It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



TMJ Disorder -TemporoMandibular Joint Message Board

  • pressure, pain near ear & cheeck bones

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 02-01-2002, 11:54 AM   #1
    LisaR818
    Newbie
     
    LisaR818's Avatar
     
    Join Date: Jan 2002
    Location: Manassas,VA, USA
    Posts: 7
    LisaR818 HB User
    pressure, pain near ear & cheeck bones

    I am getting so very fustrated and upset. This pressure/pain I have had for about 2 weeks. It is new to my regular TMJ pain (face pain,jaw pain, sore teeth).I was told I had TMJ about a year ago. It starts next to the bottom of my ear and into my cheeck bones on both sides(it sometimes radiates into the front of my chin). When I first wake up the pain is not bad except for the sore teeth, as the day goes on it gets worse and my cheecks swell up and the pressure feeling like someone is squeezing my cheek bones. It gets hard to put my mouth guard in. The pain was so bad Sunday nite I went to the ER. Then Monday to my dentist who has been treating my TMJ. Wednesday I went to the "TMJ specialist", who examed my face(pushing on places it hurt). Told me to get an MRI (with no insurance I don't have the money to have that done right now). And that would tell him more. Today I had an appt with my family physcian because I couldn't hanlde being in this pain. She told me there wasn't much she could do but, said take my muscle relaxer and take the Tolemtin(anti-inflammatory).Plus I have found another TMJ specialist which I will see next week, for another opionion I guess. In the mean time does anyone have this same kinda pain,pressure, and swellen and what do you do to ease the pain? And does anyone know what an MRI costs? I just can't believe how painful this is, I wouldn't wish it upon anyone. Any advice? Thanks- Lisa

     
    Sponsors Lightbulb
       
    Old 02-01-2002, 12:59 PM   #2
    Elaine
    Inactive
     
    Join Date: Nov 2000
    Location: Montana
    Posts: 407
    Elaine HB User
    Re: pressure, pain near ear & cheeck bones

    The primary etilogy of TMJ, though not known to the dental profession, is very simple- it is due to an excess range of motion in the function of the jaw. That is, the teeth support the jaw in such a way that is has to go through excess motion to perform daily activities (like chewing, swallowing, speech, rest, etc.)_. Typically, symptoms start developing when the range of motion approaches three millimeters. This leads to excess load on the joints, the muscles, the nerves, and the teeth, thus causing pain.

    Often there is a traumatic event that precipitates a chronic pain state, but invariably what is found upon examination is that there was a pre-existing condition of excess motion that predisposed the individual to pain. The same condition subsequently prevents them from healing.


    Diagnosis:
    A proper diagnois should begin with a thorough medical history, physical examination, and evaluation of suspected contributing factors. Proper diagnositics should include at a minimum x-rays of the TMJ, an analysis of jaw motion during speech, and molds of the teeth.


    Treatment:
    Treatment is broken into two phases, the first to diagnose the proper jaw relationship that works for the individual, and the second phase to stabilize them in that position.
    Phase I treatment should be directed a stabilizing the lower jaw in such a position that it can perform its various functions with in a minimal range of motion. That is, the verticle height of the bite should be close to the rest positon of the jaw, speech should be on the same trajectory as biting, and there should be no lateral shift with any jaw activity. This philosophy also dictates that an appropriate appliance be used at nighttime that will maintain jaw position even when one goes unconscious and looses muscle tone.
    Get a daytime appliance that is worn all the time, even when eating, and a different nighttime appliance.

    Phase II treatment can be done through a number of ways, either orthodotic/orthopedic treatment, with partials or dentures, or with crowns. The appropriate mannor is based on cost and needs.

    I found the above on a website.


    Lisa,
    A MRI costs right around a $1000.00 or at least it did a year ago. I recently had one on my back but haven't got a bill yet so my guess is the price has probably went up, after all its been a year.LOL!!! TMJ pain is usually from nerves, tendons, and ligaments that are in spasm.
    I use both heat and ice but mostly ice because I always get such headaches. Try sewing a pound of regular rice into a dishtowel. Heat it in the microwave for a few minutes, it gives off a moist heat that does wonders for facial pain. TMJD is horrible and the ones on this board know exactly what you are going through. I would suggest reading through all these posts as there is excellent information on this board. "Some" of us were educated through our oral surgeons who told us surgery was the answer. The only thing I can say is if you are NOT locked open or closed, don't fall for the line that surgery will make you better.
    Keep posting, everyone will try to answer your questions.
    Take care,
    Elaine

     
    Old 02-01-2002, 01:29 PM   #3
    MelanieB
    Member
     
    MelanieB's Avatar
     
    Join Date: Sep 2001
    Location: Calgary, AB, CANADA
    Posts: 61
    MelanieB HB User
    Re: pressure, pain near ear & cheeck bones

    Lisa, MRI's are very expensive. And although they are considered the best method of imaging, there are other cheaper alternatives. CT Scans are a bit cheaper, but don't show as much soft tissue detail (in an MRI you can see veins but in CTs you can't, for example). Tomographs are a special type of X-ray that are even less expensive, but again show less soft tissue detail. You can't see muscles with Tomographs (but you can with CT's and MRI's) but you can see all bone and cartilidge.

    The first step in diagnosing TMJ disorder is to see if the disc (cartilidge) rests in the joint (bones) properly. So I'd say, if you are strapped for cash, ask the specialist if Tomographs are good enough for an initial diagnosis. He won't be able to see your muscles in the tomograph, but a lot of specialists don't find that ability to see soft tissues as valuable to them to warrant the high price. I've never had a CT or MRI, but I've had tomographs and could clearly see my discs in relation to the joint. My TMJ Specialist looked at them and decided that they gave him enough info. My tomographs cost about $250.

    And honestly, if you can't afford the $250, or whatever the cost is for proper diagnosis, then you simply have to come up with some way to pay for it. Seriously, don't let your TMJ problem get out of hand or it will be much more costly and painful later. Put it on a charge card if you have to. Get a loan from a family member, or even a bank. Pay it off a little each month. It is worth it, trust me, if it helps you feel better. I think that is the consensus of most people on this board - there is no price to high for your health. Some specialists/doctors will let you go on a payment plan. Go see a bank. Go see a family member. Sell your house and move in to a smaller one if you have to. But for your own sanity and well being, you have to do what you have to do to make yourself better.

    Melanie

     
    Old 02-01-2002, 03:53 PM   #4
    LisaR818
    Newbie
     
    LisaR818's Avatar
     
    Join Date: Jan 2002
    Location: Manassas,VA, USA
    Posts: 7
    LisaR818 HB User
    Re: pressure, pain near ear & cheeck bones

    Thank you so much. I will see what the "specialist" says I can get away with. I had a ct scan last year. I showed them to the "TMJ specialist", and he couldn't tell much I guess by looking at the CT scan. For now I will try the rice for moist heat. Thanks for the advice I really appreciate it. I have read alot of posts it helps me cope with TMJ and pain. And I'll see what the next TMJ specialist has to say. Thanks again--- Lisa

     
    Old 02-01-2002, 09:00 PM   #5
    dawn2
    Senior Member
     
    dawn2's Avatar
     
    Join Date: Jun 2001
    Posts: 195
    dawn2 HB User
    Re: pressure, pain near ear & cheeck bones

    Lisa:
    I totally can understand what you have been thru and what you will continue to deal with. I wake up each morning with much swelling in the face and with adjustments from the "best of the best" in the country from tmj. It affects so many things.....muscles, tendons, joints, vessels, etc. etc., it's never ending. I know all the points of tenderness you express. It's typical of tmj. I have no easy answers for you. TMJD is a life long condition that affects you daily. It's only a matter of the best adjustments, confidence in your doctor, and the attitude to keep on going. Yes....even smiling, laughing, and crying will give you some kind of pain. Never mind what biting into an apple may do. You hang in there. You will have good days and bad days. I have fibro and tmj and the last two weeks have been screaming painful from the muscles spasming....I don't want to make your feelings or discomfort any less than what they are....for they are real...take time to realize you have a condition that does affect your daily life. We are all here to understand how you feel when all else fails. We will not fail you for we understand the pain, the FRUSTRATION, and the MISERY. Dawn2
    P.S. MRI's cost usually $1500 - 2000 from my experience.
    P.S.S. From what my specialists tells me about tmj it's a condition that is chronic, but is always checked and rechecked to keep you as comfortable as possible.

     
    Old 02-05-2002, 09:11 PM   #6
    bcomrie
     
    bcomrie's Avatar
     
    Join Date: Sep 2001
    Location: Norco Ca USA
    Posts: 0
    bcomrie HB User
    Re: pressure, pain near ear & cheeck bones

    I can completely relate to the symptoms you have with the pain in the ear and cheek. I live in California and I flew back east to New Jersey this past fall to see a dentist that is supposed to one of the best and one of only a handfull that perform radiofrequency surgery surgery on muscle,ligaments and tendons of the face and jaw to stop the pain impulses from the area. I plan on going back this Spring to have it done as he has performed this for about 20 yrs and has a very high success rate. I will let all you fellow sufferers know the outcome.......Bea

     
    Old 02-05-2002, 10:59 PM   #7
    Nicole23
    Inactive
     
    Join Date: Jan 2002
    Posts: 135
    Nicole23 HB User
    Re: pressure, pain near ear & cheeck bones

    Bea what exactly is this surgery that you speak of? Could you please explain? Does it eliminate the ear pressure? Do you know what the risks are? Who is the Doctor? What happens to the TMJ? What about needing more and more surgeries after this one? Is this an open joint surgery? Please advise. I am in splint therapy right now and I am hoping that it will work, but in case it doesn't I would like to know the alternatives.

     
    Old 02-06-2002, 09:48 AM   #8
    mbr22
    Senior Member
     
    mbr22's Avatar
     
    Join Date: Oct 2001
    Location: Michigan
    Posts: 167
    mbr22 HB User
    Re: pressure, pain near ear & cheeck bones

    Bea - I would also be very interested in hearing about this radio frequency treatment.

    thanks

     
    Old 02-06-2002, 12:23 PM   #9
    bcomrie
     
    bcomrie's Avatar
     
    Join Date: Sep 2001
    Location: Norco Ca USA
    Posts: 0
    bcomrie HB User
    Re: pressure, pain near ear & cheeck bones

    The surgery is non invasive. In radiofrequency they use an instrument kind of like a needle and a fancy x-ray machine to find the spot and a very small area where the nerve is in the tissue is cauterized. I know I'm a canidate as when he injected into my stylomandibular ligament(which attaches under the ear and bottm of the jaw) and my temperal tendon(runs thru the cheek to sides of head) most of my pain went away for a short time. This procedure makes it permanent. From what I've heard it is very safe, performed by someone that knows what they are doing. In my case I do have displacement of the disk forward, my joint looks fine. I do have other issues wtih my neck too and am in the process of tests with a local pain doctor with radiofrequency of the facets joints as a possiblity(necks are easier). I can't say who would benefit from this procedure and he won't do it till he has put you thru his protocol. But I can't wait to go back and have it done. I am determined not to live with this pain! If you want to check out his web site it is <A HREF="http://www.headaches.com" TARGET=_blank>www.headaches.com</A>

     
    Old 02-06-2002, 12:38 PM   #10
    Nicole23
    Inactive
     
    Join Date: Jan 2002
    Posts: 135
    Nicole23 HB User
    Re: pressure, pain near ear & cheeck bones

    Bea, what do you mean your joint looks fine? I have severe degeneration on one side of my joint. Do you know what the effects are of the surgery in this case? I have displaced disks also, but my opening is at 35 milimeters. Does this procedure eliminate the ear pressure? I am still wondering if this is an open joint procedure? What about needing more and more surgeries? Please explain. I would appreciate any more info. My ears really bother me.

     
    Old 02-06-2002, 02:09 PM   #11
    bcomrie
     
    bcomrie's Avatar
     
    Join Date: Sep 2001
    Location: Norco Ca USA
    Posts: 0
    bcomrie HB User
    Re: pressure, pain near ear & cheeck bones

    This is not an open joint procedure and is not even on the joint. It is to surrounding ligaments, tendons etc. There is no cutting what so ever. They just use a needle like instrument. I have no idea if this would benefit you but much of the time the ear pain is not from the joint but the attaching ligament.I would certainly get another opinion before I went under the knife but I don't know it may very well be something you need. My discs are displaced but the actual bone that makes up the joint is fine. I have good range of motion but still have pain. As explained to me by this doctor is it is rarely the joint itself causing the problem if your range of motion is good but the attaching ligaments , tendons and muscles that can refer pain to the actual joint, ear, eye, teeth etc. this procedure simply turns off the pain impulses coming from these damaged and beyond healing areas. Hope that helps a little. Further surgerys ,if that is your problem ,are rarely needed and it is an out patient procedure. I can let you know more after I have it but I have no fear( accept flying there). I thoroughly trust this doctor and I've been to alot of them.......Bea.....

     
    Old 02-07-2002, 08:55 AM   #12
    Gengrrl
    Junior Member
     
    Gengrrl's Avatar
     
    Join Date: Nov 2001
    Location: boston, ma
    Posts: 30
    Gengrrl HB User
    Re: pressure, pain near ear & cheeck bones

    Hi Bea --

    I am in a similar state as what you describe below.

    "My discs are displaced but the actual bone that makes up the joint is fine. I have good range of motion but still have pain"

    I would be very interested in the outcome of your procedure, the doc, cost, etc. I'm in Boston and it would not be too difficult for me to get to NJ. Good luck.

    Gengrrl

     
    Closed Thread

    Related Topics
    Thread Thread Starter Board Replies Last Post
    Hip, groin and pubic bone pain: cannot sit down. blakford247 Knee & Hip Problems 5 10-19-2012 08:24 AM
    Tenderness/Pain in front of neck on right side of windpipe - Why? SirMack Ear, Nose & Throat 28 04-18-2012 01:40 AM
    24-7 Sinus pressure for 6 months, but NO sinus infection or allergy symptoms earsounds Sinus Problems 10 07-24-2007 06:52 PM
    "Imaginary pain" per M.D. following ACDF & car wreck boxer_dog_luv Spinal Cord Disorders 5 10-05-2006 12:07 PM
    Head & ear pressure shinigami Headaches & Migraines 82 04-19-2006 06:53 AM
    head pressure every day lmb723 Headaches & Migraines 17 12-28-2005 07:01 PM




    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    Posting Rules
    You may not post new threads
    You may not post replies
    You may not post attachments
    You may not edit your posts

    BB code is On
    Smilies are On
    [IMG] code is Off
    HTML code is Off
    Trackbacks are Off
    Pingbacks are Off
    Refbacks are Off




    Sign Up Today!

    Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

    I want my free account

    All times are GMT -7. The time now is 04:25 AM.





    © 2021 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!