Ear digging causing temporomandibular joint pain?
I have a habit of cleaning my ears, but a couple of days ago, after cleaning my ears, I experienced significant pain that also led to temporomandibular joint pain, making it difficult to open my mouth to eat.
Should I see an otolaryngologist or a dentist for treatment?
magnet, 20~29 year old female. Ask Date: 2005/04/10
Dr. Chen Yingfang reply Dentistry
Hello, please see an otolaryngologist.
Thank you!
Reply Date: 2005/04/10
More Info
Ear wax removal can indeed lead to jaw pain, particularly if the removal process is aggressive or if it inadvertently affects the surrounding structures, including the temporomandibular joint (TMJ). The TMJ is the joint that connects your jawbone to your skull, and it is located very close to the ear canal. When you dig into your ears, you may inadvertently irritate or injure the muscles and ligaments around this joint, leading to pain that can radiate to the jaw, ear, and even the head.
In your case, the pain you are experiencing after ear cleaning could be due to several factors:
1. Trauma to the Ear Canal: If you used a tool or your fingers to remove ear wax, you might have scratched or irritated the ear canal, which can lead to inflammation and pain.
2. TMJ Dysfunction: The act of digging into your ear may have caused you to clench your jaw or move it in a way that stresses the TMJ, leading to pain in the jaw and difficulty opening your mouth.
3. Referred Pain: Sometimes, pain in one area of the body can be felt in another area. The nerves that supply the ear and jaw are closely related, so irritation in the ear can sometimes manifest as jaw pain.
Given your symptoms of jaw pain and difficulty opening your mouth, it is advisable to seek medical attention. Here’s how you can decide whether to see an ENT (ear, nose, and throat specialist) or a dentist:
- See an ENT Specialist: If the primary concern is ear pain, discomfort in the ear canal, or if you suspect an ear infection or other ear-related issues, an ENT is the appropriate choice. They can examine your ear canal for any signs of injury, infection, or excessive wax buildup that may require professional removal.
- See a Dentist or TMJ Specialist: If your primary concern is jaw pain, especially if you have a history of TMJ issues or if you suspect that the pain is related to jaw function, a dentist or a specialist in TMJ disorders would be more appropriate. They can assess your jaw function, check for signs of TMJ dysfunction, and provide treatment options.
In either case, if you experience severe pain, swelling, or if the pain persists despite home care measures (like warm compresses or over-the-counter pain relievers), it is essential to seek medical attention promptly.
Additional Considerations:
- Home Care: Until you can see a doctor, avoid inserting anything into your ear, as this could worsen the situation. Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and inflammation.
- Jaw Exercises: Gentle jaw exercises may help relieve some tension in the jaw if TMJ dysfunction is suspected. However, avoid any movements that exacerbate the pain.
- Heat Therapy: Applying a warm compress to the jaw area may help alleviate discomfort.
In summary, while ear wax removal can lead to jaw pain, the best course of action is to consult with a healthcare professional who can provide a thorough examination and appropriate treatment based on your specific symptoms.
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