What causes pain in temporal region and neck muscles?
Patient: Hi I am a diabetic type one and am now treated since last September for anxiety and panic attacks. I take pro clonazepam daily for this. Since now four days I feel a pain spreading from my left temporal region to my teeth, neck muscles, front lobe and behind my eyes. The pain is mostly on the left side of my head and I rate it as a 5 out of 10. It s growing every day though. Today the pain has spread a lot behind my nose and my right temporal region has started to hurt. I am concerned about a possible seizure... Also I don t know if it s important but since four months I take like half and sometimes less the posology of my clonazepam, without any panic I can t control. Since two weeks though I have suffered light but non stop hyperventilating. Doctor: Hello!Thank you for asking on HCM!Your symptoms do not seem to be related to any possible seizures. The troubles with breathing may be caused by anxiety (or a low control of anxiety from an insufficient dose of clonazepam). I would like to explain that there are different disorders, which can cause pain in this region : 1- A temporal-mandibular junction arthritis 2- A temporal arteritis 3- An infection of the soft tissues or the sinusesI recommend you to consult with the GP for a careful physical examination, a routine blood test, inflammation tests, thyroid hormone levels, kidney and liver function tests and blood pressure monitoring. A chest x ray may be necessary to rule out other possible causes of hyperventilation.You may need to discuss with your attending physician on a possible increase in the doses of clonazepam. A brain CT scan may be necessary to exclude a possible sinusitis or a brain lesion. I would also advise you to consult with your dentist, for a better examination of the temporal-mandibular junction. Hope to have been helpful!Greetings! Dr. Iliri