Jaw Pain After Accident: Should You See a Doctor or Wait? - Orthopedics

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I was hit on the temple by my boyfriend's forehead, and now I have a sharp pain that keeps me awake at night?


Last night, my boyfriend accidentally bumped my left temporomandibular joint area, near the hairline by my ear.
It hurt a lot at the moment of impact, but there were no bruises, facial displacement, or swelling.
However, I couldn't sleep through the night due to the pain, which continued into the morning with a sharp, stabbing sensation.
Could this be a strain, contusion, or a minor fracture? I also have a dental issue with a cavity in my lower left molar that has reached the nerve and requires root canal treatment, and I've been experiencing frequent toothaches lately.
The area he bumped is somewhat unclear, and I'm not sure if the pain is coming from my tooth.
If it is indeed a strain, contusion, or fracture, should I seek medical attention promptly, or can I just observe it at home?

Fang Tang, 20~29 year old female. Ask Date: 2024/07/09

Dr. Shi Guozheng reply Orthopedics


If the pain does not improve, it is necessary to visit a hospital for evaluation or to get an X-ray examination.

Reply Date: 2024/07/09

More Info


After experiencing a jaw injury from an accident, it is essential to assess the symptoms and determine whether medical attention is necessary. Based on your description, you experienced immediate pain upon impact, which has persisted and worsened to the point of disturbing your sleep. This situation raises several important considerations.

First, the location of the pain near the temporomandibular joint (TMJ) suggests that the injury could involve the joint itself, the surrounding soft tissues, or even the teeth. Given that you also have a pre-existing dental issue with a cavity that has reached the nerve, it is possible that the pain you are experiencing could be a combination of both the jaw injury and the dental problem. However, the fact that you felt a sharp pain immediately after the impact indicates that the injury may not be solely dental in nature.

In terms of potential injuries, you could be dealing with a soft tissue injury such as a strain or sprain, which can occur when the muscles or ligaments around the jaw are stretched or torn. Alternatively, there is a possibility of a more serious injury, such as a fracture in the jawbone or damage to the TMJ. While you mentioned that there are no visible bruising or swelling, these symptoms do not always present immediately after an injury, especially in the case of fractures.

Given the persistent pain and the fact that it is affecting your ability to sleep, it is advisable to seek medical attention. A healthcare professional can perform a thorough examination, which may include imaging studies such as X-rays or a CT scan, to rule out any fractures or significant injuries to the jaw or surrounding structures. Additionally, they can assess the condition of your teeth and determine if the dental issue is contributing to your pain.

If you choose to wait and observe your symptoms, it is crucial to monitor for any changes. If the pain worsens, if you experience swelling, difficulty opening or closing your mouth, or if you notice any changes in your bite, you should seek medical attention immediately. These could be signs of a more serious injury that requires prompt treatment.

In the meantime, you can manage the pain with over-the-counter pain relievers such as ibuprofen or acetaminophen, and applying a cold compress to the affected area may help reduce inflammation and numb the pain. Avoiding hard or chewy foods can also minimize strain on the jaw while it heals.

In conclusion, while it may be tempting to wait and see if the pain resolves on its own, given the nature of your injury and the persistence of your symptoms, it is in your best interest to consult a healthcare provider. They can provide a proper diagnosis and treatment plan to ensure that any potential injuries are addressed appropriately, preventing further complications down the line.

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