Face pain

Pain that starts in the face may be caused by a nerve problem, injury, or infection. Face pain may also begin in other places in the body.

• Abscessed tooth (ongoing throbbing pain on one side of the lower face that gets worse with eating or touching)
• Cluster headache
• Herpes zoster (shingles) or herpes simplex (cold sores) infection
• Injury to the face
• Migraine
• Myofascial pain syndrome
• Sinusitis or sinus infection (dull pain and tenderness around the eyes and cheekbones that gets worse when you bend forward)
• Tic douloureux (trigeminal neuralgia)
• Temporomandibular joint dysfunction syndrome

Sometimes the reason for the face pain is unknown.

Your treatment will be based on the cause of your pain.

Painkillers may provide temporary relief. If the pain is severe or does not go away, contact your health care provider or dentist.

Contact your provider if:

• Face pain is accompanied by chest, shoulder, neck, or arm pain. This could mean a heart attack. Call 911 or your local emergency number.
• Pain is throbbing, worse on one side of the face, and aggravated by eating. Contact a dentist.
• Pain is persistent, unexplained, or accompanied by other unexplained symptoms. Contact your primary provider.

If you have an emergency condition (such as a possible heart attack), you will first be stabilized. Then, the provider will ask about your symptoms and medical history and do a physical exam. You will be referred to a dentist for tooth problems.

You may have the following tests:

• Dental x-rays (if a tooth problem is suspected)
• ECG (if heart problems are suspected)
• Tonometry (if glaucoma is suspected)
• X-rays of the sinuses

Neurological tests will be performed if nerve damage could be a problem.

Garza I, Robertson CE, Smith JH, Whealy MA. Headache and other craniofacial pain. In: Jankovic J, Mazziotta JC, Pomeroy SL, Newman NJ, eds. Bradley and Daroff's Neurology in Clinical Practice. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 102.

Digre KB. Headaches and other head pain. In: Goldman L, Cooney KA, eds. Goldman-Cecil Medicine. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 367.

Updated by: Linda J. Vorvick, MD, Clinical Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.