[38F] With acute jaw pain and headaches

Patient Description

A 38-year-old female presents with sharp jaw pain near the ear when opening the mouth wide, which started suddenly two days ago. The pain is rated at 7 out of 10 and worsens with movements like chewing or talking. The patient also reports difficulty moving the jaw at times and experiencing headaches localized to the temples. There is no swelling or clicking sounds in the jaw, and no recent trauma or injury. The patient has a history of arthritis symptoms, including body stiffness and aches at night and in the morning, but has not been formally diagnosed. She has taken Aleve for the jaw pain. The patient has allergies to Toradol and hydrocodone, diagnosed over 20 years ago. Her periods are regular. Chronic conditions include anemia and borderline diabetes. She is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the symptoms and history you've provided, here are some possible explanations for your condition:

Jaw Pain Near Ear

  • Temporomandibular Joint Disorder (TMJ/TMD): This condition can cause sharp pain near the ear when opening the mouth wide, difficulty moving the jaw, and headaches. TMJ disorders can be triggered by stress, arthritis, or jaw injury.
  • Arthritis: Given your history of body stiffness and aches, arthritis could be affecting your jaw joint, leading to pain and difficulty in movement.

Lump Above Knee

  • Bursitis: Inflammation of the bursa (a small fluid-filled sac) near the knee joint can cause a lump and pain.
  • Lipoma: A benign fatty lump that can appear under the skin and is usually painless.
  • Cyst: A fluid-filled sac that can develop near joints or tendons.

Headaches

  • Tension Headaches: Often caused by stress or muscle tension, which could be related to your jaw pain and difficulty moving your jaw.
  • Referred Pain: Pain from the jaw can sometimes be referred to the temples, causing headaches.

General Stiffness and Aches

  • Arthritis: This could explain your body stiffness and aches, especially if it worsens at night and in the morning.

What you can do

Jaw Pain Near Ear

  • See a Doctor: It's important to consult a healthcare provider to get a proper diagnosis and treatment plan. They may recommend imaging tests or refer you to a specialist.
  • Home Care:
    • Apply a warm compress to the affected area to relieve pain.
    • Avoid hard or chewy foods that can strain your jaw.
    • Practice gentle jaw exercises to improve mobility.
    • Over-the-counter pain relievers like Aleve can help, but consult your doctor for long-term use.

Lump Above Knee

  • See a Doctor: A healthcare provider can evaluate the lump to determine its cause and recommend appropriate treatment.
  • Home Care:
    • Avoid activities that put strain on your knee.
    • Apply ice to reduce any swelling.

Headaches

  • See a Doctor: Given the association with your jaw pain, a healthcare provider can help determine the cause and recommend treatment.
  • Home Care:
    • Practice relaxation techniques to reduce stress.
    • Over-the-counter pain relievers can help, but consult your doctor for long-term use.

General Stiffness and Aches

  • See a Doctor: A healthcare provider can evaluate your symptoms and may recommend tests to diagnose arthritis or other conditions.
  • Home Care:
    • Gentle stretching exercises can help improve flexibility.
    • Warm baths or heating pads can relieve stiffness and pain.

What you should look out for

Given the severity of your symptoms and the possibility of underlying conditions, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

  • Increased pain or swelling in the jaw or knee.
  • Difficulty breathing or swallowing.
  • Severe headaches that do not improve with over-the-counter medications.
  • Any new or worsening symptoms.

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and treatment plan. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

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4 mo ago

People Also Ask


What are the common symptoms of Temporomandibular Joint Disorder (TMJ/TMD)?

Common symptoms of TMJ/TMD include pain or tenderness in the jaw, pain in one or both of the temporomandibular joints, aching pain around the ear, difficulty chewing or pain while chewing, and locking of the joint, making it difficult to open or close the mouth.


How can arthritis affect the jaw joint and cause pain?

Arthritis can affect the jaw joint by causing inflammation and degeneration of the joint tissues, leading to pain, stiffness, and difficulty in moving the jaw. This can result in symptoms similar to those of TMJ disorders.


What are some home remedies for managing jaw pain associated with TMJ?

Home remedies for managing jaw pain associated with TMJ include applying warm compresses to the affected area, avoiding hard or chewy foods, practicing gentle jaw exercises to improve mobility, and using over-the-counter pain relievers like Aleve, though it's important to consult a doctor for long-term use.


When should I see a doctor for jaw pain and headaches?

You should see a doctor for jaw pain and headaches if the pain is severe, persistent, or worsening, if you experience difficulty breathing or swallowing, or if over-the-counter medications do not improve the symptoms. A healthcare provider can help determine the cause and recommend appropriate treatment.


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