When the bone under the eye hurts, this condition is called prosopalgia. Such a disorder may have a neurological, vascular and symptomatic property. Often, pain occurs due to psychogenic factors. In the event that a person feels that a bone under his eye hurts, you can not ignore this symptom.
Causes and symptoms
Various causes that are characterized by certain symptoms can provoke pain:
- Osteomyelitis (according to ICD 10, M86). It is a consequence of a neglected dental disease. This is, first of all, inflammation of the bone, which gives a high fever. Osteomyelitis (according to ICD 10, M86) is able to spread to absolutely all elements of hard tissue, as well as to the spongy and compact substance and even to the periosteum.
- Mechanical injury. It can be associated with bruises or with a fracture of the facial bone. On palpation, a person feels severe pain. The place of damage becomes blue and swells.
- Neuralgia, against which nerves that are located in the face area are affected. We are talking about the trigeminal, glossopharyngeal, facial and hyoid nerve. In a person, facial expressions may be broken, facial asymmetry will occur, and, in addition, the bone on the cheek under the eye may hurt. Lumbago along with twitching accompany, as a rule, trigeminal neuralgia. It can shoot in the neck, ears, shoulders and temples.
- Vascular eye disorder. It causes acute pain around the orbits, and pain and tearing are also possible. Weak, and in addition, damaged vessels supply blood to the eye area very poorly, therefore, similar symptoms appear.

Inflammation of the paranasal sinus (development of sinusitis)
When the bone under the eye hurts, the inflammatory process that is caused by viruses and bacteria (i.e. sinusitis) also causes pain. Among bacteria, the most dangerous and common provocateurs are Staphylococcus aureus. The disease can develop due to infection of the respiratory canals, as well as with a running dental problem (due to deep caries and periodontitis). The following people are at risk:
- with a twisted septum of the nose;
- with the presence of congenital defects in the structure of the nasal cavity;
- with nasal injuries.
And then we look at the symptoms and treatment of sinusitis in children and adults.
Root causes
When the bone under the eye hurts, it is necessary to look for the root causes of fluid stagnation in the paranasal region and the nasal cavity.
It could be:
- An allergic reaction to dust, wool, chemicals, fluff and nutritious foods containing irritants.
- The presence of sinus deformity due to injury. In addition, the cause may be a curvature of the nasal septum along with a displacement of the jaw, anomalous structure of the shells and abnormally fused bones of the skull.
- Viruses that enter the sinuses. They can provoke the release of fluid along with narrowing of the channels and swelling. In the event that bacteria additionally attach to them, then improper therapy causes resistance to antibiotic drugs.
- The appearance of fungi settling in the sinuses that cause mycosis. The severity of this disease depends on the type and aggressiveness of the fungus.
- Cold air. It can constrict blood vessels, while oxygen will not enter the eyeβs orbit in sufficient quantities, which sometimes provokes the feeling that the facial bone under the eyes hurts. In addition, the cause of discomfort is dustiness with gas pollution.
- With vitamin deficiency, the immune system suffers. A weakened human body cannot withstand the attacks of pathogens, which often causes a runny nose, and then its complications.
- Hypothermia. With it, the protective functions of the body weaken. Respiratory organs are the first to take infectious strokes. In the event that a person can hardly stand the cold, then in the autumn and winter he will suffer from rhinitis.

Symptoms and treatment of sinusitis in children and adults are interrelated.
Next, we will take a closer look at the pathologies that occur in the paranasal sinuses, which are referred to as inflammatory processes.
Rhinitis
It is a protective reaction of the body to a bacterial, viral, allergic and infectious irritant. The disease can provoke not only hypothermia with a cold, but also illiterate therapy with vasoconstrictive drops.
Sinusitis
A pathology such as sinusitis is an unpleasant disease caused by inflammation of the maxillary region. This ailment develops due to rhinitis, the multiplication of fungi, colds, dental problems and allergies. The patient may be disturbed not only by pain in the bridge of the nose, but also in the orbits, on the back of the head and in the temples.
Ethmoiditis
With ethmoiditis, inflammation affects the ethmoid cavity. This ailment is an unpleasant consequence of rhinitis or sinusitis. In the event that it does not begin to be treated, it will spread deeper into the frontal region and provoke frontal sinusitis.
Frontite
Frontitis is characterized by inflammation in the mucosa of the frontal cavity. Among all sinusitis, this is considered the most formidable ailment, since in the event of its development various serious complications are possible, for example, meningitis.
Sphenoiditis
The disease sphenoiditis is an inflammatory process that occurs in the mucous membrane of the wedge-shaped area. Its danger lies in physiology. The sphenoid cavity, as a rule, is located in the depth of the skull near the optic nerves and carotid artery. Since the disease is provoked by pathogenic microbes, in the case of intensive reproduction, they can also harm these organs.
How are diseases manifested?
Bone pain under the eye occurs with various pathologies that are accompanied by certain symptoms:
- Rhinitis is accompanied by nasal congestion, from which a clear liquid is released (and at the height of the disease). In a personβs nasopharynx, perspiration, movement and itching are felt. The eyes tend to blush. Tearing with a sneeze is not ruled out.
- Ethmoiditis is characterized by a condition where the bone under the eye hurts when you click on it. In the mornings, sputum can be expectorated, and viscous yellowish and green discharge from the nose is observed. They have an unpleasant putrefactive odor. Possible swelling in the eyelids. The sinuses under the eye also hurt. Patients suffer from dizziness, lacrimation, and in addition, photophobia.
- With sinusitis, bones of the face under the eyes hurt. People lose their sense of smell, purulent and sometimes bloody discharge appear from the nose, moreover, the voice becomes coarser and significantly sag, and breathing, in turn, is difficult. In the event that sinusitis is triggered, then there may be a risk of inflammation in the cranial cavity. The chronic form serves as a source of infections, provoking relapses of osteomyelitis, tonsillitis, pharyngitis and rhinitis including. Acute sinusitis sometimes affects the trigeminal nerve. In this case, people experience severe pain in the face.
- When frontal, the eyes, forehead and temples hurt most often in the morning. Breathing can be complicated, from the nose there are thick discharge (up to crusts). The temperature rises, the eyelids swell, and, among other things, pain in the eyes is noted.
- Sphenoiditis is characterized by prolonged pain in the neck and crown. Even the use of analgesics does not stop the painful symptom. It can hurt under the eye during pressing, and vision is slightly impaired. Patients feel weak with malaise. Discomfort may be felt in the nasopharynx.
In acute forms of these diseases, people can have a fever, and in addition, dull headaches often occur and stuffy nose. In chronic forms, the symptoms are not so pronounced, but getting rid of them is very difficult.
Next, let's talk about what kind of pain is diagnosed and treated when this kind of pain appears.
Diagnostics
When the bone under the eye hurts, you should not hesitate. In case of alarming symptoms, the patient should definitely consult a therapist or an otolaryngologist. The specialist will certainly give direction on how to do the sowing from the nose. In addition, certain studies are shown:
- Carrying out endoscopy of the paranasal sinus.
- Performing ultrasound diagnostics.
- X-ray of the lateral and frontal region of the face.
- Performing computed tomography.
- Conducting magnetic resonance imaging.
Only immediately after receiving the result, the doctor can understand why a person has a bone ache under the eye.
Pathology treatment
Therapy is to achieve the following:
- Eliminate the root causes of inflammation.
- Bring the respiratory system to normal.
- Stop unpleasant symptoms.
In the presence of a common cold, it is recommended to refrain from walking in wet and cold weather. It is necessary to rinse the nasal passages using saline solutions and instill vasoconstrictor drugs. If there is an elevated temperature, antipyretic drugs are used. To relieve the symptoms of the disease helps warm tea with lemon and honey in combination with a broth of wild rose. A good way to get rid of stuffiness is inhalation with the use of warm baths.
In the event that the patient has a bacterial disease, then antibiotic therapy is prescribed. The choice of drug along with the duration of the course of therapy and dosage is determined by the doctor. Various drops, which are antibacterial, plant, antiviral, combined, vasoconstrictive, hormonal and antihistamine, can help relieve swelling of the mucous membrane.
In the event that the patient has a bone sore under the eye even after drug treatment, and the disease does not recede, exacerbating, he may be shown surgical intervention. In the presence of inflamed sinuses and a strong constriction that interferes with the removal of purulent secretion, a puncture is usually used.
We examined why the bone under the eye hurts, and we strongly recommend that you consult a specialist for all pain in the face, accompanied by other troubling symptoms. Do not self-medicate!