Can You Fly with Temporomandibular Joint Disorder? - Otolaryngology

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Temporomandibular Joint Disorder (TMJ) can indeed complicate flying, especially for individuals who have experienced significant discomfort or pain associated with changes in air pressure. In your case, it seems that your TMJ issues have been persistent since you were 13, and you have experienced ear pain during descent in an airplane, as well as discomfort when descending from high buildings.
When flying, the changes in cabin pressure during takeoff and landing can lead to a condition known as barotrauma, which occurs when the pressure in the middle ear cannot equalize with the external pressure. This can cause pain, discomfort, and even temporary hearing loss. For individuals with TMJ disorders, the muscles and joints around the jaw can become tense or dysfunctional, which may exacerbate the sensation of pressure in the ears.
Given your history of TMJ disorder and the symptoms you've described, it is advisable to approach flying with caution. Here are some considerations and recommendations:
1. Consult a Specialist: Before making any travel plans, it would be wise to consult with a healthcare professional who specializes in TMJ disorders. They can assess the severity of your condition and provide personalized advice.

2. Ear Pressure Management: If you decide to fly, there are techniques to help manage ear pressure. These include yawning, swallowing, or using the Valsalva maneuver (gently blowing while pinching your nose) to help equalize pressure in your ears. However, be cautious with these methods, especially if you experience pain.

3. Pain Management: If you have a history of pain during flights, consider discussing pain management options with your doctor. They may recommend over-the-counter pain relievers or other medications to help alleviate discomfort during the flight.

4. TMJ Treatment: Since you mentioned that your TMJ disorder has not been treated, exploring treatment options could be beneficial. Physical therapy, dental splints, or other interventions may help alleviate symptoms and improve your overall comfort.

5. Monitor Symptoms: Pay close attention to how your body responds to changes in pressure, whether in an airplane or during other activities. If you experience significant pain or changes in hearing, it may be a sign to avoid flying until your TMJ disorder is better managed.

6. Consider Alternatives: If flying poses too much risk or discomfort, consider alternative modes of transportation that do not involve significant changes in altitude.

In summary, while it is possible to fly with TMJ disorder, your specific symptoms and history suggest that you should proceed with caution. Consulting with a healthcare professional and considering your options for managing both TMJ and ear pressure can help ensure a safer and more comfortable travel experience.