[33M] With facial numbness and swelling post-fall

Patient Description

A 33-year-old male experienced a fall on the left side of his face approximately 12 hours ago. Since the fall, he has been experiencing numbness under his lower left eyelid near the nose, which feels similar to anesthesia-induced numbness. The numbness developed gradually as the swelling increased. Additionally, the patient reports swelling on the left side of his face, jaw pain, and pain when clenching his teeth on the same side. There is some bruising and discoloration in the affected area. The swelling feels slightly hard and raised. The patient also reports some difficulty chewing but has not noticed any changes in vision or difficulty moving the eye on the affected side. No previous injuries or surgeries to the face or jaw are reported.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Facial Trauma: The numbness, swelling, and pain you're experiencing are likely due to the trauma from your fall. When you hit your face, it can cause bruising, swelling, and even nerve compression, which might explain the numbness near your lower left eyelid.

    • Treatment: Initial treatment often includes applying ice to reduce swelling, taking over-the-counter pain relievers like ibuprofen, and resting. If the numbness persists or worsens, a healthcare provider might recommend imaging tests like an X-ray or CT scan to rule out fractures or more serious injuries.
  • Nerve Injury: The numbness you describe could be due to a minor injury to the facial nerve, which can occur with trauma. This type of injury can cause temporary or, in some cases, more prolonged numbness.

    • Treatment: Nerve injuries often heal on their own over time, but it's important to monitor the symptoms. A healthcare provider might suggest physical therapy or other interventions if the numbness does not improve.

What you can do

While it's important to consult a healthcare provider for a formal assessment, here are some steps you can take in the meantime:

  1. Apply Ice: Use an ice pack on the swollen area for 15-20 minutes every hour to help reduce swelling and numbness.
  2. Pain Relief: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and reduce inflammation.
  3. Rest: Avoid activities that might exacerbate the injury, and try to keep your head elevated to reduce swelling.
  4. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased pain, changes in vision, or worsening numbness. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

  • Increased Pain or Swelling: If the pain or swelling worsens significantly.
  • Changes in Vision: Any changes in your vision or difficulty moving your eye.
  • Persistent Numbness: If the numbness does not improve or worsens over the next few days.
  • Signs of Infection: Redness, warmth, or pus around the swollen area, which could indicate an infection.

Remember, while these tips can help manage your symptoms, it's important to consult a healthcare provider for a formal diagnosis and treatment plan.

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4 mo ago


People Also Ask


What causes numbness in the face after a fall?

Numbness in the face after a fall can be caused by swelling and bruising that compresses nerves, or by direct injury to the nerves themselves. This can result in a sensation similar to anesthesia-induced numbness.


How can I reduce swelling and pain after facial trauma?

To reduce swelling and pain after facial trauma, you can apply ice to the affected area for 15-20 minutes every hour, take over-the-counter pain relievers like ibuprofen, and rest. Keeping your head elevated can also help reduce swelling.


When should I seek medical attention for facial numbness?

You should seek medical attention if the numbness does not improve or worsens over the next few days, if you experience increased pain or swelling, changes in vision, or signs of infection such as redness, warmth, or pus.


Can facial nerve injuries heal on their own?

Yes, facial nerve injuries often heal on their own over time. However, it's important to monitor symptoms, and if the numbness does not improve, a healthcare provider might suggest further interventions such as physical therapy.

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