We report on two cases of tongue pain patients with physical factors. In both cases, the chief complaint was tongue pain, but the results of organic and blood examinations were normal.
Case 1: The patient was a 41-year-old woman. At the first medical examination, we knew from hemodynamic measurements that she had hypotension and disdynamic state (hypotonic type). Hemodynamic treatment improved her hemodynamics and reduced her tongue pain simultaneously.
Case 2: The patient was a 71-year-old woman. Using brain MRI, we diagnosed that she had a silent cerebral infarction. Her tongue pain was reduced by drugs for improving cerebral bloodflow, major and minor tranquilizers.
These cases suggest the importance of attending to the physical factors of patients diagnosed with glossodynia.
