Somatic Tinnitus Causes (TMJ, Neck, etc.): Is There a Way to Tell?

Discussion in 'Support' started by KWC, Jul 24, 2020.

    1. Greg Sacramento

      Greg Sacramento Member Benefactor Hall of Fame

      Tinnitus Since:
      April 2011
      Cause of Tinnitus:
      syringing and now somatic T dental work
      @KWC If your jaw hurts when lying down, place "why does my jaw hurt when laying down" into an internet search. Very informative articles will surface on this, including tooth pain when lying down. Some articles will list exact jaw and area problems, if pain is reveived with lying down. Some article discuss a matress being too soft or too hard and the same with pillow. Some need a low pillow and others need a high pillow, but never should there be space between neck and pillow.

      If you do get more jaw/tooth pain when lying down and want 3 0r 4 good articles, let me know and I will post links.
       
    2. AUTHOR
      AUTHOR
      KWC

      KWC Member

      Tinnitus Since:
      01/2020
      Cause of Tinnitus:
      Ear Infection/TMJ ??
    3. AUTHOR
      AUTHOR
      KWC

      KWC Member

      Tinnitus Since:
      01/2020
      Cause of Tinnitus:
      Ear Infection/TMJ ??
      @just1morething did the prolotherapy help your tinnitus?

      Do either you or @Greg Sacramento use any masking?

      My sound has changed over time to a high pitch continuous tone that gets louder every time I flex my jaw. Not sure if the change has to do with the splints. Pain has ramped up too. Not sure if that is related to the jaw realigning or TMJ getting worse.

      My doctor put me on Indomethacin for pain and inflammation.

      Each day as I am sure you know is a struggle.
       
    4. AUTHOR
      AUTHOR
      KWC

      KWC Member

      Tinnitus Since:
      01/2020
      Cause of Tinnitus:
      Ear Infection/TMJ ??
      I just had a higher pitch ringing occur in my right ear that was higher in pitch than what I constantly hear. It also felt deeper inside my head. Lasted a few seconds, then went away back to what I normally hear. Not sure if there is a difference.
       
    5. ajc

      ajc Member

      Tinnitus Since:
      11/2002; spike 2009; worse 2017-18
      Cause of Tinnitus:
      Loud music - noise damage
      That's called fleeting tinnitus.
       
    6. Greg Sacramento

      Greg Sacramento Member Benefactor Hall of Fame

      Tinnitus Since:
      April 2011
      Cause of Tinnitus:
      syringing and now somatic T dental work
      @KWC Where is your pain - top - bottom - both and does it move around on right side? Are you sure that your splint is 3mm and not 2mm ? You appear to being getting nerve pressure and need to figure out if it's hinge joint nerve pressure or upper right wisdom tooth. Both could cause referred pain in both jaws on right side. Does cold water cause pain?
       
    7. AUTHOR
      AUTHOR
      KWC

      KWC Member

      Tinnitus Since:
      01/2020
      Cause of Tinnitus:
      Ear Infection/TMJ ??
      Pain is consistent in TMJ area at joint on right side and below along jawline below the ear. I have been having more tingling in hand. Not sure about the size of the splint. I do not have wisdom teeth. Cold water does not cause pain.
       
    8. Greg Sacramento

      Greg Sacramento Member Benefactor Hall of Fame

      Tinnitus Since:
      April 2011
      Cause of Tinnitus:
      syringing and now somatic T dental work
      Same with me for the last three weeks. Clenching while sleeping is part of it, but what's causing me to clench is neck muscles. I have not been getting neck or lower spine/back therapy, but sometimes improper therapy with having TMJ needs to be a suspect. My neck hurts from imbalance.

      When the spine curves, nerves that run to various parts of the body can become pinched. The most commonly pinched nerves are the brachial nerves that extend to the hands and fingers. Symptoms of a pinch in the brachial nerves are tingling, pain, or numbness in the fingers.

      https://www.alexbelldental.com/tingling-in-hands-tmj-centerville/

      TMJ can cause tingling and numbness in the hands because it sets off an imbalance in the neck vertebrae. The jaw and jaw muscles are partly responsible for holding the neck upright, and when the jaw is out of balance, the neck corrects by tilting in a complementary direction. This tilt causes the vertebrae to close together on one side of the neck. This can put pressure on the nerves that emerge from between the vertebrae, including the nerves that supply sensation to the fingers. This mild pressure leads to sensations of tingling and numbness in the hand. Normally one hand is affected.

      https://www.riveredgedental.com/tingling-and-numbness/

      In professional studies, with mention to the above, neck vertebrae can push jaw out of balance more. This can then work against a splint, where the spilt has too work harder with alignment. Sometimes month bacterial infection causes more harm - more so if there's gum problems. Whiplash can cause all of the above. Neck posture while sleeping - no air space between pillow and neck is needed. Soft pillows - non foam and medium firmness mattress may help. I use two medium size pillows with one hanging forward over the other. I try to sleep with no air space between neck and pillow and when I'm not doing that, my jaw will receive pain. I change sides often to balance out gravity and compression. Warm and cool compresses for face/jaw and neck may help. Soft foods eaten on non TMJ side - such as light + fit Greek, mashed potatoes or egg salad may give some temp relief to nerve circulation. Holding warm water - with no movement for 5 seconds on one side at a time may help temp.

      Does any of this work for me, except having no space between neck and pillow - not all that much as I had major notes on my radiological mouth/jaw exam from dental whiplash. Your notations show little wrong, except lower jaw being back too far and with this and from this, clenching from neck vertebrae tilt causes a nerve supply problem. This is why you feel tingling in your fingers which may be more in palm, baby finger and index finger and not so much in middle fingers - as mentioned in many studies with brachial nerves.

      Often, in the ER, is patients asking for pain meds for TMJ. Many have recently seen a chiropractor for neck and lower spine therapy. Muscles may have not been loosened by warm compress first. Pressure to muscle therapy was given and not outward extension therapy. A therapist with a doctorate needs to be seen as TMJ function with neck will be considered.
       
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    9. Greg Sacramento

      Greg Sacramento Member Benefactor Hall of Fame

      Tinnitus Since:
      April 2011
      Cause of Tinnitus:
      syringing and now somatic T dental work
      Continued... Many professional studies point out that a splint - mouth guard has limitations if correct posture isn't being used. @oceanofsound26 has posted much about posture and body mechanics. Sometimes, one side of body is lower than the other. Even a shoe pad for lower side can make some difference.

      Forward head posture and favoring lower body side can effect the TMJ. If head tips towards the high shoulder, pulling the trapezius and pulls on the temporal muscles, then TMJ will be strained. Sucking on a straw on side of lip of lower body height with TMJ muscles and joint problems, more damage and pain can happen.
       
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    10. AUTHOR
      AUTHOR
      KWC

      KWC Member

      Tinnitus Since:
      01/2020
      Cause of Tinnitus:
      Ear Infection/TMJ ??
      @Greg Sacramento, very good information as always. I had TMJ follow up today and imaging shows condyle in correct position with splint. Appeared to look good. I'm still dealing with pain. I'm assuming TMJ pain is with realignment. Doctor showed me the scan, he sees issues with my cervical. At C1 he can see a shift. More space on one side. I believe realignment of jaw affected neck and is causing tingling. He wants me to see an osteopath. I will also will pursue orthopedist as well.

      Once again thank you for your feedback.

      Hope you are doing as well as can be.
       
    11. donotringatme

      donotringatme Member Benefactor

      Tinnitus Since:
      09/2020
      Cause of Tinnitus:
      ETD, TMD, CI
      Been reading a bit about jaw and maxilla stuff. Came to this post “condyle presses against nerve endings and strains aligaments by the ear, and this causes the tinnitus”

      @KWC I have no idea how exactly to fix that but apparently it’s a known issue and stems from a recessed lower jaw. That recession also causes ETD, confirmed. How exactly I don’t know, mechanical, but it does resolve once the recession resolves.

      I’m pretty sure @Greg Sacramento will have mentioned this same thing about ten times but my brain is mush right now.

      It does make sense though. I instigated facial changes that led to tinnitus and I think to a lot of the discomfort on my neck.

      Damn. ETD theory almost ruined xd
       
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    12. AUTHOR
      AUTHOR
      KWC

      KWC Member

      Tinnitus Since:
      01/2020
      Cause of Tinnitus:
      Ear Infection/TMJ ??
    13. Farkon
      Frustrated

      Farkon Member

      Tinnitus Since:
      ??/19xx
      Cause of Tinnitus:
      Genetics/possibly Jaw.
      Does anyone else have high pitched tinnitus that only gets louder, not from moving your jaw, neck, or ear, but by putting pressure on your jaw and pushing on it? The direction doesn't matter at all, up down left right top bottom, all directions increase my tinnitus.

      Is this some sort of pressure point or specific muscle that's being affected?
       
    14. AUTHOR
      AUTHOR
      KWC

      KWC Member

      Tinnitus Since:
      01/2020
      Cause of Tinnitus:
      Ear Infection/TMJ ??
      Hello @Greg Sacramento @donotringatme @just1morething.

      Hope you guys are doing ok. Any improvements on each of your end?

      @donotringatme saw your posts and am happy for you, congrats!

      I am about the same. The ringing stays relatively constant, never improving. A high pitch continuous sound. I would say my jaw and TMJ pain at the joint area has improved, jaw is sore. The knot behind my jawline below my ear no one has been able to tell what they think it is, beyond TMJ doc saying stylomandibular ligament.

      I visited a audiologist and am trying white noise therapy. Basically have run out of what to do next. Each day is a struggle like many others.

      I believe my splints did change my sound and did improve the TMJ pain so guessing it was needed.

      @Greg Sacramento do you think it is possible that the splint realignment of my jaw causes the swollen area in my neck below my jawline?

      Thinking about stopping using the splints but not sure.

      Hope all are as well as can be.

      Ken
       
    15. Greg Sacramento

      Greg Sacramento Member Benefactor Hall of Fame

      Tinnitus Since:
      April 2011
      Cause of Tinnitus:
      syringing and now somatic T dental work
      The swollen area in neck would be from jaw muscles. Cause is jaw pressure - either by splint or without. Pressing teeth together, even slightly, for 5 or 10 seconds can bring this on.

      Your panoramic views show anterior open bite with a special relationship that shows your resultant posterior joint is slightly wide. I don't think that your mandibular plane is a problem or centering, but condyle is slightly anterior to the center of the fossa. Your palatal vault is fine up to the alveolar ridge. You have no cortical thickening and your TMJs are rounded (good) without evidence of subchondral defects.

      So I believe that you are applying pressure in a sideways motion and then pushing back. Often this tension can cause pain in ear as well. You could become tinnitus free or almost free, if you can control emotional tension causing physical tension - teeth pressure. This upsets with what you have above (very common) - nerves from jaw that goes to ear. Controlling blood pressure will also be a must.

      A test: Take a spoon and slightly tap a pan once or twice - metal to metal movement - and if your tinnitus lets up for seconds to a few minutes then involvement may be nerves from jaw to ears.

      @PeteJ - consider this - minus any hearing loss from noise.
       
    16. AUTHOR
      AUTHOR
      KWC

      KWC Member

      Tinnitus Since:
      01/2020
      Cause of Tinnitus:
      Ear Infection/TMJ ??
      @Greg Sacramento very good information as always, thank you. I do have pain in my ear as well.

      Part of me is wondering just doing splints at night for a week to see what happens.

      How are you doing?
       
    17. AUTHOR
      AUTHOR
      KWC

      KWC Member

      Tinnitus Since:
      01/2020
      Cause of Tinnitus:
      Ear Infection/TMJ ??
      @just1morething how are you?

      I am trying to remember did steroid injections help your TMJ pain at all?

      Thanks,
      Ken
       

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