Temporomandibular Joint Causing Sore Throat?


Aug 26, 2013

So, my TMD seems to be presenting in an unusual way. Rather than getting earaches or migraine symptoms, I'm mostly having trouble with my throat, neck, and nose. For the longest time people were telling me it was sinusitis. I even went on Cipro for 4 weeks. Anyway, the thing is that my throat doesn't just hurt, it kills. It'll start up stinging and within an hour or two it'll be raging, often for longer than a day. My jaw starts to quiver and I get pain all over my face: tooth pain and pressure, an extremely sore neck, a totally congested nose. And everything becomes tight: it feels weird to open my mouth and rotate my neck, and lying down doesn't make anything better either.

So my question is: does anyone have any idea how to deal with a sore throat caused by TMJ? Ibuprofen doesn't seem to put a dent in the pain and ice packs on my jaw help for all of ten minutes (and you can't put ice packs directly on the inner throat muscles where the pain is coming from anyway). Whenever one of these comes on (generally about every 4 - 5 days), I feel like I'm completely helpless. 20+ consecutive hours of terrible pain is just so hard to deal with.

I'll be seeing a physical therapist tomorrow who will hopefully help me come up with exercises, etc... to prevent an "attack," and I'll also be seeing a dentist later in the week to see about getting a possible oral splint. I've already tried adjusting my posture, relaxing my jaw and neck, eating soft foods... the dreaded sore throat still seems to strike no matter what.

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I am wondering if it is tmj relates because I have a crossbite in the same side of the pain and I remember that previously it sometimes happened to wake up with a similar sore throat when during the nigh my jaw was pulled backward on the right. Maybe the disc is irritating some nerve?

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I am 16 years old and have been experiencing my latest (and worst yet) bout of tonsillitis for the past 4-5 days. I have been taking soluble aspirin and paracetamol, and today my GP prescribed me some soluble penicillin antibiotics to help fight it off. However, I am experiencing lots of thick green mucus in my throat and a yellow-greenish coating of mucus on my tongue that just will not go away no matter how many times I spit it out. The mucus is causing many difficulties for me in terms of swallowing food and drink, as (with drinks) either I swallow some of the mucus with the fluid or the drink mixes with the mucus and ends up stuck in my throat. 

I am going on holiday to Egypt for a week on the 26th June so I really need to get this cleared up before then! Does anyone have any suggestions as to how I can alleviate the pain and get rid of all this mucus?

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For those of who have gone through joint replacement, I would really appreciate knowing:

1) what questions I should be asking the surgeons about the surgery, about the outcomes; about post-op care; risks;

2) what your personal exerpience was - just want to know what to expect.

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This has been going for three days now.

Doctor said I need a blood test for glandular fever, which is next week.

I mentioned that I think I can feel my epiglottis swollen, and she laughed and said that is all the way down by my adam's apple and would have a job feeling that... even though i've seen many cases online where it's visible above the tongue and often can be felt.

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I'm 17 years old and have had tmj for the last 3 years. i first was given numerous night splints to see if that would work,they didn't. Next i was referred to a specialist who gave me a night splint which still didn't work. From here i had xrays and then had an mri.

Right side:
There is an anteriorly displaced but intact meniscus, which mostly overlies the articular tubercle. There is thickening of the retrodiscal lamina tissue. The intercondylar head lies within the condylar fossa with a slight deformity to the articular surface. No fluid or inflammation is present in the residual joint space but there is absolutely no anterior translation when the mouth is open. the adjacent soft tissue of the lateral pterygoid, externally auditory canal, parotid and deeper face are normal.

left side:

The left condylar head is normal in morphology. The meniscus is probably normally located although it is quite anteriorly displaced extending on to the articular tubercle with only a small portion overlying the condylar head from 10 o'clock to 12 o'clock. No fluid or inflammation is present within the joint space of note with a small amount of fluid on either side of the intact meniscus more anteriorly. No oedema or erosions are present within the condylar head. The soft tissues adjacent to the joint are unremarkable.

Conclusion:

There is complete anterior displacement of the meniscus on the right which is intact. it now sits on top of the superior boarder of the lateral pterygoid muscle and overlies the articular tubercle. No current inflammation is seen within the temporomandibular joint, erosion's or bone oedema. however on both sides there is no translation during attempted mouth opening.

From here i had an arthrocentesis where he put a cortisone injection in. This also didn't work. From here he put me on amitriptyline for 2 months but that didn't help so we stopped it. 3 months ago I had surgery on my right tmj. My specialist removed the disc, reshaped the bone, and put a fat graft where the disk should be. This also hasn't helped, I am still in constant pain, m jaw locks up, migraines nerve problems and other symptoms. Because of the pain i have only attended 36% of school this year. It's my last year but i am keeping up. Because of tmj i have to stay home next year and study through distance learning for university. My specialist has applied for permission to put me on gabapentin to see if it will keep the pain at bay.

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I spoke to the surgeon about my symptoms and he said that it could be TMD and that I would probably need to have a splint made. I am currently waiting to go back to my regular dentist for a new x ray and to follow this up.

The sensation I experience I would not describe as painful... annoying/uncomfortable absolutely!

It feels as though the left side of my jaw is in a constant spasm or as though something is pulling it back (hard to describe) I can open my mouth without any problems and there is no clicking.

I sometimes wake up and it is fine but then throughout the day it starts to come back. I notice this mostly when I sit down on my computer or lay my head back on something. It also goes away for a couple of days but then it comes back.

I do not think it is a tooth problem as I have had regular check ups this year and any problems I had have now been dealt with and now I just need to get implants made for the missing teeth when the gum is healed.

I wondered if anyone with a bit more experience thinks this is a TMJ problem or could it be something else like a nerve problem? Most symptom checkers describe TMJ as painful or with clicking noise from the jaw, which I am not experiencing. Hence the confusion!

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It started off in my right ear but is now in both and is so loud I have become so anxious and depressed and don't want to talk to anybody.

The clicks are audible externally, and if I cry and become congested I get slight relief and also if I tilt my head forward or lay my head in certain positions.

I went to the doctors yesterday who instantly diagnosed me with TMJ. I'm not sure whether to believe this, as the clicks aren't there when I open and close my jaw and why does it temporarily ease off when I am congested?

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I seem to grow bone in the left joint space (my disk and ball joint are long gone) and the right side my body absorbs the tissue they put in and I', bone on bone. Therefore I'm living with daily chronic pain for the last 20 years.

I've heard that the joint replacement has gotten better. It doesn't take away all pain, but it's a different pain.

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I have suffered from TMJ in the past but it always cleared up when the bite was adjusted properly. My latest dentist changed my bite with a filling on one side and then ground down the opposite side so it would match. The side he ground down was the "good side" as the other had been ruined and ground down previously because of a root canal. The result are teeth that are much to short and a bite that is all over the place. The facial pain is intense even after I went to another dentist who further adjusted me. It seems as though no one really knows what they are doing...everyone tells me I'm "ok" now and shuffles me off. I honestly feel like a don't have teeth on one side and all the natural ridges have been shaved off ALL the bottom teeth at this point. Frustration does not even cover what I am feeling. Does anyone know how on earth to fix this mess or what type of dentist can best alter the bite for the better. A month ago I was perfect..pain free for over a year and now I feel like a zombie who cannot talk or eat or do anything without extreme facial pain. I'm hoping someone clever can build it up properly or maybe do crowns or onlays ( all very tricky when you have tmj). One dentist offered me the little mouth guard ( the one who messed me up) I felt like yelling fix what you messed up and stop trying to sell me things I didn't need before you touched me. Just wondering if anyone ever suffered from the "too short ground down teeth" dilemma and if anyone was able to fix it. I've been living on pills that have done little to help for over a month.

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After a year of trying to figure out what was causing it, I realized it was the retainer and nightguard. When I took them out for a while the reaction subsided. I'm not sure if it's a allergy or more likely a reaction to saliva or something else.

I ended up getting new retainers (like invisalign) and it stopped for a while but then returned after a month or so. The invisalign doesn't keep my jaw in line so I was waking up with pain for awhile. Now, I'm back to my old ones.

Any ideas for what to do? I don't think I can stop using my orthotic because my jaw will move. I've tried contacting other tmj specialists but they all want to charge me a bunch of $$ for a sales pitch and then more $$ for treatments.

I always clean them very well so I don't think it's any kind of bacterial thing, but who knows.

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I had an MRI of my jaw joints recently which only uncovered inflammation ( I have an underlying autoimmune disorder that would have caused this inflammation to accumulate to begin with). The problem is, all my specialists agree that I'm having far too much pain for it to be only the inflammation as the culprit.

My doctor thinks that the inflammation is compressing against my Trigeminal nerve, thus the excruciating constant pain ( I'm taking strong painkillers and Lyrica just to attempt to control the pain)

Has anyone heard of this? Or had a similar experience?

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Temporomandibular Joint Disorder Talking Increases Tinnitus And Hyperacusis

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