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Different Body Pains And Their Causes - Doctor Micheal

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Pain is the body’s most important alarm system because it draws attention to the fact that something is at fault and compels the patient to seek medical help. The total absence of pain sensation and uncontrolled severe pain both can do serious harm to the body and the mind. However, uncontrolled pain is the single most common reason for people to seek medical advice.


Different Body Pains And Their Causes


This article will discuss the many types of body pains and the factors that contribute to them.

Pain Occurring In The Face And Throat Causes

 

Several types of pain occur in the face, throat, and neck and many of them have characteristic diagnostic features. A proper understanding of the various clinical entities is necessary for an accurate diagnosis and management. The diagnosis mainly rests on the history and therefore a detailed history is important.


Below are the different types of pain located in the head throat region.

 

1). Trigeminal neuralgia (Tic douloureux)


It is a recurrent, paroxysmal, brief episode of intense pain over one side of the face. The pain may be described as lancinating, lightning-like, shooting, or electrical shock-like sensation. The pain is usually confined to one of the three divisions of the trigeminal nerve, the maxillary division being the most commonly affected and the ophthalmic division least affected.


Attacks may last only for a few seconds or up to several minutes. Their frequency varies from once in a few minutes to only once or twice a day. Trigger zones may be present.

 

2) . Glossopharyngeal neuralgia


Although it is less common, it resembles trigeminal neuralgia in many respects. It is also a recurrent, uncontrollable, intense pain that originates in the tonsillar fossa and may radiate to the ipsilateral ear. 


Sometimes, the vagus nerve may also be involved in which case the pain may be accompanied by bradycardia and even syncope. Swallowing, talking, chewing, yawning, laughing or similar acts trigger the pain. Rarely, glossopharyngeal neuralgia may be secondary to peritonsillar abscess or carcinoma of the oropharynx.

 

3) . Occipital neuralgia


Incontrollable pain in the occipital, suboccipital, and posterior parietal areas on one side may occur due to spontaneous irritation of the greater occipital nerve. Sometimes, the pain in this distribution may be provoked by touching the skin in that area.

 

4) Temporo-mandibular neuralgia ( Costen’ssyndrome)


This condition, seen in young or elderly individuals is characterized by recurrent, One-sided, severe pain that originates in one temporomandibular joint ( TMJ ) and spreads either into the face or into the temporalis muscle.


The pain is provoked by the movements of the lower jaw during chewing, yawning, and talking. These movements may be associated with clicking sounds in the temporomandibular joint. The temporomandibular joint and temporalis muscles are usually tender on palpation.

 

5) . Postherpetic neuralgia


Ophthalmic herpes: In the elderly patient, ‘‘herpes zoster ophthalmicus’’ may lead to the development of nerve pain in the distribution of ophthalmic division of the Trigeminal Nerve.


The discomfort of the acute stage will be followed by continuing, intractable, constant, burning sensation with overlaid episodes of sharp piercing pain. Even slight touch on the affected skin provokes intense pain.

 

6) . Intermittent claudication of the masseters


Such patients have pain in the masseter and tongue muscles on chewing movements due to intermittent claudication of temporal arteritis, the arteries to the muscles of mastication, and tongue.

 

7) . Carotidynia


It is characterized by unprompted episodes of dull ache originating in the middle of the neck on one side and radiating to the ipsilateral face, ear, jaw, teeth, or down the neck.


Causes of Neck and Back Pain


I) Inborn abnormalities such as spina bifida, sacralization of L5 vertebra, spondylolisthesis, and spinal canal stenosis.

 

ii). Trauma,

Both acute and recurrent lead to fractures and subluxation of the vertebrae, sprains, strains, and tears of the ligaments, tendons, and paravertebral muscles, and prolapse of intervertebral disks.

 

iii). Infections

By pyogenic, tuberculous, and fungal organisms leading to vertebral osteitis, epidural or paravertebral abscesses, spinal meningitis, and arachnoiditis.

 

iv). Inflammatory and autoimmune

Disorders like rheumatoid arthritis and ankylosing spondylitis.

 

v). Metabolic causes

Such as osteoporosis, osteomalacia, and Paget’s disease of bone.

 

vi). Degenerative conditions of the spine

This includes spondylosis with osteophyte formation projecting into the intervertebral foramina or narrowing of the spinal canal, prolapsed intervertebral disks, and hypertrophied ligamentum flavum.

 

vii). Primary tumors of the spinal cord, nerve roots (neurofibroma) or meninges (meningioma), and secondary deposits in the vertebrae.


In our next article, we shall give on the treatment of body pains, feel free to give us a comment and share this article toa all your friends

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