Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Aspects of Facial Pain

Aspects of Facial Pain The differential diagnosis of facial ments all with diminution of pain pain is not always straightforward and symptoms, but the long term Dr. loan Hester and a patient has often consulted effect was not good, presumably MB BS FFARCS several specialists before arriving at because of on-going domestic daily. A further course of treat­ a PainClinic. It is important to take a stress problems. ment resulted in stopping Tegre­ full and detailed history of the pain 7. A lady with a long history of becausethis alone gives the greatest tol and she has been treated at migraine and then of migrainous clue to its cause. Acupuncture is increasing intervals since then neuralgia for ten years. This had without remission of pain. useful in the treatment of some been inten siveIyin vestigated types of facial pain. lt is more effec­ 4. Trigeminal neuralgia secondary with no cause found and was tive applied with the judicious use to multiple sclerosis. associated with a Horner's syn­ of drugs, such as tricyclic anti­ Acupuncture was applied to LI drome. The attacks of pain were depressants, to complement dental 4, and TW 5, bilaterally with ipsi­ particularly severe and associ­ treatment. or in connection with lateral face poi nts, S 4, 51 20, 5 1, ated with acute hypersensitivity psychological counselling. Long 18 and 19, GB 12, GB 20, GB 21 of the skin. term follow-up is necessary and and ear point with electrical She was taking Cafergot sup­ very acute pain may need a nerve stimulation for five minutes. positories up to five a day to blocking technique or neuro­ Treatment was applied twice relieve the pain. Acupuncture surgical intervention. weekly for three weeks and he wasapplied to LI 4 andl l bilater­ The following seven cases will serve used a transcutaneous nerve ally, and contra lateral GB 20 and as ilIustrations: stimulator at home during an 21, and point extra 2 and hyper­ attack. sensitivespot on the right temple 1. A housewife with temporo­ The pain remitted in two corresponding to the trigger area months and he was pain free for mandibular joint dysfunction on the left temple. four months and had a further secondary to malocclusion prob­ Originally her pain increased, course of four weekly treatments lems and influenced by stress in but after weekly treatments dim­ followed by a remission for a her family and by clenching her inished in number and severity of teeth. further six months. attacks and over a period of two Acupuncture was applied to L months shewas leading a normal 5. A lady with asevenyear history of 3, U 4, 5, II bilaterally. 5118, 19. S life again. trigeminal neuralgia which was 3, GB 20 and 5 5, with electrical originally controlled with acu­ L Liver stimulation to an ear point for five puncture given as follows: L1 = Large Intestine to ten minutes. Four treatments Ll 4, 11, TW 5, bilaterally and 51 = Small Intestine were given at two weekly inter­ ipsilateral LI 20. 5 2, GB 14 and 1, 5 Stomach vals. Shewasalso prescribed a tri­ 51 19. Ear point with electrical GB = Gall Bladder cyclic anti-depressant which was stimulation for five minutes. TW = Triple Warmer taken intermittently. Following the death of her hus­ GV = Governing Vessel Acupuncture lessenedthe inci­ band the pain recurred acutely. The cases illustrate a wide variation dence and severity of her spasms Acupuncture was not very in response to acupuncture but in of pain. helpful and surgical crvoanal­ those individuals who respond gesia was applied to the left 2. A man with the differential well, acupuncture is highly effective supra-trochlear and infra orbital diagnosis of post-herpetic neural­ and without the risk of severe side nerves. After four months the gia, pain from osteoarth ritis ofthe effects from permanent nerve pain is returning but is of lesser temporo-mandibular joint and blocking techniques or surgical severity. atypical facial pain. From the his­ intervention. tory of the pain, which was des­ 6. A lady with bilateral myofacial cribed as a continuous boring pain, starting with the mandibles KIRBY. ATTITUDI-. type of pain, the latter diagnosis and radiating to both orbits, fore­ CONT. mO.""1 PACE 8 seemed the most likely. Acu­ head and back of the neck. This puncture was not helpful and he accusation that scientific proof is was associatedwith many tender awaits some psychological help muscle spotswithin the facial and lacking seems weak - no-one and hypnosis. occipital muscles. knows how ECTworks, but it is used 3. A case of trigeminal neuralgia Acupuncture was applied to L and, even with its critics, it has an which responded very well to 3. U 4, bilaterally, SI 19, GB 20 establishment following. acupuncture. The points used As for lay practice. this will and 21. GV 15and tender spotsin were contra lateral U 4, contra become less and less of a problem the facial muscles. lateral GB 6, and corresponding as more and more doctors learn the This produced an immediate ear points with electrical stimula­ skills of acupuncture and encour­ disappearance of pain. She was tion for five minutes. Six weekly agetheir colleagues to refer to them alsoprescribed Prothiaden 75 mg treatments resulted in reduction rather than to non-medically quali­ nocte. She has had several of TegretoJ from 500 to 100 mg fied therapists. courses of three fortnightly treat- http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Acupuncture in Medicine SAGE

Aspects of Facial Pain

Acupuncture in Medicine , Volume 2 (1): 1 – Jan 1, 1984

Loading next page...
 
/lp/sage/aspects-of-facial-pain-HZYE8qFgIw

References (0)

References for this paper are not available at this time. We will be adding them shortly, thank you for your patience.

Publisher
SAGE
Copyright
© 1984 British Medical Acupuncutre Society
ISSN
0964-5284
eISSN
1759-9873
DOI
10.1136/aim.2.1.9
Publisher site
See Article on Publisher Site

Abstract

The differential diagnosis of facial ments all with diminution of pain pain is not always straightforward and symptoms, but the long term Dr. loan Hester and a patient has often consulted effect was not good, presumably MB BS FFARCS several specialists before arriving at because of on-going domestic daily. A further course of treat­ a PainClinic. It is important to take a stress problems. ment resulted in stopping Tegre­ full and detailed history of the pain 7. A lady with a long history of becausethis alone gives the greatest tol and she has been treated at migraine and then of migrainous clue to its cause. Acupuncture is increasing intervals since then neuralgia for ten years. This had without remission of pain. useful in the treatment of some been inten siveIyin vestigated types of facial pain. lt is more effec­ 4. Trigeminal neuralgia secondary with no cause found and was tive applied with the judicious use to multiple sclerosis. associated with a Horner's syn­ of drugs, such as tricyclic anti­ Acupuncture was applied to LI drome. The attacks of pain were depressants, to complement dental 4, and TW 5, bilaterally with ipsi­ particularly severe and associ­ treatment. or in connection with lateral face poi nts, S 4, 51 20, 5 1, ated with acute hypersensitivity psychological counselling. Long 18 and 19, GB 12, GB 20, GB 21 of the skin. term follow-up is necessary and and ear point with electrical She was taking Cafergot sup­ very acute pain may need a nerve stimulation for five minutes. positories up to five a day to blocking technique or neuro­ Treatment was applied twice relieve the pain. Acupuncture surgical intervention. weekly for three weeks and he wasapplied to LI 4 andl l bilater­ The following seven cases will serve used a transcutaneous nerve ally, and contra lateral GB 20 and as ilIustrations: stimulator at home during an 21, and point extra 2 and hyper­ attack. sensitivespot on the right temple 1. A housewife with temporo­ The pain remitted in two corresponding to the trigger area months and he was pain free for mandibular joint dysfunction on the left temple. four months and had a further secondary to malocclusion prob­ Originally her pain increased, course of four weekly treatments lems and influenced by stress in but after weekly treatments dim­ followed by a remission for a her family and by clenching her inished in number and severity of teeth. further six months. attacks and over a period of two Acupuncture was applied to L months shewas leading a normal 5. A lady with asevenyear history of 3, U 4, 5, II bilaterally. 5118, 19. S life again. trigeminal neuralgia which was 3, GB 20 and 5 5, with electrical originally controlled with acu­ L Liver stimulation to an ear point for five puncture given as follows: L1 = Large Intestine to ten minutes. Four treatments Ll 4, 11, TW 5, bilaterally and 51 = Small Intestine were given at two weekly inter­ ipsilateral LI 20. 5 2, GB 14 and 1, 5 Stomach vals. Shewasalso prescribed a tri­ 51 19. Ear point with electrical GB = Gall Bladder cyclic anti-depressant which was stimulation for five minutes. TW = Triple Warmer taken intermittently. Following the death of her hus­ GV = Governing Vessel Acupuncture lessenedthe inci­ band the pain recurred acutely. The cases illustrate a wide variation dence and severity of her spasms Acupuncture was not very in response to acupuncture but in of pain. helpful and surgical crvoanal­ those individuals who respond gesia was applied to the left 2. A man with the differential well, acupuncture is highly effective supra-trochlear and infra orbital diagnosis of post-herpetic neural­ and without the risk of severe side nerves. After four months the gia, pain from osteoarth ritis ofthe effects from permanent nerve pain is returning but is of lesser temporo-mandibular joint and blocking techniques or surgical severity. atypical facial pain. From the his­ intervention. tory of the pain, which was des­ 6. A lady with bilateral myofacial cribed as a continuous boring pain, starting with the mandibles KIRBY. ATTITUDI-. type of pain, the latter diagnosis and radiating to both orbits, fore­ CONT. mO.""1 PACE 8 seemed the most likely. Acu­ head and back of the neck. This puncture was not helpful and he accusation that scientific proof is was associatedwith many tender awaits some psychological help muscle spotswithin the facial and lacking seems weak - no-one and hypnosis. occipital muscles. knows how ECTworks, but it is used 3. A case of trigeminal neuralgia Acupuncture was applied to L and, even with its critics, it has an which responded very well to 3. U 4, bilaterally, SI 19, GB 20 establishment following. acupuncture. The points used As for lay practice. this will and 21. GV 15and tender spotsin were contra lateral U 4, contra become less and less of a problem the facial muscles. lateral GB 6, and corresponding as more and more doctors learn the This produced an immediate ear points with electrical stimula­ skills of acupuncture and encour­ disappearance of pain. She was tion for five minutes. Six weekly agetheir colleagues to refer to them alsoprescribed Prothiaden 75 mg treatments resulted in reduction rather than to non-medically quali­ nocte. She has had several of TegretoJ from 500 to 100 mg fied therapists. courses of three fortnightly treat-

Journal

Acupuncture in MedicineSAGE

Published: Jan 1, 1984

There are no references for this article.