Bones in head move, vertigo,

[WorriedRyan]

Hi

Somehow my jaw bone got misaligned/dislocated (plus the fact I have impacted/erupting wisdom teeth) and it's causing pain and pressure in the area of my temporal bone and TMJ. Sometimes when I chew or move my mouth, the area around the temporal bone (just over my ear) either moves or pops up and down or feels pressure. Also, I get really bad pressure in my ears and a popping feeling in the back of my head and a vibration between my ears at times when I talk. For the last few mos, I've also had vertigo where it feels like I'm on a boat, along with ear pain.

[Dr. Kokil Mathur]

Hi
Thanks for writing to the forum!
Well yes, most of your symptoms could be due to your fracture and associated TMJ. Dizziness could be due to involvement of the vestibulococchlear or the 8th cranial nerve. Muscle twitchings can be due to stress and anxiety.
As I have written this earlier, I am copy pasting it for you again.
Please read through this link for home care therapies and massages: http://www.nlm.nih.gov/medlineplus/ency/article/001227.htm
“Try massaging the various muscles that may be involved. Probe all of the muscles of the face, shoulders, and back of the neck. (Avoid the area around the throat.) Press on the muscles to identify extremely painful points. Massage the painful spot with hard, slow, short strokes. Do this several times a day until the muscle is no longer painful when pressed.
To massage the masseter muscles on each side of your jaw, place your thumb inside your mouth and squeeze the thick muscle in your cheek (toward the back of your mouth) with your fingers. To get at the harder-to-reach jaw muscles inside your mouth, use your index finger to probe for tender areas behind the teeth, and use the finger to massage these spots.
Other home-care therapies, such as moist heat or cold packs on the face, vitamin supplements, or biofeedback are useful for some people. Exercising several times each week may help you relax, strengthen your body, increase flexibility, and increase your ability to handle pain.”
I think you should discuss these possibilities with your doctor (PCP) and get a referral for a sports clinic and consult a sports medicine specialist. With guided physiotherapy muscle aches, pain, neck pain etc will go. Also the specialist will be able to guide you regarding dizziness. Once the muscle aches go, the pressure on the nerve should also be relieved.
Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!

[R_ADAMS31]

YEAH 3 YEARS AGO I GOT INTO A FIGHT AND A GUY KICKED ME IN THE JAW WITH STEEL TOED BOOTS ON AND BROKE MY JAW ON THE RIGHT SIDE BAD . I WENT AND THEY DID SURGURY AND PUT A PLATE IN MY JAW AND WIRED MY MOUTH SHUT FOR SIX WEEKS...O MY GOD THIS WAS THE WORST 6 WEEKS...IT WAS VERY BAD ... COULD THIS BE THE CAUSE OF ANXITY , NERVE TWITCHES , MUSCLE ACHES AND PAINS , HEADACHES , NECK PAIN , EXC.. O AND BY THE WAY CAN THIS CAUSE YOU TO HAVE BECOME DIZZY 24/7 OVER TIME?

[Dr. Kokil Mathur]

Thanks for your kind words! Hope those tips will help you! All the best!

[WorriedRyan]

Thank you
and may I also say that you're one of the best and most thoughtful doctors I've ever spoken too. A lot of doctors I've met have tried to brush off whatever I was trying to tell them (not now but in the past) and were very I guess you could say nonchalant about my symptoms. You're not, and I appreciate it, and I wish more doctors were like you.

[Dr. Kokil Mathur]

Hi
Thanks for writing to the forum!
As you have rightly said, you have a TMJ disorder due to your impacted wisdom tooth  probably. Your symptoms do point towards TMJ. Vertigo could be due to internal ear involvement or also due to involvement of the auditory nerve which is in close association with this joint. Please consult an orthopedic specialist ASAP. Please read through this link for home care therapies and massages: http://www.nlm.nih.gov/medlineplus/ency/article/001227.htm
“Try massaging the various muscles that may be involved. Probe all of the muscles of the face, shoulders, and back of the neck. (Avoid the area around the throat.) Press on the muscles to identify extremely painful points. Massage the painful spot with hard, slow, short strokes. Do this several times a day until the muscle is no longer painful when pressed.
To massage the masseter muscles on each side of your jaw, place your thumb inside your mouth and squeeze the thick muscle in your cheek (toward the back of your mouth) with your fingers. To get at the harder-to-reach jaw muscles inside your mouth, use your index finger to probe for tender areas behind the teeth, and use the finger to massage these spots.
Other home-care therapies, such as moist heat or cold packs on the face, vitamin supplements, or biofeedback are useful for some people. Exercising several times each week may help you relax, strengthen your body, increase flexibility, and increase your ability to handle pain.
Read as much as you can, as opinion varies widely on how to treat TMJ disorders. Get several doctor's opinions. The good news is that most people eventually find something that helps.”

Hope this helps. It is difficult to comment beyond this at this stage. Please let me know if there is any thing else and do keep me posted. Take care!