Dizziness, Off-balance, On Antidepressants, Temporomandibular Joint Syndrome. Suggestion?
Important points of your query:
• Chief complaints: feeling of constant dizziness and off balance, myofascial pain on cheeks and temples
• No relief after consultation with ENT specialist, neurologist and psychiatrist
In your case TMJ syndrome appear to less likely as you are not having other common symptoms of this disorder like: chewing difficulty, Clicking sound when opening or closing the mouth, earache and headache.
In your case I would like to know about the opinion of ENT specialist and neurologist as you have consulted them already.
Apart from that I need following information to understand your case better:
• Duration of your problem and course of your problem (increasing or decreasing in severity)
• Is there any relation of dizziness with posture?
• Imaging reports like CT or MRI head
• Presence of stress, anxiety or fear of unknown, excessive worry related to health & family, restlessness, tremors, multiple pain complaints, palpitation, excessive perspiration, difficulty in sleep induction and shortness of breath
Waiting for further information from you. Wish you Good Health
Thank you for your reply. I have dizziness when I walk it's more like off balance, unsteadiness when I stand up and walk. I forgot to mention that I have head aches and neck pain and clicking sound also a kind of pressureon my upper teeth but I dont have a problem openning my jaw and when I eat something there's no problem. I also want to underline that I feel a lot better in the morning if I had enough sleep but towards the end of the day my off balance feeling worsens. Please evaluate my case with these additional symptoms. Thank you in advance for the information you shall provide.
Dizziness, unsteadiness, head aches, neck pain and clicking sound, feeling of pressure on upper teeth: all symptom can be explained by 'Temporomandibular joint disorder', so it need to be considered for future evaluation by dentist.
As there is evening worsening of dizziness in association with headache I would like to suggest you one appointment with ophthalmologist to rule out possibility of glaucoma.
Hope this will help you,
Wish you Good Health.
Regards