How can my 26-year old wife manage persistent TMJ pain?

Question

Hello doctor,

My wife has been suffering from a TMJ problem (below the left ear) for the past two years. Her age is 26 years, height is 5 feet 2 inches, and weight is 134 pounds.

Sometimes, the pain becomes severe and radiates to the neck. During such episodes, hot fomentation is given. However, recently, the pain has increased significantly and is not reducing at all. How can temporomandibular joint pain be reduced?

Kindly advise.

Answer 1

Hello,

Welcome to icliniq.com.

It is understood that this condition can be quite uncomfortable. Temporomandibular joint (TMJ) pain can occur due to multiple causes, such as joint inflammation, muscle strain, teeth grinding (bruxism), stress, or improper jaw alignment. A detailed clinical examination is required to identify the exact cause.

TMJ disorders often start with mild discomfort but can gradually become more intense over time. Some patients may also experience clicking or popping sounds while opening the mouth. In long-standing cases, the pain may persist and may not respond well to routine painkillers.

Since the symptoms have been present for about two years and are worsening, consultation with a specialist is strongly recommended. Identifying and treating the underlying cause is the mainstay of management.

Treatment may include medications such as muscle relaxants and pain relievers like Ibuprofen, if prescribed by a doctor. In some cases, mild anxiolytic medications may also be considered to reduce stress-related muscle tension.

Supportive measures include limiting excessive jaw movements, avoiding hard or chewy foods, and following a soft or semisolid diet. Continued use of warm compresses can help relieve muscle stiffness.

In certain cases, physiotherapy, jaw exercises, or dental splints (bite guards) may be recommended to improve symptoms and prevent further strain. If the pain persists or worsens, further evaluation, such as imaging studies, may be required for proper diagnosis and management.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.