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Airing Pain 131: Face Pain, Treatment & Management

What caus­es dif­fer­ent types of face pain and what treat­ment is available? 


In this episode of Air­ing Pain we cov­er facial pain in its many forms, what treat­ments are avail­able and how to cope bet­ter with your pain.

Fund­ed by The Hos­pi­tal Sat­ur­day Fund.
In col­lab­o­ra­tion with UCLH Roy­al Nation­al ENT & East­man Den­tal Hos­pi­tals.


The way our face feels and how we move it is a mas­sive part of our iden­ti­ty. Feel­ing pain in the face, or not being able to use your face the way you want to, is not only a phys­i­cal bur­den on the per­son suf­fer­ing, but a heavy psy­cho­log­i­cal load to cope with as well.


Issues cov­ered in this pro­gramme include:
facial pain, unnec­es­sary den­tal treat­ments, tooth ache, face and iden­ti­ty, man­age­ment tech­niques, trigem­i­nal neu­ral­gia, neu­ro­path­ic pain, car­ba­mazepine, neu­ro­surgery, pain man­age­ment pro­grammes, psy­chol­o­gy and pain, tem­poro­mandibu­lar dis­or­der, burn­ing mouth syn­drome, per­sis­tent idio­path­ic facial pain, cen­tral sen­si­ti­sa­tion syn­drome, phys­io­ther­a­py, accep­tance & com­mit­ment therapy

Time Stamps:

01: 54 — Trigem­i­nal neu­ral­gia (TN): what is it and what does it feel like? Dr Joan­na Zakrzews­ka explains.
06:27 — Dr Zakrzews­ka dis­cuss­es what treat­ments are avail­able for TN, includ­ing car­ba­mazepine.
10:37 — How can neu­ro­surgery help treat TN?
18:11 — Psy­chol­o­gy Pain Man­age­ment Pro­grammes (PMPs) for suf­fer­ers of TN.
19:11 — Susie Hold­er on the psy­cho­log­i­cal impact of face pain.
21:36 — Dr Rod­dy McMil­lan dis­cuss­es tem­poro­mandibu­lar dis­or­der (TMD) as a source of face pain.
22:29 — Burn­ing mouth syn­drome and oth­er types of face pain.
25:50 — Treat­ments avail­able for oth­er types of face pain.
28:30 — TMD and how it is dif­fer­ent from oth­er types of face pain (usu­al­ly neu­ro­path­ic in ori­gin).
30:00 — What is cen­tral sen­si­ti­sa­tion syn­drome?
32:21 — Pain man­age­ment for chron­ic pain suf­fer­ers.
36:05 — Susie Hold­er explains what accep­tance and com­mit­ment ther­a­py (ACT) is.
44:07 — Obsta­cles to liv­ing well with pain, includ­ing the coro­n­avirus pandemic.


  • Dr Joan­na Zakrzews­ka, con­sul­tant in oral med­i­cine spe­cial­is­ing in trigem­i­nal neu­ral­gia at the Depart­ment or Oral Med­i­cine and Facial Pain at the UCLH NHS Foun­da­tion Trust.
  • Susie Hold­er, clin­i­cal psy­chol­o­gist on the facial pain team at the Roy­al ENT and East­man Den­tal Hos­pi­tals, UCLH NHS Foun­da­tion Trust.
  • Dr Rod­dy McMil­lan, con­sul­tant in oral med­i­cine and facial pain at the Roy­al ENT and East­man Den­tal Hos­pi­tals, UCLH NHS Foun­da­tion Trust.

More Infor­ma­tion: