Single most likely diagnosis
- Temporomandibular Joint (TMJ) Disorder: This condition is common in women, especially during menopause due to hormonal changes, and can cause significant facial pain.
Other Likely diagnoses
- Tension Headache: Stress and hormonal fluctuations can contribute to tension headaches, which are common in this demographic.
- Sinusitis: Inflammation of the sinuses can cause facial pain and is a common condition that may be seen in women of this age group.
- Dental Caries or Abscess: Tooth decay or an abscess can cause severe pain and should be considered, especially if there's a history of poor dental hygiene.
Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Trigeminal Neuralgia: Although less common, this condition can cause intense pain and should not be overlooked due to its significant impact on quality of life.
- Giant Cell Arteritis: This condition can cause facial pain and is a medical emergency due to the risk of vision loss if not promptly treated.
- Oral Cancer: Although rare, oral cancer can present with facial pain and should be considered, especially in smokers or those with a history of alcohol abuse.
Rare diagnoses
- Eagle Syndrome: An elongated styloid process can cause facial pain and is a rare condition that might be considered if other diagnoses are ruled out.
- Sphenoid Sinusitis: Infection of the sphenoid sinus can cause facial pain and is a rare but possible diagnosis in this demographic.