to high-frequency ultrasound. It penetrates into the deep layers of the dermis and destroys weak areas of collagen and elastin. The sealing of the zygomatic region occurs due to the coagulation (“folding”) of the protein and the strengthening of the muscular-ligamentous apparatus. The result is stored for 1-2 years.
• Microcurrents. Suitable for early stages of change. They contract muscles, stimulating the production of ATP (an energy molecule). This provides cell regeneration, protein synthesis, and an increase in the tone of structures.
• EMS therapy. Impact on the zygomatic area of ​​electrical impulses. The effect is comparable to daily physical training.
• RF lifting. Warming up the deep layers of the epidermis to a temperature of 38-45 degrees Celsius. Activation of fibroblasts responsible for the production of collagen and elastin is noted. The result is muscle strengthening, smoothing of age wrinkles.
• Darsonval. Physiotherapeutic procedure involving exposure to high frequency alternating currents. Normalizes metabolic processes, accelerates cell regeneration, improves blood flow.

Non-surgical correction of paint bags in the Cosmed clinic

At the Cosmed clinic, we offer proven non-surgical options for the correction of paint bags.

Lifting ALTERA from 23000 ₽

Threads APTOS from 10200 ₽

Contour plastic from 16000 ₽

RF lifting from 2250 ₽

Microcurrent therapy from 2000 ₽

Cosmetologists have an ambivalent attitude towards home portable devices and techniques. Some – recommend, others – talk about the inefficiency of the procedures. Therefore, you should first consult with your doctor.

To prevent paint bags, you need to normalize sleep and rest, stop smoking and alcohol, refrain from salty and fried foods. The rate of fluid intake per day is 1.5-2 liters. Restrictions in diseases of the cardiovascular or excretory system. If possible, avoid contact with allergens.

Diversify your diet with foods rich in vitamins, micro and macro elements.

It is not recommended to sleep with your face in a pillow or on your stomach. To improve microcirculation, to ensure normal outflow of lymph allows contrast washing and daily special gymnastics.

Beauticians recommend keeping eye masks – cream and fabric patches – in the refrigerator.

Why choose the center of medical cosmetology Kosmed

Our advantages:

• Work experience – more than 10 years (since 2009).
• Medical license to provide services.
• 3000 regular customers.
• Qualified personnel. Each employee with a higher medical education who has completed residency in dermatovenereology and refresher courses in cosmetology.
• We use only original certified preparations (Merz, Ipsen, etc.).
• We develop individual programs and methods of treatment for the characteristics of the skin to ensure maximum effect.