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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Jaw Tightness, Pain And Recurring Headaches?

I have jaw tightness, pain and recurring headaches. Last jaw surgery was 1990, and 1996 to fix an open bite and replace jaw joints. Don t know why the pain has returned if the problem was fixed surgically. Any ideas? Or should I buy stock in Advil for the pain?
Fri, 27 May 2016
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Dentist 's  Response
Hello,

I can understand your concern. As you were symptomless after the surgery for some years, the problem you are experiencing now seems like a muscular problem and not bone related. In addition, spasm of muscles that can help in chewing can cause pain in temporomandibular joint whith jaw movements, annoyance and headache.

I would advise you to take muscle relaxant medication such as Dan-MR (Paracetamol 500 mg + Diclofenac Sodium 50 mg + Chlorzoxazone 250 mg) twice a day for five days. Heat compression over the joint area along with local application of Diclofenac Gel (Volini) will help. Try to have soft diet for a few days, less speaking if possible and give rest to the jaw.

If the problem does not resolve in five days, then I would recommend a physical examination by a dentist or oral surgeon for ruling out problems with temporomandibular joint.

I hope this information helps you. Thank you for choosing HCM. Let me know if you have further questions.

Best,
Dr. Viraj Shah
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What Causes Jaw Tightness, Pain And Recurring Headaches?

Hello, I can understand your concern. As you were symptomless after the surgery for some years, the problem you are experiencing now seems like a muscular problem and not bone related. In addition, spasm of muscles that can help in chewing can cause pain in temporomandibular joint whith jaw movements, annoyance and headache. I would advise you to take muscle relaxant medication such as Dan-MR (Paracetamol 500 mg + Diclofenac Sodium 50 mg + Chlorzoxazone 250 mg) twice a day for five days. Heat compression over the joint area along with local application of Diclofenac Gel (Volini) will help. Try to have soft diet for a few days, less speaking if possible and give rest to the jaw. If the problem does not resolve in five days, then I would recommend a physical examination by a dentist or oral surgeon for ruling out problems with temporomandibular joint. I hope this information helps you. Thank you for choosing HCM. Let me know if you have further questions. Best, Dr. Viraj Shah