TMJ Throat Pain

Dr. Shapira Chicago, Deerfield, Evanston, Highland Park, Kenilworth, Lake Bluff, Lake Forest, Libertyville, Lincolnshire, Mettawa, Morton Grove, Muscle Stiffness, Northbrook, Northfield, Skokie, Throat & Swallowing TMJ, Vernon Hills, Vision, Wilmette, Winnetka 25 Comments

TMJ throat pain and swallowing

tmj-throat-pain-chicagoHeadaches, neck pain, sore throat, waking up feeling tired – these are all common problems that many people encounter and think nothing of. If you wake up feeling tired every day, or wake up with a headache, or take aspirin or pain medications several times a week or even every day, you could have a problem with your temporomandibular joint (TMJ).

TMJ problems affect 75% of the population at some time in their lives. Many people don’t realize they have a TMJ problem until certain symptoms become severe enough to cause them to seek medical help. Difficulty chewing and swallowing can be one of the most frightening TMJ symptoms.

The TMJ is one of the most active joints in the body. It lies between the mandible, which is the lower jaw bone, and the temporal bone, which is a bone at the side of the head. These joints that lie near the ears on both sides of the head go into action whenever we talk, chew, swallow, yawn, breathe through the mouth or do anything else that involves opening and closing our jaws.

The Medial Pterygoid Muscle is closely associated with throat pain, pain on swallowing or the feeling that something is stuck in the throat.  This same muscle when shortened or in spasm creates a massive medial pull causing jaw flexion and increased TMJoint pressure.

When you think about this, it is easy to see why the TMJ is such an active joint, and why in a person’s lifetime this extremely hardworking joint is bound to develop some problems.

Beautiful young woman wincing in painOne of the most alarming signs of TMJ disorder (which is sometimes abbreviated as TMD or simply TMJ) is having trouble swallowing or pain when swallowing. The TMJ is cushioned by a soft disk that allows it to move smoothly, but sometimes this disk can move out of place. This is why TMJ can cause throat pain and other issues; without the disk giving shock absorption and cushioning, the normal smooth movement of the joint is compromised and the result can be pain when moving the jaws.

When TMJ causes swallowing difficulty or swallowing pain, it can be frightening. Another experience of TMJ sufferers is clicking sounds when opening and closing the mouth, or even temporary jaw locking.  When associated with sleep disordered breathing it can also cause GERD or Gastric Reflux.

TMJ Problems Can Be Alieviated and/or Eliminated

The bad news is that there is actually no complete cure for TMJ disorders. The good news is that  there are treatments and answers and no one who suffers from TMJ symptoms is alone. While jaw locking or throat pain and difficulty swallowing can be disturbing, pain relievers can help, and there are simple things TMJ sufferers can do to alleviate their symptoms.

Doctors and dentists who treat TMJ patients recommend conservative treatment. Pain relievers and mouth and jaw exercises are often prescribed.  A diagnostic physiologic orthotic is usually an initial treatment for more severe TMJ disorders while ore mild problems can be treated with a bruxism appliance that is worn only at night. The orthotic is called a stabilization splint. As these do not permanently change the patient’s bite, they fall under the category of conservative treatment.

Other self-help treatments that can help with TMJ are breathing exercises, relaxation techniques, a change in diet (to softer foods) and avoiding gum chewing or extreme jaw movements.

Invasive  surgical treatments for TMJ can be undertaken, but these are irreversible and have not been proven to be effective at alleviating symptoms.  Minimally invasive treatments like trigger point injections, prolotheapy and nerve blocks can give amazing pain relief and help you return to function with minimal risk or discomfort.

Currently, Botox is being utilized  for TMJ disorders and migraines.  The use of powerful toxic substances can be useful in breaking a cycle of pain but the long term effect is unknown.  Correcting the underlying causes of TMJ disorders can achieve the same or better results as Botulinum Toxin.  Botox is popular among neurologists who usually only write perscriptions for their patients.

If you have been experiencing any TMJ symptoms: headaches, ear ache, neck pain or stiffness, difficulty or pain when chewing or swallowing, clicking sounds when opening and closing your mouth, tooth pain or loose teeth, sensitivity to light, pain in the jaws or facial pain, you may be one of the many people who has some type of TMJ problem.

If you are interested in learning more about TMJ and ways that you can get relief from the pain and symptoms, contact our office. We can answer your questions or set up a consultation appointment.

Comments 25

  1. I became honored to obtain a call coming from a friend as soon as he found out the important tips shared on the
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  2. in 2010 my jaw muscles started spasiming locking my jaw shut, one of the spasms went so far as to dislocate my jaw… since that time i have had a constant battle with facial pain and headaches, there are no doctors in my area that specialize in tmj and its symptoms… my question is .. for the last 6 months i have been choking on clear liquids ( never food) 3 of these episodes have resulted in me loosing conciesness the second time this happened i totaled my car… i have no insurance to see a dr i know you cant diagnose in an email but i have researched several areas that may be causing this.. have you ever heard of this being a symptom of tmj

  3. Post
    Author

    Misty,
    The passing out when choking on liquids is not a TMJ symptom and should be evaluated by a physician. The chronic facial pain and headaches are a typical TMJ syndrome.

  4. I have a mild case of TMJ however there is very little pain and I have no difficulty swallowing. However I have a off an on constant throat pain or irritation. It comes an goes away. Sometimes I go all day with no problems and some days the pain is bothersome as it comes and goes. Other than that I have some pain in my jaw area when chewing however this eases up after the first couple of bites. I also hear a crackling sound in my right ear when opening wide and closing my mouth.

  5. Post
    Author

    It sounds like you have a mild TMJ disorder that can probably benefit from treatment. The throat pain may or may not be related to a TMJ disorder. The throat pain could be related to reflux or other issues. I would suggest seeing an ENT to rule out primary throat issues.
    TMJ disorders are related to sleep disorders and apnea that is related to reflu so there may be a secondary connection.

    Read this NHLBI Report
    CARDIOVASCULAR AND SLEEP-RELATED CONSEQUENCES OF TEMPOROMANDIBULAR DISORDERS
    Every TMJ Patient Should Consider Reading This Report. https://www.nhlbi.nih.gov/files/docs/workshops/tmj_wksp.pdf

  6. Hi,
    I fell off my bike a few months ago, and split my chin and broke a bunch of molars. I’m still in the process or getting them fixed with Root Canals etc.
    My problem is that the pain in my jaw is unbearable. For a day after a dentist appointment, I can barely open my mouth or even swallow. Please tell me how I can make the pain stop, or at least diagnose the pain.

  7. I started noticing that I had a TMJ problem in 2008 when I couldn’t open my mouth and couldn’t eat properly since there was limited opening of my mouth but after a while it lessen and I paid no mind to it after then this year this got worse. I yawned then my mouth wouldn’t open properly for three months so I consulted a tmj specialist in our area and she suggested for me the wear a splint the would raise my bite. I have been wearing for three months now. Last month I yawned again and this time my jaw wouldn’t close for 10mins and the pain was excruciating my progress for the past months went down the drain just because of it. And yesterday I woke up feeling pain in my right TMJ, my ear my temple my neck and pain when swallowing for the whole day and it still hyrts today. Pain killers doesn’t help either and eating also causes pain. I know I have a night grinding problem but this time I don’t know why the pain is to much.

  8. I have had issues with my TMJ for years mostly not able to hold mouth open for long periods or chew gum etc. However, over the past month I have been in severe pain after an extensive dental visit. I had 2 crowns done in one visit to the DDS. I normally recover fro a DDS visit with in a day however this time I am still in very severe pain. I am also having watering and twitching eye on the left side which is the side of the dental work. Additionally, I have had scary problems swallowing.

    My DDS fitted me with a nightgard and has been doing cold laser on me with no relief. If anything I think the nightgard makes things worse. I just started accupucture as well I am hoping something happens with that.

    I am wondering where to turn now? I am also wondering if the novacane injection which was done for the crowns on tooth 18 and 19 lower left side could have caused this terrible flare up. The injection was done with wide open mouth and into the space furthest back between the upper and lower jaw.

    I would appreciate any advise you have. I live very far from you in AZ and I am having a difficult time finding anyone to treat my problem.

  9. Post
    Author

    There are many possibilities for the underlying cause of your pain. The two primary causes are myofascial trigger points and taut muscle bands and a dislocation of the articular disk inside the TMJoint. Disk issues can cause severe pain and need to be addressed bu unlocking the disk.

    Trigger points can be addressed with trigger point injections, Spray and stretch, ULF-TENS and manual therapy ie myofascial trigger point therapy/ Physical Therapy.

    It is possible you have a myositis secondary to infection or irritation of the mdeial pterygoid muscle from the trigeminal nerve block you had done.

    Swallowing problems can be physiologic, related to autonomic nervous system or secondary to infection. Please visit my Youtube channel to see patient videos:https://www.youtube.com/channel/UCk9Bfz6pklC7_UluWFHzLrg

    You are in dangr of this becoming chronic through neuroplasticity and or permanent damage and should precede with diagnosis and treatment. I would strongly suggest a well trained physiologic dentist who has experience with Sphenopalatine Ganglion Blocks, and trigger point injections.

  10. Post
    Author

    Tessa, Look for a physiologic dentist with experience in doing trigger point injections, nerve blocks and Sphenopalatine Ganglion Blocks The open lock is a very different problem than your previous issues, it sounds like a subluxation and you may need to limit your maximum opening. Prolotherapy can correct this issue after resolving your pain.

    Please view these patient videos and get back to me:
    https://www.youtube.com/channel/UCk9Bfz6pklC7_UluWFHzLrg

  11. Post
    Author

    You may have a close-lock which is an emergency or possible just severe myofascial pain and restriction. Time is of the essence as permanent damage can occur and you can become a chronic pain patient.

    You need a physiologic dentist who can unlock you, do trigger point injections, spray and stretch and prolotherapy.

    Please view these patient videos and get back to me: https://www.youtube.com/channel/UCk9Bfz6pklC7_UluWFHzLrg

    You need to find a dentist who understands treatment of TMJ disorders and chronic pain.
    Visit: http://www.IHateHeadaches.org as well.

  12. I had my first seizure on 4-11-14. I have had three total since then. My family has told me my mouth locks open. I’ve had mild issues with my jaw since then. On the Friday of this year I was awakened by severe jaw pain and in my throat. I was so tired the need day and as well my chest was tight. I’m not sure if all the symptoms were TMJ related. I do know I have a mild case of TMJ. Never this much pain plus I’m on day 3 after having this attack still having same pain and tight chest just a bit milder. Help! No insurance

  13. Hi I I have experienced headaches, ear pain and dizziness with my TMJ and terrible migraines. I’ve also been experiencing ringing in ears. I’ve noticed my right ear to my throat hurts. There is pain in the bottom right side of my throat and I wanted to know if this is TMJ related. I also have a lot of tension in my neck, back, and shoulders. I am going to the dentist to get a mouth guard. I was advised it will help.

    Please advise, thank you.

  14. Post
    Author

    Throat Pain is a common symptom of TMJ disorders but is not always addressed by a simple nightguard. It can be referred from Medial Pterygoid Muscles, Digastric muscles especially the posterio belly and the Mylohyoid Muscle. It can also be referred from the neck or be related to GERD. Ear Pain is another common Symptom of TMJ Disorders.
    When you talk about tension in your neck, back and shoulders you need to look at the big picture.
    Let me know how you respond. If the nightguard alone is not effective there are many other very effective treatments available.

    Dr Shapira

  15. Post
    Author

    Amy,

    These problems can be TMJ related but I would have a physician evaluate the tightness in the chest to rue out cardia symptoms before moving into TMJ treatment. In all likelihood it is all myofascial pain.

    Dr Shapira

  16. Hi,

    3 years ago i went to a physician to complaint about my jaw because I notice a popping and clicking sounds but didn’t really know what it is he referred me to an ENT but this specialist didn’t tell me that I have TMD. This 2017 I went to my MD coz I noticed a left jaw deviation when I opened my mouth.he diagnosed me that i have tmd.now im experiencing neck, back, shoulder, slight facial pain, numbness,throat and chest tightness, and I developed scalloped tongue. I believed it’s all because of my tmd.

    Pls I need an advice! I’m very anxious at this point.

  17. Post
    Author

    Physicians typically know very little about TMD issues. Mild clicking does not always need to be treated but pain should be addressed and it sounds like your internal TMJ derangement is becoming more of a problem.

    I would suggest looking into a Diagnostic Physiologic Orthotic as a first step. It will allow your jaw position to be stabilized and help alleviate your pain. Initial treatment should always reversible. When the pain is eliminated and the joints stable you can discuss long term options.

    This is my Youtube channel that has over 100 patient testimonials. Most patients find it helpful to hear other patients stories.
    https://www.youtube.com/channel/UCk9Bfz6pklC7_UluWFHzLrg

  18. I have been having pain that comes and goes for 2 months. I have ear pain stiff neck , shoulders and I hear loud buzzing in ears and trouble swallowing and headaches and lightheadeness. I have seen an ent been treated for ear infection with steroids and antibiotics, nose spray. Nothing helps. It goes away then comes back . My jaw does feel tight and I know I have tmj. But I also have sarcoidosis and colitis . The swallowing and throat pain has come back. I also had a scope down throat they found nothing. Had CT of neck and u trash under of thyroid found nothing. Had urine and blood test found nothing .and had a brain mri found nothing . I was told from gp that it is a sarcoidosis flair up. I am under a huge amount of stress and I am grieving the loss of my husband he passed last December. Please give me some idea what to do

  19. Post
    Author

    Dear Ann,

    I am very sorry for your loss. I lost my first wife after in 2011 after being together for 40 years and I share your pain. It is good news that the tests are all negative. I suggest starting with a physiologic diagnostic orthotic and giving yourself time to heal. During times of stress all problems become worse because our ability to cope is drained.
    I suggest you have a professional too help guiide you thru your grief to your new life. Even if you have many friends and family it is helpful to have an outside resource not part of your immediate circle.
    You will miss your husband forever but the pain becomes less of your life over time.

  20. Hi Dr,

    from past a week , i am.having these wierd symptoms such as
    1. Difficulty chewing and swallowing
    2. headache, ear pain
    3. unable to open mouth wide feels it my mouth gets locked half way.

    pls let me know whats the problem.

  21. Recently started splint therapy about a month ago. First was just the full bottom splint then nti and on wed. Will get the mora appliance. The nti was not cousing any pain until today my jaw is so tight and the pain in my teeth is out of control. Orajel helps a little and muscle relaxers are not working. Should pain be this bad?? Before treatment all i had was jaw tightness now im not sure if its getting better or worse!!!

  22. Post
    Author

    NO, it should not be that bad!
    Any time the pain is getting worse you should check with you doctor. The NTI works by sending pain messages to the brain to stop clenching. Some patients clench worse with the NTI and cause serious problems. I generally utilize a low frequency TENS to relax muscles and find a physiologic position for the mandible.
    Generally patients get better on a consistent basis but can have set backs depending on everything going on. Most patients experience 50-80% improvement within the first few visits.
    Please watch these patient videos to understand what is expected with treatment.
    https://www.youtube.com/channel/UCk9Bfz6pklC7_UluWFHzLrg

  23. Post
    Author
  24. I had my all four of my wisdom teeth pulled when I was 18 in boot camp. About 6 months later my jaw started locking up. I was told that surgery was the only option. I chose to live with the pain because I did not want them practicing on me in the military. I also noticed I started having heartburn after that. I was wondering if you have any articles to back up the connection of heartburn and TMJ.

  25. Post
    Author

    Extraction of wisdom teeth, particularly lower third molars can injure the muscles, ligaments and tendons around the TMJoint and lead to future joint problems. i would suggest being evaluated for sleep issues including snoring and/or apnea that can be related to reflux.

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