Mrs X was becoming increasingly frustrated by the lack of progress in dealing with her facial pain and associated headaches. These were now affecting Mrs X’s work and her boss was becoming increasingly impatient. The pain was also having a negative impact on her family and social life. Eating was becoming increasingly difficult.
An Oral Medicine specialist opinion was asked for. From the history it was clear that there were several factors that were likely to be contributing. The examination confirmed that the pain was focused in the temporomandibular (jaw) joints and the related muscles. The situation was discussed and Mrs X’s concerns addressed. Over time different management approaches were used to improve Mrs X’s situation to the point where there was no significant discomfort.