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What Causes On And Off Shooting Pains On Right Temple Area?

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Posted on Sat, 10 Jan 2015
Question: I have been getting sharp shooting pains on and off for a few hours in my right temple. I'm wondering if this could be TMJ. I have TMJ but while I have had pain before do not recall pain lasting this long. The pain is in front of but above ear area. Also tight feeling around joint in front of ear. No weakness in rest of body. If not TMJ any other ideas? Should i be worried and go to hospital? Already took aspirin but hasn't seemed to help.
doctor
Answered by Dr. Michelle Gibson James (53 minutes later)
Brief Answer:
may be neuralgia

Detailed Answer:
HI, thanks for using healthcare magic

TMJ (temporomandibular joint dysfunction) would normally present with symptoms concentrated in the region of the jaw.

It is possible that the symptoms are related to neuralgia. Since it is in this region may be trigeminal neuralgia though this is your first episode.

The trigeminal nerve is made up of different parts that are responsible for sensation and movement in different parts of the face.
The three parts of the opthalmic division (supplies the area around the temple and eye area), the maxillary (around the check area) and the mandibular.

Neuralgia refers to abnormal function or structure of a nerve. This can cause pain and abnormal sensations such as burning, pinching, sticking , stabbing discomfort.

CAUSES: (1)most commonly idiopathic- cause is not known
(2)presence of a mass affecting the nerve
(3)blood vessel may also compress a nerve. In addition it is also possible that the blood supply to a nerve may be affected
(4)inflammatory diseases such as sarcoidosis
(5)MS
(6)lack of vitamin b12 or folate can also cause neuralgia
(7)diabetes

In many cases, the symptoms may resolve with no intervention. It is normally not emergency but can be assessed by visiting your family doctor unless the pain in intolerable.

I hope this helps,feel free to ask any other questions


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (59 minutes later)
What is best temporary treatment? Ice or hear? Aleve? Thanks.
doctor
Answered by Dr. Michelle Gibson James (6 minutes later)
Brief Answer:
can use aleve

Detailed Answer:
HI

You can use the aleve to see if it helps you.

If it does not then your doctor may need to prescribe stronger pain medication.

The heat or cold therapy is not normally helpful in this type of pain unless related to trauma.

Please feel free to ask anything else
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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What Causes On And Off Shooting Pains On Right Temple Area?

Brief Answer: may be neuralgia Detailed Answer: HI, thanks for using healthcare magic TMJ (temporomandibular joint dysfunction) would normally present with symptoms concentrated in the region of the jaw. It is possible that the symptoms are related to neuralgia. Since it is in this region may be trigeminal neuralgia though this is your first episode. The trigeminal nerve is made up of different parts that are responsible for sensation and movement in different parts of the face. The three parts of the opthalmic division (supplies the area around the temple and eye area), the maxillary (around the check area) and the mandibular. Neuralgia refers to abnormal function or structure of a nerve. This can cause pain and abnormal sensations such as burning, pinching, sticking , stabbing discomfort. CAUSES: (1)most commonly idiopathic- cause is not known (2)presence of a mass affecting the nerve (3)blood vessel may also compress a nerve. In addition it is also possible that the blood supply to a nerve may be affected (4)inflammatory diseases such as sarcoidosis (5)MS (6)lack of vitamin b12 or folate can also cause neuralgia (7)diabetes In many cases, the symptoms may resolve with no intervention. It is normally not emergency but can be assessed by visiting your family doctor unless the pain in intolerable. I hope this helps,feel free to ask any other questions