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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Intense Sinus Pain

im 24 year old male, 6 feet tall , 175 pounds. ive been having intense sinus pain for three days now, happens about the same time in the afternoon and it literally floors me, i can do nothing but hold my head and stay still waiting for it to stop, my left eye waters and the pain radiates from my teeth to behind my eye and my neck. than suddenly i hear a loud crackling noise followed by a long squeeling air noise and an immediate sudden release of pain. is this a sinus infection? or could it be allergies? ive never had anythign quite like this before, and ive worked as a scuba diver for years and am well aware of a sinus squeeze feeling, this is much more intense.
Fri, 28 Aug 2020
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Dentist 's  Response
Hi,

As per your question it seems that you are suffering from neurotic pain like Trigeminal Neuralgia or Tic Doloreux. It leads to sudden bouts of electric shock like pain. Trigeminal neuralgia can occur due to disturbances associated with the fifth cranial nerve that is the Trigeminal nerve. You need to consult a neurophysician and get evaluated for the exact cause of the nerve induced pain as there can be some causes like the most common one is a large artery impinging over the nerve causing damage of the Myelin Sheath [a protective cover over the nerve] leading to severe electric shock like pain.

Other causes are disorders like Multiple sclerosis, tumor compressing the nerve, physical trauma etc. The common drugs given to relieve neurotic pain are Carbamazipine that is the first line drug while others like Gabapaentin, Baclofen, Oxycarbazipine etc., but in case if the pain does not subside then a detailed evaluation and tests like MRI SCAN can be done to rule out the underlying cause and treatment of the same can relieve..

If there is any artery impinging the nerve microvascular decompression in which the compression over the artery is surgically removed is done. Other procedures like Balloon decompression, gama knife radiosurgery, glycerol injection etc., can be done to relieve pain.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Honey Arora, Dentist
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Suggest Treatment For Intense Sinus Pain

Hi, As per your question it seems that you are suffering from neurotic pain like Trigeminal Neuralgia or Tic Doloreux. It leads to sudden bouts of electric shock like pain. Trigeminal neuralgia can occur due to disturbances associated with the fifth cranial nerve that is the Trigeminal nerve. You need to consult a neurophysician and get evaluated for the exact cause of the nerve induced pain as there can be some causes like the most common one is a large artery impinging over the nerve causing damage of the Myelin Sheath [a protective cover over the nerve] leading to severe electric shock like pain. Other causes are disorders like Multiple sclerosis, tumor compressing the nerve, physical trauma etc. The common drugs given to relieve neurotic pain are Carbamazipine that is the first line drug while others like Gabapaentin, Baclofen, Oxycarbazipine etc., but in case if the pain does not subside then a detailed evaluation and tests like MRI SCAN can be done to rule out the underlying cause and treatment of the same can relieve.. If there is any artery impinging the nerve microvascular decompression in which the compression over the artery is surgically removed is done. Other procedures like Balloon decompression, gama knife radiosurgery, glycerol injection etc., can be done to relieve pain. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Honey Arora, Dentist