Left Jaw Pain and Swelling Near Ear: Possible TMJ Issues During Pregnancy

Q: Left Jaw Pain and Swelling Near Ear: Possible TMJ Issues During Pregnancy

Hello： I believe you are suffering from what is known as temporomandibular joint (TMJ) disorder. <br>The tension in the masticatory muscles near the left TMJ has caused a displacement of the articular disc. <br>Inflammation of the synovial bursa may lead to difficulty or pain whe

There is pain when opening and closing the left temporomandibular joint, and a small nodule of about 0.5 cm can be felt near the left jaw close to the earlobe?

Hello Dr.
Huang, I have been experiencing pain in my left temporomandibular joint when opening my mouth for about three days, which is affecting my ability to eat.
I also feel referred pain when turning my head.
Two days ago, I noticed a small lump, approximately 0.5 cm, near my left jaw close to the earlobe; it does not hurt or move when pressed.
I do not have a fever, but I have had cavities in my left molars for many years without pain, and my gums feel slightly swollen.
I am currently 8 weeks pregnant.
Could you please advise what this issue might be? Should I seek medical attention promptly? Thank you for your response.

Jiǔ wō niáng, 20~29 year old female. Ask Date: 2006/10/21

Dr. Huang Zhicheng reply Dentistry

Hello: I believe you are suffering from what is known as temporomandibular joint (TMJ) disorder.
The tension in the masticatory muscles near the left TMJ has caused a displacement of the articular disc.
Inflammation of the synovial bursa may lead to difficulty or pain when opening and closing the mouth, and there may be associated sounds.
The teeth are not involved, and the swelling of the gums is likely due to the attachment point of the masseter muscle being nearby.
Generally, applying heat to the area around the joint can provide relief.
The small nodules you mentioned are likely just tight muscle fascia attachments.
Of course, TMJ disorders can also be related to malocclusion or poor biting habits, such as unilateral chewing or habitual clenching, as well as nighttime bruxism.
It is important to communicate with your physician to discuss possible treatments such as occlusal adjustments, occlusal rehabilitation, or the use of an occlusal splint.
Sincerely, Dr.
Huang Chih-Cheng.

Reply Date: 2006/10/21

More Info

Hello! Thank you for sharing your concerns regarding the left jaw pain and swelling near your ear during your pregnancy. Based on your description, it sounds like you may be experiencing issues related to the temporomandibular joint (TMJ), which is the joint that connects your jaw to your skull. TMJ disorders can lead to pain in the jaw, difficulty in chewing, and discomfort when moving the jaw or turning the head.

During pregnancy, hormonal changes can affect various body systems, including the musculoskeletal system. Increased levels of relaxin, a hormone that helps prepare the body for childbirth, can lead to changes in joint stability and may exacerbate existing conditions like TMJ disorders. Additionally, stress and tension, which are common during pregnancy, can contribute to muscle tightness around the jaw and lead to TMJ pain.

The small lump you mentioned near your ear could be a swollen lymph node or a benign cyst, especially if it is not painful and does not move. It’s not uncommon for lymph nodes to swell in response to infections or inflammation in the surrounding areas, such as the gums or teeth. Given that you have a history of dental issues, it’s possible that the swelling could be related to your dental health.

Here are a few recommendations for managing your symptoms:
1. Consult a Dentist or Oral Surgeon: Since you have a history of dental issues, it’s crucial to have a dental professional evaluate your condition. They can assess the health of your teeth and gums, check for any infections, and provide appropriate treatment if necessary.

2. TMJ Management: If TMJ disorder is confirmed, your dentist may recommend treatments such as:
- Jaw Exercises: Gentle stretching and strengthening exercises can help improve jaw function and reduce pain.

- Heat or Cold Therapy: Applying a warm compress or ice pack to the affected area can help alleviate pain and reduce swelling.

- Pain Relief: Over-the-counter pain relievers, such as acetaminophen, may be safe to use during pregnancy, but always consult your healthcare provider before taking any medication.

3. Stress Management: Since stress can exacerbate TMJ symptoms, consider incorporating relaxation techniques such as deep breathing, meditation, or prenatal yoga into your routine.

4. Monitor Symptoms: Keep track of your symptoms, including any changes in pain intensity, swelling, or new symptoms. If you experience fever, increased swelling, or severe pain, seek medical attention promptly.

5. Follow-Up Care: Given that you are pregnant, it’s essential to maintain regular check-ups with your healthcare provider to monitor both your health and the health of your baby.

In summary, while your symptoms may be related to TMJ issues or dental health, it’s essential to seek professional evaluation and treatment. Early intervention can help prevent further complications and improve your quality of life during pregnancy. Don’t hesitate to reach out to your healthcare provider for guidance tailored to your specific situation. Take care, and I wish you a healthy pregnancy!

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