Evaluation and treatment of pain in the head and face could be very challenging. There are some clues that are gathered during a physical examination and a patient's description provides valuable information for the clinician to make the diagnosis. It is very common that some form of medical imaging and laboratory tests would be required to shorten the diagnoses and ultimately get to the final diagnosis. Pain over the temple is no exception yet important diagnoses are on the table that should be considered in anyone having similar pain attacks.
An important disease, which is primarily seen in older age women, is the inflammation of the artery in this region. It causes pain on the temple, which is usually accompanied by changes in the vision, general tiredness and sometimes pain in other parts of the body. This specific disease should be addresses immediately otherwise visual changes that might turn into blindness become permanent and incurable.
Classically described migraine, tension and cluster headaches have particular yet less common presentations that might mimic a left temple pain. Typically, they have other well-known accompanying symptoms that recap a final diagnosis. Nevertheless, often times, only a successful answer to a broad treatment reveals the exact type of headache.
Some viral infections that had previously caused blisters on one side of the face and forehead may hide in nervous structures of those areas and later cause pain.
Another important disease in the category of infectious diseases is sinusitis, which sometimes account for such pain but the actual diagnosis and accompanying symptoms should also be investigated by a well-trained experienced physician.
Very close yet deep to this area lies the temporomandibular joint. Like other joints of our body, it can undergo degenerative processes which can cause pain in that area. Also, one of the glands that secrete saliva lies on this joint and specific disease of this gland can cause pain. Surgical manipulation in those areas can also be responsible for the pain.
A very frequent problem that is seen primarily by dentists is a decayed tooth or other dental diseases, which may cause pain in the region.
Diseases that mainly affect the eye can also cause similar symptoms. They might present with symptoms that are noticed by the patients yet they are often picked by physicians after examination of the eye.
List of the diseases that can produce pain on one temple is very long and some of them are very rare. The key to successful treatment of this very bothersome pain is correct diagnosis, which is sometimes daunting even for a physician. Although general pain control treatment might provide temporary relief, one should not hesitate to see a doctor especially when these conditions become lasting.
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