An update on the assessment and management of facial pain

Rate this item
(0 votes)


Despite popular belief, chronic rhinosinusitis is rarely the cause of chronic headache or facial pain. Many patients who report facial pain are therefore mistakenly given this diagnosis. Instead, they may be suffering from a myofascial pain syndrome, such as midfacial segment pain. These syndromes share similarities with tension-type headache. Medical therapy, including a low-dose tricyclic antidepressant, can be beneficial to many patients. The Sinonasal Outcome Test and Brief Pain Inventory-Facial can be used to assess patients and monitor treatment response. Those whose symptoms are refractory to medical therapy may benefit from adjunctive treatments such as regional anaesthesia or neuromodulation. We also present our experience of setting up a multidisciplinary facial pain clinic.

Additional Info

Read 27501 times Last modified on Wednesday, 13 May 2020 11:49

Leave a comment

Make sure you enter the (*) required information where indicated. HTML code is not allowed.


Member Login

          Forgot login? | Register

BBC News Feed

Get in touch

+44 207 637 3544

This email address is being protected from spambots. You need JavaScript enabled to view it.

The Otorhinolaryngologist,
73 Newman Street, London
W1T 3EJ, 


Rila Publications Ltd Ethics Policy