Chronic idiopathic facial pain
Chronic (persistent) idiopathic
facial pain (CIFP), previously atypical facial
pain, is persistent facial pain which is
poorly understood, but its persistence is
likely to result in psychological distress.
The pain is described as aching, heavy,
nagging, sometimes throbbing or
stabbing.25 It does not follow anatomical
pathways and can be local or very
extensive, radiating into the head and
neck. The pain is often constant but with
varying intensity.
Psychological stresses or
fatigue may worsen the symptoms and it
is therefore important to take a relevant
psychosocial history and record associated
stress-related factors. Information
regarding marital status, family medical
history, employment status, history of
depression or anxiety and sleep problems
are all relevant. Exploring patients’ beliefs
about their pain can be particularly
enlightening. There are no specific
relieving factors and the patient may also
suffer irritable bowel syndrome, back and
neck pain and poor sleep.
Chronic idiopathic facial painChronic (persistent) idiopathicfacial pain (CIFP), previously atypical facialpain, is persistent facial pain which ispoorly understood, but its persistence islikely to result in psychological distress.The pain is described as aching, heavy,nagging, sometimes throbbing orstabbing.25 It does not follow anatomicalpathways and can be local or veryextensive, radiating into the head andneck. The pain is often constant but withvarying intensity.Psychological stresses orfatigue may worsen the symptoms and itis therefore important to take a relevantpsychosocial history and record associatedstress-related factors. Informationregarding marital status, family medicalhistory, employment status, history ofdepression or anxiety and sleep problemsare all relevant. Exploring patients’ beliefsabout their pain can be particularlyenlightening. There are no specificrelieving factors and the patient may alsosuffer irritable bowel syndrome, back andneck pain and poor sleep.
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