A couple of months ago I took a blow to the jaw when i got punched in a nightclub. A couple of days later I noticed that was starting to get headaches at the back of my head, kind of like someone was putting major pressure on the back of my head with a vice or something. After a few days of this pain, I went to the emergency room where they took a Jaw X Ray, told me there was nothing to worry about and that the pain would go away, and was most likely caused by stretched jaw ligaments putting pressure on the head.
2 months later, im still getting headaches, both at the back and top of my head, and at the front on the forehead, some times the pain is bad but often its ok. I have also felt increased tightness in my shoulders and neck. In addition my jaw has been clicking and popping for a few weeks and ive had a bit of problem with it locking out, although this "locking" is infrequent.
Having been to my doctor a number of times and been ignored, I must admit I am now desperate to solve these headache issues. From my research on the net, I notice that some of my symptoms sound like TMJ, does anyone have any advice about where I should go next with this?
Maybe see a cranial chiro or one that specializes in the the c-spine - it could be that the blow to your jaw pushed your neck out of alignment and the symptoms you are getting - although similar to that of tmj are stemming from that.
My problems also seemed to start after getting punched outside a nightclub, this was years ago now. So it's no surprise to read that you are also from the UK, what with there being plenty of yobs here. The punch knocked my head right back, so it could have affected my neck somehow.
A week or two after the punch I started to get strange symptoms including tension headaches. I didn't get tmj until later. You could have tmj or it could be like Thelma said the c-spine...that is what I'm looking into now. Like you, I felt I wasn't getting anywhere with the doctors and I did my own research on the net, that was how I found out about tmj. I have already been diagnosed with tmj btw. Good luck!
Thelma - My doctor didn't think my symptoms are to do with the c-spine. But he is sending me for an x-ray of my neck...is that how a c-spine problem is diagnosed?
The clicking is indicative of a displaced disc in your jaw joint, at some point in the opening cycle it is 'recapturing' and producing this sound. It could be worse and be so displaced that its not making any sound at all so think positive.
You're going to have to see a TMJ dysfunction specialist and get a MRI scan of the TMJ in open and closed positions which will show where the disc is and then most probably get fitted with a repositioning splint which acts as a cast while the joint heals.
There is a guy called Grossmann in London who is a colleague of the guy treating me. Their specialisation is called 'functional jaw orthopaedics' and they are kind of like mavericks in the field of orthodontics. Read the literature and you will see their positions are sound and logical.
Yes -Rawspice - an xray but even better with an MRI - my c-cpine issue was detected by a neuromusuclar dentist who took my MRI film and using tracing paper he placed over it - graphed or charted the distance in degrees between the atlas, axis, center of the chin and sphenoid (under the nose) and temporal lobes - I am not sure what the standards or gudelines are but each dissection should be similar in the number of degrees in distance between each - based on mathematics and how the the dots between each focal point were then connected it became visually obvious based on the chart that my atlas and axis were off center toward the left by a full degree - more than 1/10th of a degree is considered "signifcant" enough to cause pain or symptoms. Even from a regular xray however, the vertical positioning and curve of the c-spine can be seen - but of course - the person reading the film needs to know what to look for.
Last edited by Thelma-Louise; 07-30-2008 at 08:05 PM.
Even from a regular xray however, the vertical positioning and curve of the c-spine can be seen - but of course - the person reading the film needs to know what to look for.
That's got me worried lol, so you're saying that it is something that can easily be missed? Surely the person reading the film is an expert in what to look for, otherwise what is the point. So however small the c-spine issue is, it can still be seen on an x-ray. Does the person still have to know what to look for with an MRI, or is an MRI so much clearer that it can't be missed? My x-ray is at the end of the week. Thanks!
I told the doctor about the pain in my shoulder, he said the pain is coming from my neck even though it feels like the shoulder. But he thinks it is just the muscle in my neck causing pain probably due to TMJ.