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TMJ Disorder -TemporoMandibular Joint Message Board
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Old 09-30-2004, 09:22 AM   #1
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looney HB User
Question Does Anyone Here Have a CONTINUOUS Tight Headache?

Dear Group,

I've been here on and off over the past two years. To make my long story short, I developed TMJ problems after I came off of Klonopin (Clonazapam) too quickly two years ago. The drug has muscle relaxant properties, and when I came off fast without a good taper, I experienced very very severe rebound muscle tension, especially in my neck, shoulders and face. Within months, I noticed my jaw was clicking and it's been downhill since. Before my jaw even started clicking/popping though, I developed a very severe tight band headache that is especially bad in my temples and scalp and at the base of my skull. I still remember the day this headache started. It has been continuous (no exaggeration) for the past 1 1/2 years! It never stops.

TMJ doc #1 provided me with two splints, both of which I believe were way too thick (couldn't close my lips over them) and seemed to aggravate the condition. I gave up on him after 6 months of awfulness. TMJ doc #2 confirmed that I do have two dislocated discs without reduction. He also made a splint for me, and I seem to be doing much better with this splint than the others. I have increased my mouth opening from 26 mm to 36 mm. The clicking is less, I have less ear pain, decreased facial tightness, less eye pressure, and generally less jaw pain. The problem is that my headache/head tightness hasn't budged. I've been receiving this new TMJ guy's treatment for almost 10 months now, and still, the head tightness won't budge, and I'm very disappointed because it is by far my worst symptom.

I'm beginning to wonder if I have some other neurological problem due to the severe withdrawal syndrome I've been experiencing post-Klonopin. I went through a horrendous withdrawal, and I still have other problems such as an inner vibration, muscle jerking, sleep trouble, stress sensitivity, and tinnitus/hyperacusis that began the day I first dropped my Klonopin dose and continue until this day - 2 years later.

I don't know where to turn. I had an MRI done of my neck which revealed no problems there (it made my already bad auditory problems much worse though, and I wouldn't recommend a noisy MRI to other people with auditory problems).

I thought I would check in with this group again just to see if it is a common TMJ problem to have a truly neverending, continuous, severe tight scalp, temples and head. For you out there who have headaches, are they continuous and are they of this nature?

Another thing I should probably mention is that I haven't had TMJ for years and years. This did not come on gradually. It came on suddenly, with the headache preceding any jaw clicking whatsoever. Even my TMJ doc is surprised that my discs both dislocated so quickly and my headache evolved to this point practically overnight. I attribute this again to the severe muscular spasm the Klonopin withdrawal caused me. I have researched headaches, and the literature states that tension headaches are rarely severe or disabling, but let me tell you, this beast is very severe and very disabling. There is no way I can work right now, and I'm in constant pain.

I am sensitive to drugs, so I don't take any, and I don't want surgery because I fear the drugs and I have lost confidence in many physicians. Drugs and doctors did this to me in the first place. Yet, I can't imagine how I will survive in this state long-term.

Please help,

Looney

 
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Old 10-01-2004, 05:21 PM   #2
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cvella HB User
Re: Does Anyone Here Have a CONTINUOUS Tight Headache?

I also get continuous headaches that can last from 4 days to 4 weeks with maybe one day of relief. I have tried numerous migraine meds (Imitrex, Relpax, Fioricet; Fiorinol, etc) without relief...I sometimes get temporary relief from excedrine migraine, advil and zanaflex (msl relaxant). I've had my current headache for 2.5 weeks (ARGH). Ice following a hot bath helps me "deal" with this. And exercise, when I can, also can relieve any stress from feeling miserable ALL THE TIME. You are not alone -not sure if that is any comfort though. My pain is in both sides of the jaw, temples, head (all over), neck, upper back.

 
Old 10-01-2004, 09:13 PM   #3
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Re: Does Anyone Here Have a CONTINUOUS Tight Headache?

Looney, I have these headaches too. The dentist says they're due to temporal tendonitis and a possible tear in the tendon. Maybe coming off the Klonopin so fast made you clench and aggravate the tendon. An NTI has given me some relief, but we're going to have to pursue cortisone injections and prolotherapy to help the tendon heal and reattach to the bone. A moist towel thrown in the microwave for a couple of minutes provides more relief than anything. Indocin (anti-inflammatory) and zanaflex help some, but it's not a migraine, so migraine meds are useless, pain meds work a little better (ultracet seems to help). I can let you know if the injection and prolotherapy help at all in a couple of weeks if you would like.

 
Old 10-02-2004, 02:08 PM   #4
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daydreamer504 HB User
Re: Does Anyone Here Have a CONTINUOUS Tight Headache?

If you are allergic to sulfa drugs, you will react to the lidocaine or other anesthetics they may use if they aren't aware that most of them have sulfa based preservatives in them.

Also, cortisone injections hurt like crap for the first 48-72 hours and they just don't tell you that up front. It DOES make it worse at first, depending on where the injection is, but it should get better in the long run if it's cortisone.

I'm not sure what was the case with you...I've had both happen to me. Neither one are fun, but I'm desparate, so we've found an anesthetic without sulfa in it, and I'm going to live through the 48-72 hours of intense pain, hoping in the long run it will help. Somethings gotta give here.

I'm sorry you can't manage to find any relief.

 
Old 10-02-2004, 05:32 PM   #5
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looney HB User
Re: Does Anyone Here Have a CONTINUOUS Tight Headache?

Dear all who replied,

Thanks for responding, and I appreciate your input very much. Daydreamer, I would be so interested to hear how your prolotherapy, etc go. Please keep me posted. I'm also sorry the other thoughtful person who responded said that her injections made things worse.

The hardest part for me is the fact that I NEVER feel okay. I am always truly suffering with this head pain/headache/whatever is making me so miserable. I do get the classic migraines periodically with the aura, etc, but this is unlike those headaches, and yet, it is much more severe than any other tension headache I've ever had. Taking a hot shower feels good initially, but afterward makes my head feel like it's going to explode with pressure/tightness.

I feel so stuck - - now on my third splint, unable to take meds, and unsure as to how much of my problem is TMJ vs severe post-withdrawal syndrome.

Someone above mentioned the temporal tendonitis. I definitely feel the majority of my pain and tightness in this area. It pulls really hard, like my muscles are too short in my temples and the skin too tight over my head, especially the side/temple area. So maybe that's an avenue to look into. I guess I hoped the splint would help these muscles.

I'm so scared because this has been going on nonstop for 18 months now. I feel like I'm losing the expectation that it will ever get better now. It is hard to remember feeling okay or even close to normal and not having this pain.

I'm trying hard to keep my chin up.

Looney

 
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