Facial Pain and Spasms

What are facial pain and spasms?

Facial pain and spasms are neurological malfunctions that lead to sensations of discomfort or muscle contractions in your face. These symptoms can result from a variety of causes and conditions.

Facial pain can appear as sharp, dull, or throbbing discomfort in different areas of your face. These may occur due to dental problems, sinusitis, or neurological issues such as trigeminal neuralgia.

Face spasms involve involuntary muscle contractions in the face. They can be brief twitches or sustained contractions, often affecting your eyelids or cheeks. Hemifacial spasms or benign essential blepharospasm can lead to these facial spasms.

The severity and duration of these symptoms vary depending on the underlying cause.

facial pain and spasms
Facial pain and spasms are neurological malfunctions that can cause pain and discomfort.

What causes facial pain and spasms?

Facial pain and spasms can be attributed to various causes, such as:

  • Neurological conditions: neurological conditions such as trigeminal neuralgia or hemifacial spasms, can lead to issues with your facial nerves and result in sharp, shooting pains, or involuntary muscle contractions.
  • Dental-related issues: infections or dental procedures, may lead to localised facial discomfort.
  • Sinusitis: sinus inflammation or infection can cause pain in your cheeks and forehead.
  • Temporomandibular joint (TPMJ): TPMJ can contribute to jaw and facial pain.
  • Stress and anxiety: can manifest as facial muscle tension and discomfort.
  • Medications: in some cases, certain medications may induce facial muscle twitches.
  • Idiopathic causes: no specific origin can be identified

Make an appointment with Chou Neuroscience Clinic to determine the exact cause of your facial pain and spasms, and get appropriate treatment.

What are the symptoms of facial pain and spasms?

The symptoms of facial pain and spasms include: 

  • Sharp or throbbing pain in your face
  • Muscle contractions or twitching
  • Discomfort around your eyes, cheeks, or jaw
  • Episodes of facial pain triggered by activities such as eating or talking
  • Involuntary closure of one or both eyelids
  • Uncontrollable movement or facial muscles
  • Facial muscle stiffness or tightness
  • Sensations of facial pressure or fullness
  • Discomfort that may interfere with daily activities
  • Symptoms that vary in intensity and duration
eye twitching
Discomfort around the eyes or eye twitching are symptoms of facial pain or spasms.

Are facial pain and spasms painful?

Yes, facial pain and spasms can be intensely painful. The severity of the pain and discomfort vary depending on the underlying cause. This is the case for conditions such as trigeminal neuralgia which can appear as sudden, stabbing facial pain, which is excruciating and debilitating.

Muscle spasms, such as those seen in hemifacial spasms, may not be as painful but can still be distressing and impact your quality of life.

Who is at risk of facial pain and spasms in Singapore?

In Singapore, facial pain and spasms can affect individuals of all ages. However, certain factors may increase the risk of experiencing these symptoms, these are:

  • Age: the risk of both facial pain and spasms increases as you age.
  • Gender: both facial pain and spasms are more common in women than men.
  • Dental health: individuals with poor dental health are more prone to facial pain and spasms.
  • Sinus issues: individuals who are more prone to sinus issues such as sinusitis are more likely to develop facial pain and spasms.
  • Stress and anxiety: individuals with high stress levels or prone to anxiety are at a high risk of developing facial pain and spasms.

electromyography face
An EMG will be conducted to assess nerve function and activity in the face.

How are facial pain and spasms diagnosed?

Diagnosing facial pain and spasms typically involves a thorough medical evaluation and may include the following:

  • Medical history: your neurologist will start by discussing your symptoms in detail (especially the location, duration, and intensity of your facial pain and any triggering factors).
  • Physical examination: a physical exam will be conducted with a focus on your head and neck region, including assessing your facial muscles, jaw, and cranial nerves.
  • Neurological assessment: evaluates the sensory and motor functions of the face and identifies any abnormalities.
  • Imaging tests: imaging tests such as magnetic resonance imaging (MRI) or computed tomography scans (CT scans) may be recommended to help visualise any structural issues or abnormalities in your brain, nerves, or blood vessels that may be causing symptoms.
  • Blood tests: to rule out underlying medical conditions or infections.
  • Electromyography (EMG): if muscle spasms are a prominent symptom, an EMG may be performed to assess nerve function and activity in the affected area.

What are the treatment options for Facial Pain and Spasms in Singapore?

In Singapore, treating facial pain and spasms depends on their cause and severity. Treatment options include:

  • Medications: pain relievers, muscle relaxants, or anticonvulsants (antiseizure) medicnes can help reduce pain and ease muscle tension. 
  • Physical therapy: physical therapy involving simple, therapeutic exercises aimed at reducing muscle tension and enhancing jaw function and facial muscles can help alleviate mild symptoms. 
  • Botulinum toxin injections: these injections temporarily paralyse specific facial muscles for relief and reduce spasms and pain. 
  • Nerve blocks: also known as neural blockades, work to alleviate or prevent pain but disrupting nerve signals.
  • Surgery: if non-invasive interventions do not work, surgical procedures may be necessary. Examples of these procedures include microvascular decompression or nerve rhizotomy techniques can help to relieve pressure on the nerves responsible for the pain.

Frequently asked questions  

Are facial pain and spasms a sign of a more serious condition?

Facial pain and spasms can be symptoms of various conditions, some of which may be serious. While not all cases indicate a severe underlying problem, it is essential to seek medical evaluation to determine the cause and appropriate treatment.

Can facial pain and spasms be prevented?

Preventing facial pain and spasms often depends on their underlying causes. Maintaining good oral health, managing stress and avoiding triggers such as excessive caffeine or alcohol consumption can help reduce the risk. However, prevention may not always be possible and prompt treatment is important.

When should I seek immediate medical attention for facial pain and spasms?

You are advised to seek immediate medical attention if you experience sudden, severe facial pain and spasms, especially if it is accompanied by other concerning symptoms such as difficulty breathing, chest pain, or loss of consciousness. These could indicate a more serious medical emergency.

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Copyright © 2023 Chou Neuroscience Clinic. All Rights Reserved