Facial Pain

Facial pain can stem from many different causes, ranging from minor issues like sinus pressure to more complex nerve-related conditions. Because the sensation can vary widely in intensity and pattern, understanding what’s behind the pain is the first step toward finding effective relief.

Facial pain can feel sharp, stabbing, aching or burning. It often interferes with speaking, eating or even simple facial movements. It may stem from dental, jaw or throat conditions, or originate from the nervous system within the brain, such as in trigeminal neuralgia.

Common Symptoms

Common facial pain symptoms include:

  • Sudden, shock-like facial pain
  • Persistent aching or burning sensation
  • Pain triggered by chewing, talking, brushing, or light touch
  • Intermittent episodes or steady discomfort
  • Facial numbness or sensitivity 

The symptoms may arise from:

  • Neuropathic origins, including injury to the trigeminal nerve, resulting in burning or shock-like pain, which can occur after dental work or trauma
  • Muscoskeletal or inflammatory cases, such as temporomandibular joint (TMJ) dysfunction or sinus inflammation
  • Nociceptive causes, including jaw pain (TMJ) or facial inflammation
  • Neurologic pain, particularly trigeminal neuralgia, delivers brief, severe electric-shock attacks


Our Diagnostic Process

Facial pain is diagnosed through a clinical evaluation that considers symptom history, location, and triggers, often supported by physical and neurological exams, dental assessments, or imaging studies to identify underlying causes.

Our approach includes

  • Clinical evaluation
    A detailed discussion of symptoms, potential triggers, and how they affect your daily life
  • Differential diagnosis
    Assessment based on recognized clinical standards to accurately guide evaluation and identify potential causes
  • Advanced diagnostics (if indicated)
    High-resolution MRI or neuroimaging to rule out structural or nerve-related contributors
  • Comprehensive physical exam
    Examination of the head, mouth, throat, eyes, teeth, and cranial nerves, particularly when a neurological source is suspected

Treatment Options

Advanced diagnostics and monitoring
We use state-of-the-art tools, including 3 Tesla (3T) MRI with advanced volumetric analysis and expert neuroradiology review, to pinpoint the source of your facial pain and monitor progress over time.

Medication management
Depending on the cause, we may prescribe medications that target nerve-related pain, reduce inflammation or address underlying conditions. Both acute and preventive options are carefully chosen and adjusted to your response, side effects and lifestyle.

Botox® injections
For certain chronic or neuropathic pain conditions, Botox can help calm overactive nerve signaling and reduce pain intensity.

Nerve blocks
Targeted injections deliver medication to overactive nerves to quickly relieve pain and reset nerve pathways. This includes trigeminal nerve blocks and SPG (sphenopalatine ganglion) blocks, both effective for specific facial pain syndromes.

Why Choose Salma Health? 

We’ve reimagined how depression care should feel: integrated, proactive and personal.

Personalized care plans
Every treatment plan is tailored to your unique biology, history and goals—not a one-size-fits-all approach

Integrated clinical team
Psychiatrists, neurologists, therapists, specialists and care coordinators work together to ensure no piece of your care happens in isolation

Precision diagnostics
We use advanced tools to understand your brain, not just your symptoms, helping us match you to the right interventions faster

Whole-person focus
We address the mind-body connection, emphasizing emotional, physical and cognitive wellbeing

Ongoing partnership
Care doesn’t stop after one visit. We monitor outcomes and adapt your plan over time as your needs evolve

Our approach to brain health care

  • We meet patients where they are to provide advanced diagnostics and treatment. Every patient is welcomed into an atmosphere of trust, comfort and support. Our team efficiently and collaboratively manages evaluation, treatment and follow-up care.

    We work with most major insurance providers to make care accessible. Not sure about your coverage? Our team can help verify your benefits and answer your questions.

We work with most major insurance companies.

Frequently asked questions

What types of facial pain do you treat?

We evaluate and treat a range of facial pain conditions, including trigeminal neuralgia, atypical facial pain, post-traumatic facial pain, and pain related to headaches or neurological disorders.

How do I know if my facial pain is nerve-related?

Nerve-related facial pain often feels like sudden, sharp, electric-shock attacks or burning sensations. It may be triggered by everyday activities such as chewing, talking, or touching your face. A neurological evaluation is the best way to determine whether nerves are involved.

What can I expect at my first visit to Salma Health for facial pain?

Your first visit includes a detailed discussion of your pain history, triggers, and how symptoms affect your daily life. We’ll perform a neurological exam and may recommend imaging or other diagnostics if needed. Together, we’ll design a treatment plan tailored to your specific condition and goals.

Do I need a medical imaging exam for facial pain?

Not always. Many facial pain conditions can be diagnosed through a thorough clinical evaluation. Imaging such as MRI is recommended if symptoms are atypical, worsening, or suggest an underlying structural or neurological issue.

How quickly will I feel better?

The timeline for relief depends on the cause of your facial pain and the treatments used. Some patients experience improvement soon after treatment begins, while others require a longer-term approach with gradual progress over weeks to months.

Do you coordinate with my other doctors and therapists?

Yes. With your permission, we work closely with your primary care physician, dentist, or other specialists to ensure a coordinated approach to your care.