Facial or orofacial pain is pain experienced between the borders of the eyes and lower mandible, including the oral cavity. Facial pain has a population prevalence of around 1.9%, with women more frequently affected at a 2:1 ratio. The known risk factors for the development of facial pain are psychological factors, low socioeconomic status, smoking and the presence of other chronic pain conditions.
For all clinicians, including chiropractors, facial pain poses a challenging clinical picture, as differential diagnoses are wide-ranging. This article aimed to provide a stepwise framework for clinicians when assessing patients presenting with facial pain.
For chiropractors, this framework should be helpful, since many of these conditions should ideally be co-managed with other healthcare providers as part of a multidisciplinary approach. Our goal should be to avoid delays in diagnosis while appropriately manage co-existing musculoskeletal conditions and excluding serious pathologies in a timely manner.
THIS WEEK'S RESEARCH REVIEW: “Facial Pain Differential Diagnosis”
This paper was published in European Neurology (2020) and this Review is posted in Recent Reviews, Facial Pain, Headache - General and the 2020 Archive.
Facial pain