Temporomandibular joint muscles
Hello, doctor.
Recently, I had an examination that revealed a cervical disc herniation.
Two weeks ago, I experienced some discomfort after stretching my neck.
After yawning one night (my temporomandibular joint has always been tight), I felt increased pain in the muscles below the back of my head, accompanied by sudden sensations of heat.
I notice this sensation most when I press on it while sleeping; it feels swollen.
Drinking hot water also makes the warmth more pronounced, and there is slight pain when chewing.
I'm unsure if this is due to a muscle strain or another cause.
Could you please explain why this is happening? Is it a muscle issue? Should I see a rehabilitation specialist or a dentist (for the temporomandibular joint)?
Niming, 20~29 year old female. Ask Date: 2024/03/06
Dr. Lin Jiayong reply Dentistry
Hello: If a herniated disc is confirmed, it is recommended to consult a rehabilitation specialist for a detailed treatment plan.
If there are symptoms such as limited mouth opening, joint clicking sounds, along with headaches or neck and shoulder pain, then a visit to an oral and maxillofacial surgeon would be appropriate.
Reply Date: 2024/03/06
More Info
Jaw muscle pain can be a complex issue, often stemming from various underlying causes, including muscle strain, joint dysfunction, or even referred pain from other areas such as the neck. Given your recent history of cervical disc issues and the symptoms you've described, it’s essential to approach this situation holistically.
Understanding Your Symptoms
1. Muscle Pain and Tension: The discomfort you're experiencing in the back of your head and neck could be attributed to muscle tension or strain. This is particularly common in individuals with cervical spine issues, as the muscles in the neck and jaw can become overactive or compensatory due to altered mechanics.
2. Temporomandibular Joint (TMJ) Dysfunction: The TMJ connects your jaw to your skull and can be a source of pain if it becomes dysfunctional. Symptoms of TMJ disorders can include pain in the jaw, neck, and even headaches. The tightness you feel in your jaw, especially after yawning, could indicate that the joint is not functioning properly.
3. Referred Pain: Sometimes, pain in the jaw or head can be referred from other areas, such as the cervical spine. Given your history of cervical disc issues, it’s possible that the pain you’re experiencing is related to nerve irritation or muscle tension stemming from your neck.
When to Seek Help
Given the complexity of your symptoms, it’s advisable to consult with healthcare professionals who can provide a thorough evaluation. Here are some recommendations:
1. Dentist or Oral and Maxillofacial Specialist: Since your symptoms involve the jaw and potential TMJ issues, starting with a dentist who specializes in TMJ disorders could be beneficial. They can assess your jaw mechanics, check for any signs of bruxism (teeth grinding), and evaluate the alignment of your bite.
2. Physical Therapist or Rehabilitation Specialist: If your symptoms are primarily muscular, a physical therapist specializing in neck and jaw pain could help. They can provide exercises to strengthen and relax the muscles, improve posture, and enhance mobility in the cervical spine and jaw.
3. Neurologist: If your symptoms persist or worsen, consulting a neurologist may be necessary to rule out any neurological issues, especially if you experience additional symptoms like numbness or tingling.
Management Strategies
While you await your appointment, consider the following self-care strategies:
- Heat and Cold Therapy: Applying a warm compress to the neck and jaw can help relax tight muscles, while cold packs can reduce inflammation if there’s any swelling.
- Gentle Stretching: Performing gentle neck and jaw stretches can alleviate tension. Be cautious and avoid any movements that exacerbate your pain.
- Stress Management: Since stress can contribute to muscle tension, practices such as mindfulness, meditation, or yoga may help reduce overall tension in your body.
- Hydration and Nutrition: Staying hydrated and maintaining a balanced diet can support muscle function and recovery.
Conclusion
In summary, your symptoms could be related to muscle strain, TMJ dysfunction, or referred pain from your cervical spine. It’s crucial to seek a comprehensive evaluation from a dentist specializing in TMJ disorders or a physical therapist. They can provide targeted treatment options to alleviate your pain and improve your quality of life. Remember, early intervention can often lead to better outcomes, so don’t hesitate to seek help.
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