Pain after a nose trauma

Dear Ask The Doctor: My daughter headbutted me in my nose, the pain is getting worse and spreading throughout my face each day, but there is no brusing, should i be concerned?

Dear Samantha: If you do not have nose bleeding, visible bruising, inflammation, deformation or inability to breath through the nostrils, a fracture, then, is not likely. According to your description you do not have a bruise either. Treatment for a nose injury depends on the type and severity of the nasal injury. Treatment  of an uncomplicated nose injury often includes: cold compresses(apply for 20 minutes at a time, 2 or 3 times per day) and pain medications (“Aleve”, “Motrin”).