U.S. Edition
As a feature of CNNhealth.com, our team of expert doctors answer readers' questions. Here's a question for Dr. Gupta.
From Anna, Washington, D.C.
“Is it possible to sprain/strain your tongue? I get shooting pains in my tongue. What can I take to stop the pain?"
Answer:
Anna, thank you for your question. We consulted Dr. Steven M. Roser of Emory University School of Medicine’s division of oral and maxillofacial surgery and a professor of oral surgery. Roser has been in practice for more than 20 years and said he has never made the diagnosis of a sprained or strained tongue.
The tongue is one of the strongest and most robust muscles in the body, pound for pound, when you compare it with other muscles. We use our tongues almost constantly for talking, eating, and swallowing. Rosen noted that, as with any other muscle, overuse injuries are possible.
But as a medical professional, Rosen said, if a patient came to him complaining of tongue pain, he would ask questions to rule out other, more common problems first. He stressed the importance of seeing a dentist, oral surgeon or medical professional who can conduct an examination and ask more questions about the pain.
The first thing a medical professional will do is try to get a better description of the type of pain you are experiencing: Is it a sharp pain? Where does it originate from or travel to? Is the pain constant or intermittent? How long have you had the pain? Have you taken anything to relieve the pain? Is it on both sides of your tongue?
Some of the possible causes for the pain include nerve-related problems. If the pain has existed for several years and you experience it when you are sitting still, it could be trigeminal neuralgia, which is a chronic painful condition that involves the nerve that carries sensation from your face to your brain. For trigeminal neuralgia, there is evidence that the nerve, which passes through base of the skull, is compressed by blood vessels or something that pushes on the nerve and causes pain. The pain is usually triggered by a stimulus– even a simple gesture like brushing your hand against your face can cause searing pain. Doctors can often relieve the pain with medication, injections or surgery.
If the pain is centered at the back of the tongue and involves the back of the nose and throat, and the ear, it might be glossopharyngeal neuralgia. The exact cause of this condition is unknown, but it’s believed to be tied to irritation of the ninth cranial nerve and may be the result of a viral illness such as shingles or herpes. Swallowing and speech can cause shooting types of pains.
If the pain has existed for only a few weeks, your doctor will thoroughly examine your tongue, mouth and throat for any evidence of lesions that might be evidence of oral cancer. Often you can’t see areas that have an ulcer, so your medical professional will most likely use a mirror to view areas behind the tongue and in the throat. Oral cancer has high rates of treatment success when caught early.
A sprain or strain of the tongue is probably the least likely cause of your pain. It’s important to see a medical professional who can ask specific questions about your tongue pain, thoroughly examine you, and assess whether you need treatment for the pain.
My 8 year old grandaughter named aliyah was a healthy 8 y/o girl and is currently at Steven & Alexandra's Cohen's Children's Medical center of NY. (Pediatric ICU) She has been hospitalized since 9/11/10 with initials seizures. However, since hospitalized something is effecting her neurologically. Her speech has been effected (no verbal communication), involuntary body movements, attacks. Doctors have run all tests possible and her diagnosis is unknown. in NY has been hosptialized since 9/11/10. she was / is a beautiful child she is in
I just came across your post and I was wondering how your granddaughter is. Please, have her tested by a "Lyme Literate" doctor for Lyme Disease!!! Make sure it is a doctor who specializes in Lyme Disease because the primary care doctors and pediatricians do NOT know enough about Lyme. They will tell you that it would not cause these symptoms that she is having. Even if they did test her for it already and the test came back neg., SEE A LYME SPECIALIST!!! Feel free to contact me for more info...
will the interview with Michael J. Fox be shown again??? when?
You should be getting frequent dental care to make sure there aren't underlying causes
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My 62 yr. old daughter has recently had surgery for thyroid cancer and then had pancreatic surgery soon after to chase down a spot on her pancreas (was benighn). Now she has this terrifici pain in her tongue and doctors can't seem to get a handle on relieving the pain. How can she possibly get relief? Everything else is fine/
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my mom has shooting pain in facial and sometimes the pain becomes worse and sometimes starts pulling the upper jaw of her mouth . she has taken oxetol and has mri done 2 times . but the reports are normal .what could be the cause of the such attacks .on thing more she gets restless and feels the sensation of passing stools but nothing comes .vomitting feels are also there .she takes oxetol.upper jaw sometimes are swollen.pls help us in finding the correct diagonsis
My tonuge hurts when I eat and talk spit and it courses my thort and ear to hurt. I'm 11 and a half. And have had this for 3 days
when i lay down for nap or go to bed i t wake me up sharp pain in my tongue its very painful it started about 4 months ago
reading and seen susan howell 1-14-13 comments i also have a sharp pain that happens when i sleeping it shoots form the back of my tongue to the front of it and wakes me up , its be a couple of months now and i have had a couple now awake i told my dentist and doctor neither seem to care . i feel something is really wrong what can i do to get help?
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I am a 62 year-old male. Recently, (within 4-6- weeks), I catch myself with my tongue sticking out the right side of my mouth, and I am holding it slightly with my teeth o that it's protruding only about one-half inch. I do not even realize I'm doing it most of the time, but my wife most assuredly brings it to my attention. I have never had this habit and am curious as to whether or not there may be a physical cause behind it.
Stroke/tia?
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