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Physiotherapy & Acupuncture

Facial
Pain.

Facial pain is among the most distressing and misdiagnosed conditions in clinical practice. From myofascial trigger points to nerve entrapment, our team combines physiotherapy and acupuncture to identify and treat the underlying cause of your facial pain.

Causes & Conditions

Understanding
facial pain.

Facial pain encompasses a complex spectrum from musculoskeletal sources — jaw muscles, cervical joints, and masticatory dysfunction — to neurological conditions like trigeminal neuralgia. Accurate diagnosis is essential because treatments differ fundamentally between these categories.

The majority of facial pain encountered in physiotherapy practice is musculoskeletal in origin — driven by TMJ dysfunction, masticatory muscle hypertonicity, cervical spine referral, or myofascial trigger points. These respond well to manual therapy and acupuncture.

  • Temporomandibular disorder (TMD) — jaw joint and muscle pain with or without clicking
  • Myofascial facial pain — trigger points in masseter, temporalis, and pterygoid muscles
  • Cervicogenic facial pain — upper cervical joint and nerve referral to the face and head
  • Trigeminal neuralgia — severe episodic facial pain along branches of the trigeminal nerve
  • Atypical facial pain — persistent idiopathic facial pain without clear structural cause
  • Post-herpetic neuralgia — burning facial pain following herpes zoster (shingles) outbreak
  • Eagle syndrome — elongated styloid process causing throat and facial pain
  • Sluder’s neuralgia — sphenopalatine ganglion irritation causing deep facial and orbital pain
  • Dental-related facial pain — post-extraction, bruxism-related, and occlusal dysfunction
  • Sinus-related facial pain — chronic sinusitis causing facial pressure and referred pain
Our Treatment

Precision facial
pain relief.

Acupuncture

Highly effective for myofascial facial pain — trigger point needling in masseter, temporalis, and pterygoid muscles provides rapid relief.

TMJ Manual Therapy

Intraoral and extraoral massage, joint mobilization, and soft tissue treatment of the jaw and masticatory muscles.

Cervical Physiotherapy

Treatment of upper cervical joints (C1-C3) that refer pain to the face, head, and jaw via the trigeminal nucleus.

IMS / Dry Needling

Dry needling of masticatory and cervical muscles driving facial pain — extremely effective for myofascial sources.

Class IV Laser

Reduces TMJ joint inflammation and masseter trigger point pain — non-invasive and highly tolerated.

Pain Neuroscience Education

For chronic facial pain, understanding central sensitization and maladaptive neural processing is essential for recovery.

What to Expect

Identifying the
root cause.

Assessment includes jaw range of motion, bite assessment, masseter and temporalis palpation, upper cervical joint testing, and a detailed pain history. We screen for red flag conditions requiring medical referral and differentiate between musculoskeletal and neurological sources.

Myofascial facial pain typically responds well within 4–8 sessions of acupuncture and manual therapy. Cervicogenic facial pain follows the timeline of cervical spine rehabilitation. Trigeminal neuralgia requires co-management with neurology.

  • Combined physiotherapy and acupuncture approach for best outcomes
  • Upper cervical and TMJ specialist assessment
  • Medical referral for red flag presentations
  • Direct billing to extended health insurers
  • No referral required in BC
  • Evening and Saturday appointments available

Ready to start
your recovery?

Surrey, BC · ICBC & WorkSafeBC Accepted · Direct Billing

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