Pain in neck ear and jaw. Pain in Neck, Ear, and Jaw: 8 Common Causes, Symptoms, and Effective Treatments
What are the main causes of pain in neck, ear, and jaw. How can you identify the symptoms of these conditions. Which treatments are most effective for alleviating pain in these areas
Understanding the Connection Between Neck, Ear, and Jaw Pain
The intricate network of nerves, muscles, and joints in the head and neck region often results in a complex interplay of sensations. When experiencing pain in the neck, ear, and jaw simultaneously, it’s crucial to recognize that these areas are closely interconnected. This proximity can lead to referred pain, where discomfort originating in one area is felt in another.
Referred pain is a common phenomenon in this region due to the shared nerve pathways. For instance, a problem in the jaw might manifest as ear pain, or vice versa. Understanding this connection is key to properly diagnosing and treating the underlying cause of the discomfort.
Temporomandibular Joint (TMJ) Disorders: A Primary Culprit
Temporomandibular joint disorders are among the most frequent causes of combined jaw and ear pain. The TMJ, located just in front of the ear, is a complex joint that allows for the movement of the jaw. When this joint is compromised, it can lead to a range of symptoms affecting not only the jaw but also the surrounding areas.
TMJ disorders affect approximately 10-15% of adults, making them a significant health concern. The symptoms can vary but often include:
- Facial pain
- Ear discomfort
- Difficulty chewing
- Clicking or popping sounds when opening the mouth
- Jaw locking
- Headaches
Is TMJ disorder always chronic? While acute cases can occur, a TMJ disorder is considered chronic if symptoms persist for more than three months. Chronic TMJ disorders may require long-term management and treatment.
Causes of TMJ Disorders
TMJ disorders can arise from various factors, including:
- Wear and tear of the joint
- Arthritis
- Jaw injuries
- Chronic teeth grinding or clenching
- Stress
It’s worth noting that sometimes, conditions mimicking TMJ disorders may be the actual cause of the pain. These can include fibromyalgia, sleep apnea, anxiety, or depression. A thorough evaluation by a healthcare professional is crucial for an accurate diagnosis.
Arthritis: When Joint Inflammation Strikes
Arthritis is another common cause of pain in the neck, ear, and jaw region. Two types of arthritis that frequently affect this area are osteoarthritis and rheumatoid arthritis.
Osteoarthritis in the TMJ
Osteoarthritis is the most prevalent form of arthritis affecting the temporomandibular joint. This degenerative condition results from the gradual breakdown of cartilage in the joint over time. Symptoms often include:
- Stiffness in the jaw
- Pain when moving the jaw
- A grating sensation during jaw movement
Does osteoarthritis only affect older individuals? While it’s more common in older adults, osteoarthritis can occur at any age, especially following an injury to the joint or due to genetic factors.
Rheumatoid and Psoriatic Arthritis
Unlike osteoarthritis, rheumatoid and psoriatic arthritis are autoimmune conditions. In these disorders, the immune system mistakenly attacks healthy joints, leading to inflammation and pain. These forms of arthritis can affect multiple joints in the body, including the TMJ.
Symptoms of rheumatoid and psoriatic arthritis in the jaw area may include:
- Swelling in the jaw
- Pain and stiffness, especially in the morning
- Reduced range of motion in the jaw
Can rheumatoid arthritis symptoms come and go? Yes, rheumatoid arthritis often follows a pattern of flares and remissions, where symptoms may intensify for a period and then subside.
Migraines: More Than Just a Headache
Migraines are severe, recurring headaches that can cause a range of symptoms beyond head pain. Interestingly, jaw and ear pain near the TMJ area can both trigger migraines and be symptoms of a migraine attack.
Typical migraine symptoms include:
- Throbbing pain, often on one side of the head
- Sensitivity to light, sound, and smells
- Nausea and vomiting
- Visual disturbances (aura)
Are all severe headaches considered migraines? No, while migraines are a type of severe headache, not all intense headaches are migraines. Migraines have specific characteristics and associated symptoms that distinguish them from other types of headaches.
Ear Infections: From Swimmer’s Ear to Sinusitis
Ear infections can cause pain that radiates to the jaw and neck area. Two common types of ear infections that can lead to this kind of pain are swimmer’s ear and sinusitis.
Swimmer’s Ear (Otitis Externa)
Swimmer’s ear is an infection of the outer ear canal, often caused by water exposure or injury to the ear’s lining. Despite its name, you don’t have to be a swimmer to get this condition. Symptoms include:
- Ear pain that worsens when touching the outer ear
- Itching in the ear canal
- Drainage from the ear
- Muffled hearing
Can swimmer’s ear resolve on its own? While mild cases might improve without treatment, most cases of swimmer’s ear require medical intervention, usually in the form of antibiotic ear drops.
Sinusitis
Sinusitis, or a sinus infection, occurs when the nasal passages become inflamed and swollen. This condition can cause pain that extends to the ears and jaw. Sinusitis can be caused by viruses, bacteria, or even allergies.
Common symptoms of sinusitis include:
- Facial pain and pressure
- Nasal congestion
- Thick, discolored nasal discharge
- Reduced sense of smell and taste
- Headache
- Ear pain
How long does sinusitis typically last? Acute sinusitis usually lasts for about 2-4 weeks. However, chronic sinusitis can persist for 12 weeks or longer if left untreated.
Dental Issues: When Oral Health Affects More Than Your Mouth
Dental problems can be a surprising source of pain in the jaw, ear, and neck region. Issues such as cavities, periodontal disease, and dental abscesses can cause pain that extends beyond the immediate area of the problem tooth.
Cavities and Periodontal Disease
Cavities (dental caries) and periodontal disease are both caused by the buildup of bacteria on teeth and gums. If left untreated, these conditions can lead to:
- Tooth sensitivity
- Pain when chewing
- Swollen, bleeding gums
- Persistent bad breath
- Jaw pain
Can cavities heal on their own? While early-stage cavities (demineralization) can potentially be reversed with proper oral hygiene and fluoride treatment, once a cavity has formed, it requires professional dental treatment.
Dental Abscesses
A dental abscess is a pocket of pus caused by a bacterial infection. This condition can cause severe pain that radiates to the jaw, ear, and neck. Symptoms of a dental abscess include:
- Intense, throbbing tooth pain
- Pain that spreads to the jaw, ear, or neck
- Swelling in the face or cheek
- Fever
- Sensitivity to hot and cold temperatures
Are dental abscesses a medical emergency? While not always a medical emergency, dental abscesses can become serious if left untreated. They can lead to widespread infection and should be evaluated by a dentist as soon as possible.
Bruxism: The Hidden Danger of Teeth Grinding
Bruxism, or teeth grinding, is a condition where individuals clench or grind their teeth, often unconsciously during sleep. This habit can lead to various problems, including pain in the jaw, ears, and neck.
The effects of chronic teeth grinding can include:
- Worn down, flattened, or chipped teeth
- Increased tooth sensitivity
- Tight or sore jaw muscles
- Earache-like pain
- Headaches, particularly in the temples
- Disrupted sleep
Is nighttime teeth grinding always noticeable? Not always. Many people are unaware they grind their teeth at night until they develop symptoms or a sleep partner notices the grinding sounds.
Diagnosis and Treatment: Navigating the Path to Relief
Given the complexity of pain in the neck, ear, and jaw region, proper diagnosis is crucial for effective treatment. Healthcare providers typically begin with a thorough physical examination and medical history review.
Diagnostic Process
During the diagnostic process, your healthcare provider may:
- Examine your jaw movement and listen for sounds
- Palpate the jaw and surrounding facial areas
- Inspect your ear canals and eardrums
- Check your vital signs
- Order imaging tests such as X-rays, CT scans, or MRIs if necessary
It’s important to provide your doctor with comprehensive information about your symptoms, including:
- When the pain started
- Any recent dental procedures or injuries
- Changes in stress levels or mental health
- Any other symptoms you’ve noticed
How long does it typically take to diagnose the cause of jaw and ear pain? The time to reach a diagnosis can vary depending on the complexity of the condition. Some causes may be identified during the initial examination, while others might require further testing or specialist consultation.
Treatment Options
Treatment for pain in the neck, ear, and jaw region depends on the underlying cause. Common treatment approaches include:
- Pain management techniques (e.g., over-the-counter pain relievers, heat/cold therapy)
- Physical therapy or exercises to improve jaw function
- Dental interventions for teeth grinding or misalignment
- Antibiotics for bacterial infections
- Stress reduction techniques
- In some cases, surgical intervention may be necessary
Can lifestyle changes help manage chronic jaw and ear pain? Yes, lifestyle modifications can often play a significant role in managing chronic pain in this region. These may include stress reduction techniques, dietary changes, and improving sleep habits.
Understanding the interconnected nature of pain in the neck, ear, and jaw region is crucial for both patients and healthcare providers. By recognizing the various potential causes and their symptoms, individuals can seek appropriate care more quickly, leading to faster relief and improved quality of life. Remember, persistent or severe pain should always be evaluated by a healthcare professional to ensure proper diagnosis and treatment.
8 Causes, Symptoms, and Treatments
You may experience jaw and ear pain at the same time. These 8 reasons can help you understand why the cause may be related to only your jaw or ears, but the pain spills over from the other area.
If you notice both ear and jaw pain simultaneously, it may be because of several reasons.
A medical condition in your jaw, ear, or mouth can cause the pain. Another possibility is that you’re experiencing “referred pain,” which happens when a part of your body feels pain even though the source of the pain is located somewhere else.
Below are some conditions that can cause pain in both your jaw and ears at the same time, in large part because of their close proximity.
1. TMJ disorders
One source of ear and jaw pain may be related to your temporomandibular joint (TMJ). This area includes not only the jaw joint but also the muscles surrounding it.
The TMJ is adjacent to the temporal bone, which includes your inner ear. The TMJ does a lot of work, moving in many directions so you can chew and talk.
Ear and jaw pain may occur from a TMJ disorder. Around 10 to 15 percent of adults may experience a TMJ disorder. These disorders cause inflammation and pain in your TMJ. Facial pain and ear discomfort are the most common complaints of this condition. You may have a chronic TMJ disorder if you experience symptoms for longer than three months.
You may develop a TMJ disorder from wear and tear or because of another medical condition. In some cases, your doctor may suspect a TMJ disorder, but you actually have something else like:
- fibromyalgia
- sleep apnea
- anxiety
- depression
2. Osteoarthritis
Ear and jaw pain could be caused by osteoarthritis, the most common type of arthritis in the TMJ. This condition develops from wear and tear over time to the cartilage surrounding the joint. You may feel stiffness in the joint as well as pain.
3. Rheumatoid or psoriatic arthritis
These forms of arthritis occur because your immune system attacks healthy joints. Both rheumatoid and psoriatic arthritis are identified as autoimmune conditions.
You may experience joint pain throughout your body at different times, including in your TMJ, and certain triggers may cause the pain to flare up.
4. Migraine
Pain felt in your jaw and ears near the TMJ area may trigger migraine. Migraine attacks are severe headaches that can re-occur. They can cause sensitivity to light, sound, and smell.
5. Swimmer’s ear
This condition occurs when bacteria forms in the outer ear from water exposure or injury. You may get this condition from swimming or if an outside object tears your ear’s lining. The symptoms will get worse if the condition is untreated and can lead to ear and jaw pain.
6. Sinusitis
You may experience ear and jaw pain from sinusitis. This condition can occur if you have a cold or allergies and your nasal passages become irritated and inflamed. The infection is generally caused by a virus, but you can also get bacterial sinusitis.
7. Dental issues
You may experience cavities, periodontal disease, and dental abscesses if bacteria builds up on your teeth and gums. These conditions can cause damage to your mouth and beyond, especially if left untreated. They can lead to jaw and ear pain.
8. Teeth grinding
If you grind your teeth, you may end up with a TMJ disorder and feel pain in your ears and jaw. This condition can:
- impact the way your teeth align
- erode your teeth
- break down your TMJ
- strain your muscles
You may grind your teeth at night and not even realize it until pain or another symptom develops.
Ear and jaw pain are not the only symptoms of these conditions. You may also experience the following:
- TMJ disorder
- facial pain
- pain from chewing
- jaw clicking or locking
- ear ringing
- hearing loss
- neck and shoulder pain
- teeth shifting and misalignment
- headaches
- Arthritis
- swelling in the jaw
- Migraines
- throbbing pain on one or both sides of your head
- nausea
- changes to your vision or other senses
- Swimmer’s ear
- drainage
- pain along the face and neck
- hearing reduction
- itching
- fever
- Sinusitis
- clogged nasal passages
- green or yellow discharge
- sensitivity of the face
- cough
- headache
- restricted ability to smell and taste
- Cavities, periodontal disease, or dental abscesses
- pain throughout the lower face and neck
- pain that gets worse when you lie down
- swelling in the gums and on the face
- loose or sensitive teeth
- sensitivity to cold and hot foods and beverages
- fever and flu-like symptoms
- Teeth grinding
- tooth sensitivity
- worn teeth
- facial and neck pain
- headache
- sleep disruption
Your doctor will conduct a physical exam to begin the diagnosis of your jaw and ear pain. Your doctor may also ask about your health history to find out more about your symptoms. Be sure to mention:
- recent dental surgeries
- illnesses
- injuries
- changes to your mental health like stress, anxiety, or depression
Your doctor may:
- listen to your jaw
- feel your jaw and around your face
- look in your ears
- check your vital signs
- examine your mouth
You may need an MRI, X-ray, or other imaging test to diagnose the condition.
The cause of jaw and ear pain can vary and so can treatments.
You may not seek treatment for TMJ, as 40 percent of cases resolve on their own and only 5 to 10 percent of cases require treatment. Treatments for a TMJ disorder can include:
- resting your jaw
- home remedies
- using over-the-counter anti-inflammatory medications
- wearing a brace or splint to restrict jaw movement
- flushing your joint to reduce inflammation
- surgery, in severe cases
Other causes of ear and joint pain may include similar treatments. Some conditions like arthritis, swimmer’s ear, and sinusitis may include specific medications.
Your doctor may recommend certain anti-inflammatories for arthritis, steroids for swimmer’s ear, and nasal sprays for sinusitis, among other treatment options.
Oral conditions like cavities, periodontal disease, and dental abscesses may require tooth removal, a root canal, or deep cleaning in addition to other treatment methods.
There are several methods you can try at home to help TMJ disorders:
- Change your diet to incorporate more soft foods.
- Stop chewing gum or other objects, such as the ends of pens or pencils.
- Relax and rest your jaw.
- Use a warm or cold compress to the jaw.
- Perform exercises that stretch the jaw, including slowly opening and closing your mouth several times.
- Avoid stress.
Some of these treatments may also work with other conditions causing ear and jaw pain.
Take good care of your teeth to treat and avoid conditions that affect your mouth. Make sure to brush and floss regularly, eat a healthy diet, and quit smoking to avoid the buildup of bacteria in your mouth.
You should see a doctor if your ear and jaw pain:
- is accompanied by a fever or other flu-like symptoms
- gets in the way of your everyday activities
- interferes with your sleep
- persists despite treatments
- inhibits your ability to eat and drink
- causes pain or sensitivity in your teeth or gums
There are many reasons why you may experience jaw and ear pain at the same time. Often, the condition affecting both of them is related to only your jaw or ears but you feel referred pain in the other area.
Talk to your doctor to determine the cause of the jaw and ear pain. This will help you treat the pain and avoid it from getting worse.
4 Causes Of Jaw And Ear Pain
TMJ Treatment |3 min read
It’s possible to experience jaw and ear pain simultaneously for lots of different reasons. Although your ears and jaws are located in different areas, their close proximity can affect one another. Oftentimes when you develop a medical condition in your mouth, jaw, or ear, it can cause referred pain in the jaw and ear. If you’re experience jaw and ear pain at the same time, it might be due to the following problems.
1. TMJ Disorders
TMJ disorders are one of the most common causes of jaw and ear pain. This is due to the temporomandibular joint being adjacent to the temporal bone which is apart of the inner ear. When the temporomandibular joint becomes inflamed it can cause pain and discomfort in the ears as well as the jaw. People might experience a muffled sound in the ears accompanied by pain. If you suspect TMJ is the culprit, visiting Bite Align for a TMJ consultation is the best place to start. With the right TMJ treatment, we can resolve your ear and jaw pain for good.
Symptoms of TMJ include clicking or popping noise in the jaw when opening and closing your mouth, pain when chewing, headaches or constant migraines, ear ringing, hearing loss, shoulder and neck pain, and even teeth shifting. Please schedule a consultation with us to learn more.
2. Dental Issues
If you have periodontal disease, cavities, dental abscesses, or a build-up of bacteria on your gums and teeth, it can cause severe pain in your jaw and ears. If you experience tooth sensitivity, pain in your face, loose teeth, sensitivity to cold or hot beverages, or swelling in the gums, it’s best to get checked out by your dentist. Treating your dental problems might be all you need to relieve jaw and ear pain.
3. Swimmer’s Ear
You may have experienced swimmer’s ear at some point in your life. It generally occurs from an injury like tearing the ear’s lining or water exposure that causes bacteria to form in the outer ear. These bacteria can cause painful symptoms like ear and jaw pain. If you believe you injured your ear or recently got water in your ear, visiting a doctor to see if you have swimmer’s ear can help you treat your pain.
4. Arthritis
Although most people don’t think about getting arthritis in the jaw, it can occur. Osteoarthritis can occur in the temporomandibular joint which can cause ear and jaw pain. It usually develops from wear and tear to the cartilage surrounding the joint over time. Rheumatoid and psoriatic arthritis can also cause jaw and ear pain because it causes the immune system to attack healthy joints. This can cause joint pain throughout the body including the temporomandibular joint.
Get Treatment for Ear and Jaw Pain
One of the best ways to treat jaw and ear pain is to rule out what causes it. Visiting Bite Align in Fort Atkinson for a consultation can help you identify if TMJ is the cause or a condition that affects the temporomandibular joint. Please call 920-563-7323 or book an appointment online today.
Inflamed jaw radiates to the neck
- Causes of inflammation of the jaw
- What to do if the lower jaw is inflamed
- Diagnosis and treatment of inflammation of the jaw at the dentist
- Features of the treatment of aged patients
Inflammatory diseases are very common and are presented in all their diversity, from clinical manifestations to localization. It is not always easy to make a differential diagnosis, especially if there are no specific signs. Often, a dentist finds himself in such a situation when a patient with inflammation under the jaw on the neck turns to him. In this case, it is very important to make a correct diagnosis and prescribe an effective treatment.
Causes of jaw inflammation
The lower jaw and the area under it has a rather complex anatomical structure. Muscles, lymphatic and blood vessels, bone structures, etc. are concentrated in this zone. Also, the temporomandibular joint or other anatomical zones can be involved in the inflammatory process, from which the focus spreads to the neck. Common causes of jaw inflammation are:
- Tooth root cyst.
- Aust.
- Inflammation of the lymph nodes.
- Tumors of vessels and soft tissues of the neck.
- Traumatic injuries.
- Inflammation of the middle ear.
- Gingivitis, periodontitis, periodontal disease, etc.
Given such a variety of causes, the approach to diagnosis and treatment must be individualized. Due to their ignorance, the patient may choose the wrong doctor and waste time. In situations where something has become inflamed under the jaw on the right or left and at the same time a tooth or temporomandibular joint hurts, you need to contact a dentist. If the pain is localized in the ear area, then it is necessary to visit the ENT.
What to do if the lower jaw is inflamed
The first step is to identify the symptoms of the problem. One of the very first and most obvious is the increase in soft tissues in volume.
It can be either a slight swelling or a very large tumor-like formation. Other symptoms may include:
- Increased body temperature.
- Redness of the skin.
- Painful sensations.
- Incomplete opening or closing of the jaw.
- Sensation of a foreign body in the throat.
- Difficulty chewing or swallowing.
- Hearing loss.
If the symptoms are confusing and it becomes unclear which doctor to contact, you can make an appointment with a therapist who will conduct an initial examination, study complaints and issue a referral to the right specialist.
Diagnosis and treatment of inflammation of the jaw at the dentist in Odintsovo
If inflammation of the jaw has developed due to diseases such as pulpitis, periodontitis, periodontitis, as well as as a result of injuries and damage to the temporomandibular joint, then the dentist will deal with the treatment. First, the specialist must establish an accurate diagnosis. To do this, he collects an anamnesis, finds out complaints, and conducts a visual examination of the oral cavity. Additionally, an X-ray examination of the jaws, laboratory tests and other diagnostic tests may be prescribed, with the help of which it will be possible to obtain objective information about the state of the patient’s dental system.
The treatment of inflammation in our clinic in Odintsovo is usually carried out by combined methods, which include:
- Conservative therapy. Usually, the dentist prescribes antibacterial, anti-inflammatory and pain medications.
- Surgical treatment. It implies the removal of non-viable tissues, drainage of the inflammatory focus and, if necessary, other procedures that are aimed at eliminating the pathological area.
The duration and complexity of treatment largely depends on the degree of neglect of the process. The sooner the patient seeks medical help, the easier it will be to restore lost health.
Features of the treatment of aged patients
Among the common age-related changes in the lower jaw, there is a change in the content of water, organic and inorganic substances, osteoporosis, atrophy and thinning of bone tissue are often detected. In addition, older patients often have comorbidities, such as diabetes mellitus. All of these factors can severely limit treatment options. For example, if dental prosthetics are required, then in some situations the dentist can only offer removable dentures. Installing implants will be risky and ineffective.
Nevertheless, the modern possibilities of dentistry allow you to find a way out of any, even the most difficult situation. A wide variety of materials and techniques allows you to eliminate existing problems and significantly improve the quality of life of the patient.
Pain under the jaw
Submandibular pain
Pain under the jaw
may occur as a result of mechanical stress or acquired disease. The danger of pain under the jaw lies in a whole list of possible consequences that are responsible not only for the integrity of the jaw itself, but also for the hard palate, nasal cavity and even the eyes.
In case of pain under the jaw, it is necessary to consult doctors such as a surgeon, neurologist, dentist in order to avoid unpleasant consequences. Why choose these doctors?
Pain under the jaw can be provoked by causes that are related to trauma, dental and neuralgic causes, which we will consider in more detail below.
Causes of pain under the jaw
So, on what basis can there be pain under the jaw?
- Fractures of the lower jaw. This is possible due to a strong blow to the face, an accidental incident, during which a fracture is possible. A severe head injury can cause a fracture of both jaws at the same time, that is, the upper and lower jaws.
- direct and reflected;
- single and multiple;
- with and without offset;
- comminuted;
- open and closed.
- Osteomyelitis of the jaws is an infectious-inflammatory disease that affects all parts of the jawbone. Osteomyelitis has several types:
- traumatic,
- hematogenous,
- odontogenic.
- Dysfunction of the temporomandibular joint provokes pain syndromes in several areas:
- lower jaw,
- in front of the ear,
- forehead,
- cheek.
- clicking,
- limited movement.
- Sharp and strong impulses, provoked by affected cranial nerves, have a serious consequence – cranial neuralgia. In most cases, we are talking about trigeminal neuralgia.
- A variant of neuralgia of the superior laryngeal nerve is possible, where the main characteristics include:
- paroxysmal unilateral or bilateral pain in the area of the larynx and in the angle of the lower jaw,
- radiating pain near the eye, ear, chest, shoulder girdle,
- hiccups, yawning, hypersalivation, cough, pain when swallowing.
- Very rare occurrence – glossopharyngeal neuralgia.
- With neuralgia of the ear node, the patient complains of paroxysmal pain, the duration of which reaches 1 hour, in the temple area, starting from the external auditory canal under the lower jaw. Plus, the disease provokes a “clicking” in the ear. Pain can occur while taking hot or cold foods, as well as at the time of hypothermia of the face.
- Arteritis – defeat of the facial artery.
- Carotidinia is due to inflammation of the carotid arteries. In the case of this disease, a person has pains that occur in the neck, face, teeth, under the lower jaw, in the ear. The pain lasts for several hours.
- Odontogenic pain under the jaw occurs due to dental problems, where the main cause is irritation of the nerves due to caries, pulp disease or periodontal abscesses. Usually, intense pain worries a person at night. After dental manipulations regarding the affected tooth, the possibility of the presence of trigeminal nerve neuropathy is not excluded, during which the masticatory muscles weaken and sensitivity in the area of the lower lip decreases.
- Osteogenic sarcoma is a malignant non-epithelial tumor of the jaw that deforms the affected bone. The pain is moderate.
- Erythrootalgia or red ear syndrome. If we talk about the reasons, then the following are possible: spondylosis, lesions of the temporomandibular joint, damage to the thalamus, neuralgia of the glossopharyngeal nerve, idiopathic hypersensitivity of pain fibers to high temperature.
Fractures are divided into several groups:
If the lower jaw is broken, then the person experiences severe pain under it; the result “on the face”: swelling of the soft facial tissues, hemorrhage; chewing is painful or impossible.
The last type of osteomyelitis is formed as a result of violations of the microflora of dental root canals and periodontal pockets. The causative agents of odontogenic osteomyelitis are staphylococci, streptococci, anaerobes.
Acute osteomyelitis is determined by symptoms such as painful throbbing under the jaw, chills, fever reaching 40 degrees, and headache.
In this case, it is necessary to identify the “problem” tooth, where there is a necrotic pulp or filling. It is easy to detect it as the adjacent teeth “move”, and a sharp pain is felt in this place. The face becomes swollen and asymmetrical. The lymph nodes become painful and enlarged.
Possible consequences: abscess, phlegmon.
The state of the blood also changes not for the better: an increased level of ESR, neutrophilic leukocytosis.
It is difficult to say about general well-being, because it all depends on the complexity of the disease.
It also has other characteristic features, which mainly include:
The pain itself has the basis of myofascial syndrome in the masticatory muscle, malocclusion, inflammatory or degenerative changes in the joint.
This disease is characterized by paroxysmal pain, which, as a rule, originates in the root of the tongue or tonsils and covers the larynx, ear, jaw angle. There are cases when the pain syndrome spreads to the eyeball. It is extremely rare for pain to occur in the neck. Attacks of pain appear suddenly at the time of movements of the pharynx or tongue, namely, in the process of swallowing or talking. The duration of pain attacks is approximately 1 – 3 minutes, moreover, the pain is burning and shooting. The attack is accompanied by dry mouth, dry cough. Increased salivation occurs after an attack. The patient usually keeps his head on his side, that is, the tilt occurs in the direction where his pain points are.
Symptoms include burning pain starting in the lower or upper jaw, where the end point is the corner of the eye.
As for pain symptoms, the main place of localization is the ear, sometimes it radiates to the back of the head, forehead, and lower jaw. The ear becomes red and hot.
Symptoms of pain under the jaw
Pain under the jaw, which occurs in people wearing braces, with significant looseness of the teeth, is considered normal, since the installed odontogenic structure is designed to correct the teeth and bite, during which the teeth are displaced.
If the pain symptoms have nothing to do with braces, then these are signs of possible post-traumatic consequences or diseases, the symptoms of which are presented below:
- with arthrosis, the patient suffers from constant aching pain in the jaw, accompanied by a crunch. Soreness is gaining momentum with a strong opening of the mouth, chewing;
- with arthritis, the main symptoms are crunching and pain under the jaw and near the ear. This disease restricts jaw movements.
Arthrosis and arthritis are disturbed by pain mainly in the morning, plus, the patient can hear noise. Only an x-ray can determine the exact diagnosis, since the symptoms of the diseases are similar to each other (and not only in arthritis and arthrosis).
Tumors:
Pain under the lower jaw
The lower jaw has many anatomical receptors, the defeat of which leads to pain. Mainly, attention should be paid to pathologies related to the submandibular lymph nodes. The possibility of lymphadenitis, an inflammatory process that occurred as a result of the introduction of infections into the lymph nodes, is not excluded. Acute lymphadenitis excites a sharp pain under the jaw, high body temperature and general weakness. Refusal of timely treatment can lead to a chronic form of the disease. Here the pain is already acute. In the course of both of these forms of lymphadenitis, a purulent formation is possible, in medicine known as an abscess and phlegmon.
Neoplasms in the submandibular lymph nodes are usually metastases that have penetrated from any organs. Pain in this case can be completely different. Other signs include: for a long time the body temperature is elevated, weight loss, weakness.
With hypersensitivity of the tongue (glosalgia), pain radiates to the lower jaw. What in this case can awaken pain under the jaw? Long conversations, chewing too hard foods, eating hot – cold, sour, spicy and other foods.
Inflammation of the tongue (gloss) is somewhat similar in symptoms to the previous version, but the tongue in this case is thickened and bright red. May cause phlegmon or abscess.
Salivary stone disease (sialoliths) is indicated by severe pain and unilateral swelling under the lower jaw; bad breath, which is the result of pus secreted from the duct of the gland; fever, weakness.
With the development of inflammatory processes of the salivary glands (sialoadenitis), the patient also complains of pain under the lower jaw and general ailments. The end result may be a phlegmon or an abscess.
Angina can also become a provocateur of pain under the lower jaw. Here the pain under the jaw and in the throat is aggravated at the time of swallowing. Often the patient cannot swallow food, from which he refuses to eat at all. Other symptoms: ear pain, high body temperature, signs of acute respiratory infections or flu.
Pain under the jaw on the right
Pain under the jaw on the right or left can be due to several reasons:
- injury,
- inflammatory processes concerning the jawbone,
- dental problems,
- lymphatic changes, including cancers.
It doesn’t matter what symptoms accompany the pain under the jaw on the right, a consultation with a doctor is required.
If the pain sensations do not cause much discomfort, then this is not a fact that the basis of this investigation is not serious. It’s no secret that initially many diseases are not expressed by visible signs at all. Later, over time, mild pain can develop into exhaustion. That is why, not with lotions and not with painkillers, you need to eliminate pain, but with competent medical treatment.
Pain in the neck under the jaw
Most often, pain under the jaw and in the neck is associated with lymphatic inflammation or tonsillitis. Both causes are associated with infection in the body: in the lymph nodes or tonsils.
Also under the category of pathogens of painful symptoms in the neck under the jaw include the following diseases:
- Migraine is a neurological disease. The pain is usually unilateral. It becomes more intense in bright light or with a sharp change in lighting; at loud noises, at sharp smells. Migraine is accompanied by severe thirst, nausea, vomiting, blurred vision, visual features: “lightning” or “flies” in the eyes, impaired speech, increased drowsiness. The attack can last 4 hours – 3 days.
- carotidinia is one of the varieties of migraine.
- infectious diseases of the teeth.
Pain under the jaw on the left
Pain under the jaw on the left can be caused by any of the above reasons, as well as:
- angina pectoris or infarction refers to pathologies associated with a disorder of blood flow in relation to the coronary vessels of the heart. Symptoms usually are: burning pain in the chest area. Atypical signs include pain under the jaw on the left. With angina pectoris or myocardial infarction, the patient often attributes acute pain in the jaw area to the diseased tooth. Here, one more proof that salvation lies not in painkillers, but in professional medical care. Otherwise, death is no exception.
Pain under jaw on pressure
Pain under the jaw on palpation or pressure can be indicated by various causes, for example:
- Ear node neuralgia,
- Osteogenic sarcoma,
- Inflammation of the lymph nodes,
- Sialolites.
And this is not the whole list of possible diseases, each of which has serious consequences. The surest way to figure out a possible problem is to see a doctor:
- dentists,
- neurologist (for pathologies of a neuropathologist),
- otolaryngologist,
- surgeons.
Pain under the jaw, or rather its cause, doctors determine not only thanks to the descriptions of the symptoms, but also with the help of X-rays and tests.
Pain under the jaw when swallowing
As a rule, pain under the jaw when swallowing occurs due to a sore throat, where typical symptoms include signs of colds, in particular fever, headache, general malaise, weakness. Quite often pain at quinsy gives to an ear.
A rarer cause of these symptoms is glossopharyngeal neuralgia. Here the pain differs significantly from the pain caused by angina. In this case, a person has a kind of seizures, the duration of which is from 1 to 3 minutes.
Pain under the jaw when swallowing may be in combination with “shooting” in the ears, loss of appetite – with angina; with the head tilted to one side – with neuralgia of the glossopharyngeal nerve.
Sore throat under the jaw
Pain under the jaw, where the main source is the throat, forms:
- angina,
- Pharyngitis is divided into forms and types:
- provoked by the influence of influencing factors,
- traumatic,
- allergic,
- viral,
- fungal,
- bacterial,
- chronic;
- atrophic,
- hypertrophic,
- mixed.
Acute or catarrhal pharyngitis has some common symptoms, which include pain under the jaw, sore throat, swollen lymph nodes, fever, loss of appetite, weakness,
- lymphadenitis,
- aphthous stomatitis – in other words, ulcerative stomatitis, which of all types of stomatitis is the most difficult and painful. A small speck immediately appears on the mucous membrane of the oral cavity, which does not reach 1 cm in size. Already after a few hours, gray erosion of a necrotic nature forms from the white speck. After a few days, rejection of necrotic masses occurs,
- angina of the lingual tonsil, which can proceed in different ways, depending on the type of disease:
The usual picture of the disease occurs in this way: the patient experiences severe pain when swallowing, in the process of moving the tongue. The main point of the disease is the tonsils, smoothly flowing to the intermuscular and connective tissue, which can subsequently provoke interstitial purulent inflammation of the tongue.
With a phlegmonous type of disease, where the cause is a mechanical effect on the lingual tonsil, for example, a fish bone is stuck in, a sharp pain appears, gaining intensity during swallowing, fever and deterioration in general condition.
- paratonsillar and pharyngeal abscess,
- phlegmon.
Pain under the lower jaw on the left
Any kind of pain and anywhere can cause anything, such as trauma, inflammatory or infectious diseases, tumors. Pain under the jaw tells us the same thing, no matter on the right or left side, on the lower or upper part.
But! In addition to all that has been said, the heart is located on the left side of the human body, and in the case of heart disease, pain, as a rule, gives it to the left. Pain under the lower jaw on the left can give rise to heart attacks or angina pectoris, the causes and symptoms of which we have already discussed above.
Diagnosis of pain under the jaw
There are several ways to diagnose pain under the jaw, depending on the type of its origin:
- dental,
- based on ENT diseases,
- traumatic,
- tumors,
- heart problems,
- neurological.
Initially, a medical examination is performed, after which the doctor prescribes an x-ray. In case of suspicion of angina pectoris or a possible heart attack, the work of the heart is determined using an ECG.
The otolaryngologist, in addition to x-rays, must determine the exact nature of the infection (viruses, bacteria, fungi), respectively, a blood test is inevitable. For example, an increase in lymph nodes can cause both angina and HIV.
As for tumors, the diagnostic process is much more complicated here, since it is necessary to identify whether it is benign or malignant, its stage, the presence of metastases, and so on.
Treatment of pain under the jaw
You can eliminate the pain under the jaw with any painkiller, but this will not solve the problem forever. It is necessary to treat the disease itself, namely:
- jaw injuries:
- dislocation – corrected by repositioning the jaw to its original position, after which a fixing bandage is applied to ensure that the jaw is immobile,
- bruise – as a first aid, the surest way is a cold compress on the injured area and applying a bandage. Next, it is imperative to call a doctor (traumatologist), since there is no guarantee that the victim has a bruise, and not, say, a fracture. Plus, the consequences of a bruise can be very serious, for example, dysfunction of the movements of the jaw joints or a violation of bone tissue. The doctor applies a tight bandage, of course, after the diagnosis. Of course, that such treatment of a bruise requires complete rest for the jaw,
- fracture is the most serious injury. Here, the traumatologist resorts to splinting or intermaxillary fixation. If the fracture is open, then the treatment is performed by osteosynthesis of titanium plates.
Folk remedies. To be honest, it’s even scary to think that in our time someone can risk their health and resort to treatment with folk methods. In any other situation, herbs and infusions can positively influence the course of events, but in the case of injuries, this is very dangerous. Folk technique of treatment can be used in our version as an additional tool to the traditional method.
Recipes:
- plantain leaf or crushed wormwood to be applied to the injured area,
- tincture: vodka – 0.5 l, meadowsweet flowers – 20 g, hernia grass – 20 g, knotweed – 20 g, horsetail – 20 g, blue cornflower flowers – 20 g, corn stigmas – 30 g, dry bean pods – 30 g, birch buds – 30 g. All herbs are crushed and mixed. Then 4 tablespoons of the resulting herbal mixture are poured with vodka, and infused for 3 days. Then strain. The prepared remedy is used for external use in the form of a compress, which should be kept at the site of injury for no more than 4 hours. Duration of treatment – 7 days,
- tincture: vodka – 0.5 l, coltsfoot – 20 g, oregano – 20 g. The cooking method is the same as above. The resulting extract rubs the diseased area, which should be wrapped. Such manipulations must be carried out at night for 14 days.
In the process of removing a tooth, the dentist usually resorts to the simultaneous opening of purulent foci in the bone, in soft tissues and under the periosteum. The perimaxillary purulent foci are opened promptly (under local or general anesthesia), where intraoral or extraoral incisions are made.
Wounds obtained after surgery must be carefully treated, for example, with nitrofuran solutions. The complex of postoperative treatment is determined by the development of complications and the duration of inflammatory processes.
As a result of the normal course of acute osteomyelitis, treatment is prescribed, which includes anti-inflammatory, desensitizing, restorative, stimulating, symptomatic agents. Naturally, we are talking about antibiotics, sulfonamides, nitrofurans, metronidazole preparations, vitamin preparations, painkillers, and so on. If we talk about the names of drugs, then again, they are selected individually for each.
The hyperergic course of acute osteomyelitis, where bone necrosis is inherent, requires more intensive therapy, which has three main methods. The method of treatment is determined by the doctor, based on the stage of the inflammatory process, which is reactive, toxic and terminal.
Diffuse forms, like other types of osteomyelitis, require surgical intervention. There are also no clear recommendations regarding medication, as the treatment method is selected by the doctor in accordance with the available data regarding inflammatory processes, bone damage, and so on.
- Temporomandibular joint dysfunction must be treated by a dentist where complex procedures are used:
- orthodontic therapy aimed at correcting the bite,
- operational implementation,
- “remodeling” of teeth or prosthetics,
- physiotherapy,
- acupuncture.
Folk remedies in this case are not effective.
In folk medicine, there are many recipes for sore throats, for example, tea with honey. Sea buckthorn oil, if you drink a teaspoon three times a day, not only softens the throat, but is also an excellent antiseptic. Aloe with honey and onions can kill almost any microbes, so the use of a mixture of these ingredients (one to one) a teaspoon 3 times a day can provide a quick recovery.
It should be said that the treatment of angina depends on the severity, therefore, only the doctor, namely the ENT, decides this issue.
If the pain under the jaw is caused by neurological or diseases based on cardiology, then there can be no talk of self-treatment. Well, for example, neuralgia of the glossopharyngeal nerve or a heart attack are very dangerous phenomena that necessarily require special control by physicians.
How to prevent pain under the jaw
It is virtually impossible to prevent pain under the jaw, as there are many reasons for its occurrence, and most often they are related to injuries (it is almost impossible to prevent), to colds.