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Pressure/pain in nose & upper teeth

Ear, Nose & Throat (ENT) | Last Active: Dec 27, 2023 | Replies (46)

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@smithakar

Hello,

I have been dealing with extreme nose & upper teeth pain the past 1.5 years. The pain is constant and effects my everyday life. It started 2-3 weeks before I tested positive for Covid so I am not sure if this is related to Covid or a separate issue. At first I thought it was sinus related so I went to the ENT doctor. They checked my nose & did a CT scan and didn't see any signs of sinusitis but because I had a deviated septum and other structural issues they decided to do Sinus surgery. I had relief for 6 weeks post surgery but then the pain came back. The ENT doctors do not believe this is sinus related. When I went to Neurology they ruled about Trigeminal Neuralgia and other neuro issues because my pain is usually bilateral. I have been to the dentist, a TMJ specialist, rheumatologist I have done several nerve blocks, taken steroids, antibiotics, acupuncture, ayurvedic meds, pain clinic, everything you can think of. I am a patient at Mayo and when I visited MN as a long covid patient I did get some suggestions but those aren't working either. Is there anyone that relates to my issues? If so what has worked for you? What was your diagnosis?

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Replies to "Hello, I have been dealing with extreme nose & upper teeth pain the past 1.5 years...."

Hello,

I have been dealing with extreme nose & upper teeth pain the past 1.5 years. The pain is constant and effects my everyday life. It started 2-3 weeks before I tested positive for Covid so I am not sure if this is related to Covid or a separate issue. At first I thought it was sinus related so I went to ENT. They checked my nose & did a CT scan and didn't see any signs of sinusitis but because I had a deviated septum and other structural issues they decided to do surgery. I had relief for 6 weeks post surgery but then the pain came back. The ENT doctors do not believe this is sinus related. When I went to Neurology they ruled about Trigeminal Neuralgia and other neuro issues because my pain is usually bilateral. I have been to the dentist, a TMJ specialist, rheumatologist I have done several nerve blocks, taken steroids, antibiotics, acupuncture, ayurvedic meds, pain clinic, everything you can think of. I am a patient at Mayo and when I visited MN as a long covid patient I did get some suggestions but those aren't working either. Is there anyone that relates to my issues?

@smithakar

Why would they have done sinus surgery if they saw no sinus issues?

What were your other structural issues?

Have you ever been tested for allergies?

Did you have any breathing issues?

Have you ever had anyone check your neck? Tight neck muscles (SCM/Trap) can hit the jaw, teeth, scalp and face-ultimately chronic tension headache that can feel like sinus.
Ultimately a very loose diagnosis of “mid segrment facial pain”.