Face pain and squeezing help?

My twin has lyme, bartonella, and mycoplasma. Every once in a while her upper part of the face and cheekbones feels like someone is squeezing the life out of the bones like they are being crushed and in pain.
Anyone know whats causing this and what could help? It had improved since starting the antibiotics but every once in a while it randomly comes back.

How would we be able to tell if the infection is in the bone? Mri?
Could it still be a fungal sinus infection if it comes and goes on random days?

This is my main remaining symptom. I think Lyme & co just love to infect the whole area, sinuses, cheekbones, teeth and jaw. Whenever I kill some with antimicrobials or if my immune system starts attacking on its own, I get flares of pain and pressure all over my face.

I think its just a matter of clearing the area out and killing the various inhabitants. I have made progress doing this. I can now breathe clearly through my nose after years of not being able to. So there was objectively a reduction in biofilm in the sinus area.

So far the bone infection has been much harder to clear. I'm currently using a few different antibiotics, including Tinidazole and Alinia and they seem to hit it pretty hard. If you read the journals, osteomyelitis (bone infection) is a b*tch to get rid of though, even when less tenacious bacteria are responsible for the infection.

I'm almost at the point of throwing in the towel and living with this symptom and returning to work. I don't know what the odds of relapsing will be if I do ignore it though. But it just seems intractable. I don't think cavitation surgery would eliminate it as based on the pressure and pain it is widespread throughout the area.