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View Full Version : How to tell temporal tendinitis and TMJ apart?


 

 

 
sickboy123
03-19-2003, 06:24 PM
I plan on asking my doc about this at my next appt.,but just wanted to get some feedback ahead of time. I have been looking into this temporal tendinitis a bit,and that seems to more closely match my symptoms than TMJ.
I have been diagnosed with TMJ,and that may very well be going on as well,but I can open my mouth as widely as I want,and the discomfort in my jaw is very minor,compared to the pain at the front of my head and temples.And some pain in the area of my back teeth. Is there a clear way to differentiate the two? and has anyone been treated for temporal tendinitis? Thanks in advance.

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mrsumer
03-20-2003, 10:47 PM
Hi Sickboy123,
Sorry if I am not up to date with all of the threads, my job does not afford me the time to read all of issues, I wish I could though.....
Temporal tendinitisis, according to my DMD, is one of the most commonly confused with TMD because its symptoms are so similar. Its symptoms include, headache, TMJ pain, ear pain and pressure, etc. This is in no way a diagnosis. I have not been diagnosed with the this disorder, but I do suffer from TMJD which is similar. You say you have been diagnosed with TMJD, why do you bring up this [other]disorder? I am curious, that is all. There is a way to differentiate the two, but only a qualified Doctor can do this, please ask your doctor. Please keep us informed of your progress..

Pedro
03-20-2003, 11:46 PM
Well that's one I have not heard of, can you tell us a bit more about "temporal tendinitis" ?

Thanks.

crystalll
03-21-2003, 10:34 AM
Hi Sickboy,

I've done some research on Temporal Tendonitis, but haven't been able to find any definitive answers either. I would really be interested in hearing what your doctor says after you speak with him. Please keep us posted.

Crystal

Jill J
03-21-2003, 08:35 PM
This is all I found on it...Hope it helps


TEMPORAL TENDINITIS--

Temporal tendinitis has been called "The Migraine Mimic" because so many symptoms are similar to migraine headache pain. Symptoms include: TMJ pain, ear pain and pressure, temporal headaches, cheek pain, tooth sensitivity, neck and shoulder pain. Treatment consists of injecting local anesthetics and other medications, a soft diet, using moist heat, muscle relaxants and anti-inflammatory medications, and physiotherapy. Only rarely (in approximately 4% of cases) is surgery needed.

Here is something else that mimics tmj:

ERNEST SYNDROME--
This TMJ-like problem involves the stylomandibular ligament, at tiny structure that connects the base of the skull with the mandibular, or lower jaw. If injured, this structure can produce pain in as many as seven specific regions of the face, head and neck: the temple, the TMJ, the ear, the cheek, the eye; the throat, especially when swallowing, and the lower back teeth and jaw bone. Treatment of Ernest syndrome, which is successful about 80% of the time, consists of injections of local anesthetic and medication (cortisone or Sarapin), physiotherapy, and at times, the use of an intraoral splint.

It all sounds the same to me....




[This message has been edited by Jill J (edited 03-21-2003).]

Ann123
07-03-2004, 11:21 AM
BUMP fo Lex

beach_tiglet
07-05-2004, 08:54 AM
I have read that temporal tendonits is distinguished from TMJ by stuffiness or clogged feeling in the ear and that you can confirm diagnosis by injecting anesthetic into the tendon to see if the pain and other symptoms subside after the injection. Somehow that doesn’t seem very appealing to me. I had asked a friend of mine who is a dentist about it, and this is what he had to say about it….it is rather lengthly and is used with his permission:

“Temporomandibular Disorder is known by so many different names and acronyms that it should probably best be called “Alphabet Soup Syndrome” (I will refrain from the abbreviation of THAT one). As you know, different people call it only TMJ, some call it TMJ Syndrome (TMJS), TMJ Disorder (TMJD), Temporomandibular Dysfunction (TMD), Craniomandibular Disorder (CMS, probably the most accurate term, but not widely used), Craniofacial Disorder (CFD), and about a half a dozen others that I can think of off-hand.”

“One problem with some discussions is that when someone refers to “TMJ pain” it is often unclear whether they are referring to specific, anatomic TMJ pain (i.e. the pain in the temporomandibular joints themselves) or the generalized pain from TMJ Disorder that includes headaches, pain in the TM joints, ears, fingertips, etc. etc. The definitions of many of these disorders are often likewise unclear.”

“The correct response when someone says “Doctor, do I have TMJ?” is to say, “Yes, you have two of them.” Whether or not they have TMD or whatever else you want to call it is a separate question that, unfortunately, many general dentists are not adequately trained in addressing. This is a very overlooked, under-diagnosed affliction, and I think the main reason that it is VERY common for my patients to have seen a dozen doctors (and dentists, in many cases) who are unable to diagnose their headache pain and other symptoms before I see them.”

“In my opinion, temporal tendonitis is another permutation of this condition. A temporal tendonitis is, as the name implies, just an inflammation of the tendons of the muscles attaching to the temporal bones of the skull, specifically the temporalis muscle. What is causing this inflammation is the important point. Is it one of a myriad of symptoms of TMD? This is certainly one of the common muscles to be involved in TMD. Trying to separate TMD from a “new” term of temporal tendonitis or Ernest Syndrome would only add more heat and less light to the discussion for everyone, except perhaps for Dr. Ernest.”

“In my opinion, I would generally agree that TMD and temporal tendonitis and Ernest Syndrome are all manifestations of the same animal and trying to separate the three from each other is an academic exercise only that cannot truly be ascertained clinically. I’m sure that Dr. Ernest was sincere in naming this syndrome, but unfortunately just added yet one more name to our increasingly large Alphabet Soup Syndrome. Certainly the more names we throw on this often debilitating condition, the more confusing it can become for the many, many patients suffering from this common but under diagnosed condition.”
“Hope this helps.”





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