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What causes painful swelling in the temples?

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Posted on Tue, 25 Jul 2017
Question: When I work hard the veins in my temples become swollen and painful to the touch what could cause this?
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Answered by Dr. Lekshmi Rita Venugopal (2 hours later)
Brief Answer:
Need to rule out temporal arteritis

Detailed Answer:
Hello,
Thank you for trusting HCM

Bulging temporal vein, especially while straining, can be normal/physiological.
But the associated tenderness on touching is concerning.
Such pain raises the concern for temporal arteritis.
Temporal arteritis requires prompt treatment with steroids, to avoid complications especially to the eye and vision.

Blood ESR levels are used as an increased screening, followed by temporal artery biopsy to confirm temporal arteritis. If ESR is elevated steroids will be started even before the biopsy.

Please be advised to follow up with your primary care provider/urgent care as soon as possible.

Hope this answers your question
Please address further questions here
Regards,
Dr.Lekshmi
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Lekshmi Rita Venugopal

General & Family Physician

Practicing since :2012

Answered : 3815 Questions

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What causes painful swelling in the temples?

Brief Answer: Need to rule out temporal arteritis Detailed Answer: Hello, Thank you for trusting HCM Bulging temporal vein, especially while straining, can be normal/physiological. But the associated tenderness on touching is concerning. Such pain raises the concern for temporal arteritis. Temporal arteritis requires prompt treatment with steroids, to avoid complications especially to the eye and vision. Blood ESR levels are used as an increased screening, followed by temporal artery biopsy to confirm temporal arteritis. If ESR is elevated steroids will be started even before the biopsy. Please be advised to follow up with your primary care provider/urgent care as soon as possible. Hope this answers your question Please address further questions here Regards, Dr.Lekshmi