Allodynia is the appearance of pain when exposed to stimuli that normally do not cause pain. It is noted in causalgia, neuropathies and polyneuropathies, herpes zoster, multiple sclerosis, migraine, condition after spinal cord injuries, strokes, spinal operations. To establish the cause of allodynia, data from a survey, general and neurological examination, electrophysiological, neuroimaging and laboratory studies are used. Treatment - analgesics, blockade with anesthetics, vitamins, antidepressants, physiotherapy techniques. Surgery is sometimes recommended.
Pain in the lip is observed with various types of cheilitis, herpes, traumatic injuries, atypical form of lichen planus of the oral cavity, trigeminal neuralgia, lip cancer. In the absence of significant skin defects, it is often burning, often combined with itching, with the appearance of cracks - sore, with neurological pathology - extremely intense, shooting. The cause is established on the basis of examination data, instrumental and laboratory methods. Treatment includes anti-inflammatory, anti-allergic, antipruritic local agents, immunomodulators, regeneration stimulants, other drugs of general action, physiotherapy techniques. Surgery is sometimes recommended.
Pain in the lower jaw is observed with periostitis, osteomyelitis, maxillary abscess, fractures, tumors. It is provoked by some dental pathologies, bruxism, neuralgia, coronary artery disease. It can be constant, intermittent, strong, non-intense, dull, sharp, pressing, aching, bursting, twitching. The cause is determined based on the results of the survey, general and dental examination, imaging, electrophysiological, laboratory techniques. Therapy includes analgesics, antibiotics, glucocorticoids, and other medications. Sometimes operations are performed.
Pain in the chin occurs with traumatic injuries, local purulent processes, trigeminal neuralgia, atypical prosopalgia. In patients with dental pathologies and myositis of the cervical muscles, it has an irradiating character. It can be acute, dull, constant, short-term, growing, weak, intense, aching, twitching, arching, shooting. The cause of the symptom is established according to the survey, general and dental examination, additional studies. Treatment is carried out with the use of analgesics, antibiotics, anticonvulsants and other drugs. Operations are carried out according to indications.
Facial numbness is observed in neurological, dental, vascular and oncological diseases, traumatic injuries. It is less often detected in patients with mental disorders, infections, parasitosis, and some other pathologies. Most often unilateral. It can be temporary or permanent, covering the entire half of the face or a specific area. The cause of the condition is established according to the survey, external, neurological and dental examination, imaging and laboratory techniques. Treatment includes neuroprotective agents, anticonvulsants, antibacterial agents, and physiotherapy.
Numbness of the chin occurs against the background of trigeminal neuralgia, injuries and tumors. It is observed with osteochondrosis, migraine, herpes zoster, B12-deficiency anemia, mental disorders. The cause is established on the basis of data from an external examination, dental and neurological examination, radiography, MRI, CT, laboratory tests. Treatment for chin numbness includes anticonvulsants, NSAIDs, antihistamines, antibiotics, physical therapy, and surgery.
Tic is a type of hyperkinesis. Represents involuntary stereotyped movements that resemble arbitrary. In most cases, it occurs in childhood. It is provoked by neuroses, residual organic insufficiency due to harmful effects in the prenatal period and early childhood. Seen in Tourette's syndrome. Sometimes it occurs secondary to other CNS lesions. The cause is determined on the basis of a survey, examination, data from a psychodiagnostic examination, CT, MRI, and other procedures. Treatment - psychotherapy, psychocorrection, drug therapy, physiotherapy. Operations are sometimes shown.