TMJ Headaches | What You Don’t Know Will Hurt You
TMJ headaches are a common yet often overlooked source of chronic pain, affecting millions of people, though many may not realize their jaw is the culprit. Even if you don’t suffer from headaches, you’ve probably experienced “brain freeze” after a scoop of your favorite ice cream. While experts don’t really know why it happens, it’s believed that the cold against your warm palate causes blood vessels to constrict and relax suddenly. This vessel spasm results in a burst of pain, leaving you empathetic to the 28 million Americans that suffer from migraines. Add another 20 million who deal with chronic headaches of other origins and you understand why doctors hear about this ailment often. In fact, physicians report headaches as the number one medical complaint and frequently order a variety of tests in search of a cause.
Headaches rarely indicate the presence of a serious disease. But if you’re dealing with frequent or severe headaches, you should consult with your physician. While a definite diagnosis may be identified, some patients find themselves frustrated with an unclear answer. And treatment should target more than symptoms: The steady use of pain medication creates side effects that may include kidney damage or dependency.
The Missing Link Between TMJ and Headaches
Your dentist may be able to shed a little light on chronic head pain. Millions of Americans struggle with temporomandibular joint (TMJ) headaches without realizing it. This complex joint allows the lower jaw to fit and function against the skull in front of the ears, and one or both joints may become inflamed. Unfortunately, TMJ headaches are frequently overlooked by physicians because symptoms often mimic other types of headaches. The pain may feel like it’s in the sinuses, over the top of the head, or up through the temples. But pain doesn’t always show up at the source. It often radiates to nearby sites and confuses the search for an origin.
A recent study at the University of Buffalo examined nearly 600 patients with TMJ pain symptoms. Researchers demonstrated that in 82% of subjects, physical pressure over the TMJ area produced pain that presented as a classic muscle tension headache. Although TMJ symptoms were present in all participants, 152 were diagnosed with tension headaches only.
THAT MEANS 25% OF THE PATIENTS HADN’T RECEIVED A COMPLETE DIAGNOSIS.
Proper Diagnosis is Essential
The lead researcher noted that “TMJ is very treatable, but if a jaw disorder is ignored, then treatment for a headache may not address all of the factors contributing to the headache.” Many providers evaluating headache patients don’t understand the relationship of these joints to chronic pain conditions. It’s simply vital that every headache sufferer receives an evaluation of this region.
While migraine headaches are linked to a vascular cause, TMJ disorders can aggravate the Trigeminal nerve and trigger their onset. This major nerve links many structures in the head and neck. While not a guarantee, migraine headaches may be reduced with proper management of these associated problems.
What are the Symptoms of TMJ Headaches?
Review the following questions to see if your headaches may be linked to a TMJ disorder. Keep your answers to discuss with Dr. Hess:
- Do you wake up with headaches?
- Does your jaw ever feel stiff, locked, or sore in the morning?
- Do you have more than two headaches each week?
- Do you have pain in your jaw when you eat?
- Do you take painkillers four or more times each week for headaches?
- Does your jaw pop, click, or lock when you open?
- Have you noticed any changes in the way your teeth bite together?
- Have you noticed wear or chipping on any of your teeth?
- Do you catch yourself clenching your teeth during the day?
- Do you feel tenderness when you push on the sides of your face?
- Do you feel pain in front of your ears when you chew or open wide?
If you answered YES to three or more of these questions, there’s a significant chance that you’re suffering from TMJ headaches. But management of this affliction frequently involves conservative measures offering dramatic relief from pain.
How are TMJ Disorder Headaches Treated?
Lifestyle Changes and Self-Care
- Dietary adjustments: Soft foods may help prevent excessive jaw movement.
- Stress management: Practices like meditation, yoga, or physical therapy can reduce jaw clenching caused by stress.
- Heat or cold therapy: Applying warm or cold compresses to the jaw area can ease pain and inflammation.
Dental Interventions
- Mouthguards or splints: These devices, worn at night, help prevent teeth grinding and reduce jaw pressure.
- Orthodontics: In some cases, dental adjustments or braces may help realign the jaw.
Medications
- Pain relievers: Over-the-counter medications such as ibuprofen or acetaminophen can help relieve pain and inflammation.
- Muscle relaxants: These may be prescribed to ease jaw muscle tension.
- Antidepressants: In some cases, low-dose antidepressants may be used to reduce pain and prevent clenching.
Physical Therapy
Physical therapists can provide exercises and manual therapy to strengthen jaw muscles, improve range of motion, and reduce pain.
Invasive Treatments
In more severe cases, treatments like corticosteroid injections, Botox injections (to reduce muscle tension), or even surgery may be considered, though these are typically reserved for cases that don’t respond to more conservative approaches.
Contact Us for Help Today!
Dr. Hess’s experience with TMJ headache disorders includes focusing on the cause of the problem, not just the symptoms. We’re here to help you or your loved ones discover optimal health and pain-free living! Contact us at Timothy Hess DDS today to schedule an appointment and find relief for your TMJ headaches.
