Jaw Injury: Persistent Pain After Cheek Impact from Sports - Surgery

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Jaw impact causing cheek pain?


Last week during physical education class, I accidentally bumped my jaw while playing basketball with my classmates.
At the time of the impact, it didn't seem serious, but now when I press on my left cheek, I feel pain in my right cheek.
This condition has persisted for at least a week.
What should I do?

Hei Jie Ge, 10~19 year old female. Ask Date: 2023/04/03

Dr. Chen Jiaming reply Surgery


It may be inflammation of the temporomandibular joint (TMJ) caused by trauma.
Generally, it requires anti-inflammatory and analgesic medications along with adequate rest.
It is advisable to avoid positions or pressure that may cause pain.
Consider visiting a hospital or clinic for medication.

Reply Date: 2023/04/03

More Info


Experiencing persistent pain after a jaw injury, especially following an impact during sports, can be concerning. It’s important to understand the potential implications of such an injury and the steps you can take to address it.

From your description, it sounds like you may have sustained a soft tissue injury or possibly a minor joint issue related to your temporomandibular joint (TMJ), which connects your jawbone to your skull. The fact that you feel pain on the opposite side of the face when pressing on the affected area could indicate that the injury has caused some degree of inflammation or irritation in the surrounding tissues or joints.


Immediate Steps to Take
1. Rest and Avoid Aggravating Activities: It’s crucial to give your jaw some time to heal. Avoid activities that may exacerbate the pain, such as chewing hard foods or engaging in sports that could lead to further impacts.

2. Ice Application: Applying ice to the affected area can help reduce swelling and numb the pain. Use an ice pack wrapped in a cloth for about 15-20 minutes every few hours, especially in the first few days after the injury.

3. Pain Management: Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation. Be sure to follow the recommended dosages.

4. Gentle Jaw Exercises: Once the acute pain subsides, gentle stretching and mobility exercises for the jaw may help restore function and reduce stiffness. However, these should be done cautiously and only if they do not cause additional pain.


When to Seek Medical Attention
If the pain persists beyond a week or worsens, it’s advisable to consult a healthcare professional. Here are some signs that you should seek medical attention:
- Severe Pain: If the pain becomes unbearable or is not relieved by over-the-counter medications.

- Jaw Locking or Clicking: If you experience difficulty opening or closing your mouth, or if you hear clicking or popping sounds when moving your jaw.

- Swelling or Bruising: If you notice significant swelling, bruising, or any visible deformity in the jaw area.

- Numbness or Tingling: If you experience numbness or tingling in your face or jaw, which could indicate nerve involvement.


Potential Diagnostic Tests
A healthcare provider may recommend imaging studies, such as X-rays or an MRI, to assess for any fractures, dislocations, or other underlying issues that may not be apparent through a physical examination.

Recovery Expectations
Most minor jaw injuries heal within a few weeks with appropriate care. However, if there is damage to the TMJ or surrounding structures, recovery may take longer and could require physical therapy or other interventions.

Psychological Considerations
It’s also important to address any anxiety or fear you may have regarding the injury. It’s natural to feel concerned about the implications of an injury, especially if it affects your ability to participate in sports or daily activities. Engaging in relaxation techniques, such as deep breathing or mindfulness, can help manage anxiety.
In summary, while minor jaw injuries often resolve with conservative care, persistent pain warrants further evaluation. Taking proactive steps in managing your symptoms and seeking professional guidance when necessary will aid in your recovery and help you return to your normal activities.

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