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  • TMJ with Tinnitus

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    Old 12-14-2014, 05:22 PM   #1
    kri2014
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    TMJ with Tinnitus

    Hi All,

    I am having tinnitus (ringing in left ear) for more than 3 years, I have checked with many ENT specialist, took MRI 2 times, CT Scan 2 times, Xrays..etc but they all found nothing however they told there is slight hearing loss in left ear, and after seeing all symptoms like facial pain, ear fullness, ENT doctors referred me to TMJ specialist, I went to TMJ specialist, He agreed that there is JAW problems and clicking sounds around my jaw and he gave me Mouth guard (appliance) to wear, after wearing this mouth guard, my tinnitus is becoming worst, I went back to my TMJ specialist he adjusted appliance and made it more thin, but still it is increasing my tinnitus and effecting my hearing,

    My main concern is tinnitus, not jaw problems, I rarely get facial pain and head ache, I will have tinnitus almost 5 days in a week,

    Could you all please suggest me best doctor or alternative solution ?

    Regards,
    your friend.

     
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    Old 12-15-2014, 08:47 PM   #2
    MountainReader
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    Re: TMJ with Tinnitus

    My TMJD manifested itself as ear symptoms, not jaw symptoms. I had a 'stuffy' ear that wouldn't pop (didn't for over a year), ear pain, tinnitus, and some hearing loss. I saw my PCP, ENT, Audiologist, etc... I too had the CT testing and MRI's. Other than the hearing loss, everything else came back 'normal'. When I finally thought TMJD after finding information on the internet, I asked my ENT and dentist and they both told me it was a possibility. That lead me to seek out a dental specialist in TMJD. He did 3 1/2 hours of testing and sent me for an MRI. My initial MRI was of the brain looking for a cause. This dentist sent me for an MRI specifically of the jaw joints. He had me go to a specific center for the MRI because some radiologists have better skills in reading the tests of the TMJ than others.

    In addition to condyle degeneration, they found my discs had slipped which resulted in my lower jaw being pushed back into my ears. The back of the jaw bone and the ear are just mm's apart. In my case, I was fitted with a lower mandibular repositioning splint which brought my jaw forward 3 mm and a bit to the right. When I got my splint, things got much worse before they got better. I started seeing some relief about a month in, at 3 months, the ringing got better and my ears equalized, at about 6 months, my symptoms were much closer to normal.

    In addition to the physical splint therapy, I also had to address the muscular ones too. With the jaw out of position, the muscles tighten to hold things in place. This results in a constant muscle spasming that you may not be aware of. Mine was severe, and I didn't even recognize it since it had become my 'normal'. I could really feel the difference after some treatments though. For the muscular stuff (myofascial pain and cervicalgia), I saw a physical therapist who did manual therapy and oral (in the mouth) trigger point work. She also worked on my neck and body alignment which were both impacted by the jaw being out of place.

    I also had some ultrasound treatments by my orthodontist/tmj dentist.

    Part of the reason things get worse when you start with the splint is because the muscles are fighting with your new/correct jaw positioning. In addition to the regular (couple times a week) PT, my ENT gave me a couple weeks of a muscle relaxer to help me through the first 10 days. I also used a tmj relaxation CD called Freedom from TMJ by Denise Lynch. It guides you through relaxation exercises specifically around the head, neck and TMJ.

    What kind of splint did your dentist put you in? There are a lot of different kinds. Did he/she recommend complementary therapy like PT or cranio-facial work? What kind of training training does your dentist have?

    As for the tinnitus, have you tried a white noise machine? It can help with the sleeping sometimes. That was my worst time because it seemed to be louder when things were quiet and it interfered with my sleep.
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    Old 12-16-2014, 08:40 PM   #3
    itburns2004
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    Re: TMJ with Tinnitus

    Soft mouth splint made by a maxillary surgeon and the first week or two will be difficult and when you have a cold unfortunately it gets worse for a bit. It is a struggle. I have had bmt tubes at in the past as the jaw muscles expanded to press eustatian tubes. Very important to find a way to relax. No hard chewy foods or gum or anything with a lot of caffiene,and take one day at a time. A noise machine does mask some of the tinnitus.i have a cold right now and my ear is flaring up and its so uncomfortable.

     
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    Old 12-17-2014, 10:08 PM   #4
    kri2014
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    Re: TMJ with Tinnitus

    @MountainReader: Thank you very much for you detailed reply, you kept my hopes alive, to be frank i don't know the name of my splint, but it is given for repositioning my jaw but I know my doctor is very famous for tmj treatment, can you please tell me your doctors name so that I can go if my symptoms don't go away. And where did you get trigger point massage / manual therapy ? can you please give me some more suggestions ? and how many days it took for you to get rid of this tinnitus ? Thanks and waiting for your reply.

     
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