Facial Pain and Trigeminal Neuralgia

Facial pain can be caused by a variety of factors, including headaches, injuries, dental problems, infections and nerve conditions such as trigeminal neuralgia. At the Orlando Health Neuroscience Institute, our compassionate specialists understand the challenges and emotional toll created by chronic face pain. Our multidisciplinary approach will provide you with a care plan, including next-level diagnosis and treatments, tailored to your unique needs and symptoms.


Symptoms of facial pain can vary, based on the underlying condition. You may experience a tingling or burning sensation on your skin. Or you may feel a dull ache or throbbing that could be mistaken for tooth pain.


The most intense form of facial pain is caused by trigeminal neuralgia. The condition is linked to the trigeminal nerve, which carries sensory information from your face to your brain. The disorder is caused by disfunction of that nerve, sometimes when a blood vessel is applying pressure on the nerve. Flareups can be triggered by a wide range of ordinary daily occurrences, including teeth brushing, eating, feeling a gust of wind, shaving or putting on makeup. Among the symptoms:


Diagnosis begins with a physical examination by your doctor, who will seek detailed information about your pain, including location, intensity and potential triggers. This may be followed by a neurological exam to assess how the nerves in your brain and motor system function, along with pain tolerance and reflexes. Your doctor may also use magnetic resonance imaging to look for signs of tumors, multiple sclerosis and other potential causes.

You should keep in mind that there are many conditions and syndromes that have facial pain as a symptom. So, your doctor will first look for other medical conditions that could be causing your pain. Trigeminal neuralgia-like symptoms, for example, can be caused by cluster headaches, migraines, TMJ disorder, ear infections and sinusitis.


Chronic facial pain often can be managed with medication. But over time, medication may lose effectiveness or cause unpleasant side effects. In those cases, injections or surgery may be a more effective option. Among the treatments we offer:

Navigate Your Health