Migraine
It is also often the case that facial pain occurs as part of a migraine. Patients then often complain of pain rising from the neck, which extends over the entire head and particularly affects the forehead and eye region. The migraine headache usually manifests itself as a pulsating stabbing pain, together with strong accompanying symptoms such as nausea, vomiting, sensitivity to light and noise and an increased need for rest for the person affected. If the pain mainly affects the face, many patients initially consult an ophthalmologist or ENT specialist by mistake, but they cannot help in this case. In order to be able to diagnose a migraine, both a physical and a neurological examination are useful in order to be able to exclude possible other diseases.
Pain during a cold
The most common cause of facial pain is probably a normal cold. However, the focus of the complaints is usually not on the pain, but on the typical symptoms of a classic cold and a general feeling of pressure in the nose and sinuses. Thus, the cause of the facial pain is usually clear.In the case of a somewhat more severe cold that lasts longer, it is possible that it will spread into the paranasal sinuses and lead to an inflammation here. This can be accompanied by more severe facial and headaches.
Sinusitis
Sinusitis, an inflammation of the paranasal sinuses, is one of the most common causes of bilateral facial pain, which is usually accompanied by a strong feeling of pressure. The diagnosis of the disease is usually simple, as this inflammation is accompanied by a blocked nose and pain in the area of the upper jaw or forehead. If the pain and the feeling of pressure get worse when pressure is applied to the upper jaw and forehead or when bending forward, the diagnosis is considered almost certain.
To treat this inflammation, decongestant nasal sprays are first prescribed, which usually bring about a rapid improvement in pain. If the inflammation cannot be sufficiently cured by drug therapy, surgery is necessary in rare cases. In the majority of cases, however, a simple sinusitis subsides on its own within two weeks.
