Jaw Muscle Pain: Causes and Concerns for Patients - Neurosurgery

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Pain upon palpation of the muscles surrounding the mandible?


Hello, Doctor: I would like to ask about a pain I experience near the muscles around my lower jaw on both sides, which feels like a bruise when pressed.
(There is no pain when I open my mouth, only when I apply pressure.) However, I visited a dentist for an oral X-ray, and there were no abnormalities; my teeth and gums are not inflamed or painful.
Could this be related to my frequent late nights, which might cause pain in the lower jaw muscles when pressed? Or could it be related to a cold? However, I experience this pain even when I am not sick, or could it be related to anxiety? Or is it possible that I have a malocclusion? (Because my upper and lower teeth do not close properly.) This time, the pain in my lower jaw is accompanied by a tight sensation near my temples and eyes.
I would like to ask the doctor why the muscles around my lower jaw on both sides are painful when pressed.
(The pain is only on one side at a time.) I am not sure if this is close to the ear, but the muscles around my lower jaw are painful when pressed!

Li, 20~29 year old female. Ask Date: 2020/10/24

Dr. Lai Zhaokang reply Neurosurgery


Hello: Based on your description, there is no pain when opening your mouth wide, but there is pain when pressure is applied.
The dental X-ray did not show any abnormalities, and there is no inflammation or pain in the teeth or gums.

1.
It is suspected that this may be due to inflammation of the muscles in the lower jaw.
As you mentioned, it could be related to malocclusion, with uneven use of the left and right chewing muscles, leading to fatigue and inflammation of the lower jaw muscles over time.

2.
It is recommended to consult a dentist to discuss how to correct the occlusion issue.
For the currently uncomfortable area, apply heat and use anti-inflammatory pain relief ointment.
If there is no improvement, consider taking anti-inflammatory pain medication and muscle relaxants.

Best wishes,
Neurosurgeon Dr.
Lai Chao-Kang

Reply Date: 2020/10/24

More Info


Jaw muscle pain can be a perplexing issue for many patients, and understanding its causes and concerns is essential for effective management. Based on your description, it seems that you are experiencing localized pain in the muscles around your jaw, particularly when pressure is applied, without any discomfort when opening your mouth. This type of pain can be attributed to several factors, which I will outline below.


Possible Causes of Jaw Muscle Pain
1. Muscle Strain or Overuse: One of the most common causes of jaw muscle pain is muscle strain, which can occur from excessive use of the jaw muscles. This can happen if you frequently clench your jaw or grind your teeth (a condition known as bruxism), especially during stressful situations or while sleeping. If you often stay up late or experience anxiety, these factors could contribute to muscle tension and pain.

2. Temporomandibular Joint Disorders (TMJ): TMJ disorders can lead to pain in the jaw muscles and surrounding areas. These disorders can arise from various causes, including jaw misalignment, arthritis, or injury. Symptoms may include pain when chewing, clicking or popping sounds in the jaw, and limited jaw movement.

3. Stress and Anxiety: Psychological factors such as stress and anxiety can lead to muscle tension, particularly in the jaw area. This tension can manifest as pain when the muscles are palpated. If you find yourself grinding your teeth or clenching your jaw during stressful times, this could be a contributing factor.

4. Postural Issues: Poor posture, especially when sitting for long periods or using electronic devices, can lead to muscle tension in the neck and jaw. This tension can radiate to the jaw muscles, causing discomfort.

5. Dental Issues: Although your dental X-rays did not reveal any abnormalities, issues such as misaligned teeth or bite problems can lead to muscle strain and pain. If your upper and lower teeth do not align properly, it can put additional stress on the jaw muscles.

6. Referred Pain: Sometimes, pain in the jaw can be referred from other areas, such as the neck or head. Conditions like tension headaches or sinus issues can lead to discomfort in the jaw area.


Concerns and Recommendations
Given your symptoms, it is essential to consider the following:
- Consult a Specialist: If the pain persists or worsens, it may be beneficial to consult a dentist who specializes in TMJ disorders or a healthcare provider who can assess your jaw function and alignment. They may recommend imaging studies or further evaluations to rule out any underlying conditions.

- Stress Management: If stress and anxiety are contributing to your symptoms, consider incorporating stress-reduction techniques such as mindfulness, meditation, or relaxation exercises into your daily routine.

- Jaw Exercises: Gentle jaw exercises may help alleviate tension. These can include opening and closing the mouth slowly, moving the jaw side to side, and stretching the jaw muscles. However, avoid any movements that exacerbate the pain.

- Heat or Cold Therapy: Applying a warm compress to the jaw area can help relax tense muscles, while cold packs can reduce inflammation if there is any swelling.

- Avoid Hard Foods: If you notice that certain foods exacerbate your pain, it may be wise to avoid them until your symptoms improve.

- Monitor Your Habits: Pay attention to your habits, such as clenching your jaw or grinding your teeth, especially during stressful times. Being aware of these behaviors can help you make conscious efforts to relax your jaw.

In conclusion, jaw muscle pain can stem from various causes, including muscle strain, TMJ disorders, stress, and dental issues. Understanding these factors can help you address the pain effectively. If your symptoms persist or worsen, seeking professional advice is crucial for proper diagnosis and treatment.

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