Tags: bones, diseases, drugs, facial, health, injection, joint, joints, medications, muscles, pain, painful, severe, speak, spread, throat, tmj, worst
Severe throat pain - painful to speak: Anyone have this problem?
My TMj pain started several months ago from a facial injection. It spread from the right joint to the left. However, the worst pain is now in my throat. It feels like it is pulling under my joint and goes to my throat. My throat feels like it has razor blades in it. Whenever I speak it increases the pain so much that I can't even talk.
It also feels like there is a lump in my throat on the right side ( where the tmj pain started) every time I swallow. It is painful to swallow and it seems like the pain goes right into my ear. I can almost feel a noise or something every time I swallow with that awful lump there.
Does anyone have throat pain or that lump in their throat?
Please help. The condition is just spreading and getting worse each day.
I cannot wear a splint or anything like that and I do not clench my teeth.
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- 5 Comments
- Where was the injection done on the face and what was it? Was it for cosmetic reasons or treatment of your tmj? Have you had an MD check your throat for any type of infection or nodes,, etc? Is it possible you are having an allergic reaction to the injection - maybe try benedril or something similar to see if the lump responds to it. A feeling of a lump in the throat or difficulty swallowing is fairly common with tmj but generally not the only symptom one will have. Is it possible the injection hit a facial nerve or is causing inflamation?#1; Tue, 18 Dec 2007 21:53:00 GMT
- I did not have the injection for TMJ or cosmetic purposes. I had it for pain in my lips and gums (long story). Never had any problems with TMJ before. Have had myofasical pain in masseters - but never any TMJ problems. As soon as I had the injection I felt a popping in my joint and could hardly open my mouth. When I did open my mouth I felt severe pain in my TMJ. Then I started feeling the lump in my throat and pain as well. Have an earache also. Also difficulty swallowing. Now on left side also. I think the injection pulled on the ligament which holds the TMJ in place. I am unable to chew at all ( all soft food - in food processor and blender). Dr. wants an MRI but I can't lay on my back and also can't stand the apparatus in my mouth as it will irrititate the nerves in my front teeth.
I am in a real quandry as I cannot have surgery or splints or chiro or anything.
What is the lump in the throat all about?
Don't really know what to do now as surgery seems to be the only answer as I am certain it is dislocated (internal derangement)
Tried, heat, meds ,etc. no help.
thanks#2; Tue, 18 Dec 2007 21:54:00 GMT
- You may want to ask about other type of tests that don't require that you lay down such as an ICAT (dental cat scan) or tomogram. If your jaw is indeed dislocated sometimes it can be manually corrected under light sedation or muscle relaxants. Not sure how else to advise you given that other options for treatment are not a possibility. Since treatment of myofacial pain syndrome is similar to that of muscular tmj you should be looking to the dr who is treating it for recommendations or suggestions as to what to do. Its difficult to say what the lump in the throat is from - it could be resulting from the injection (what type of med was injected?), or due to inflamation, if internal derangement did occur, it could be that your hyoid bone shifted or your lower jaw is too far back and compressing the tongue and throat muscles, etc. Sorry I could not be of more help.#3; Tue, 18 Dec 2007 21:55:00 GMT
- Thank you Thelma for your prompt reply. I do believe I have internal derangement due to the popping and also it seems like my bite has shifted. My teeth on the left side now all make contact whereas they did not do so before. I have never heard of the hyboid bone shifting. Could you explain more about that? I did see on the TMJ symptoms chart that "lump in the throat" feeling is common with TMJ. My lower jaw protrudes - class3 maloclusion. Also have an open bite. However, none of these things had an effect on my TMJ all myy life. All this happened since the injection.
I will try the tomogram. My dr doesn't think it is nearly as effective as the MRI but I have no other choice.
Now - what if I have the MRI and it shows internal derangement......then what do they do since I can't have surgery. Isn't the treatment similar if you do or do not have internal derangement? I am confused.
Oh - remember - what is the hyboid bone shifting concept?
Thanks so much
Rascal12#4; Tue, 18 Dec 2007 21:56:00 GMT
- The hyoid is a bone under the tongue in the throat - if internal derangement occurs such as the jaw being dislocated or pushed back toward the c-spine -the position of the hyoid bone may be compromised or forced to shift - such as moving higher up the throat and causing the lump in the throat sensation, enlarged tongue feeling and/or difficulty swallowing. The only remedies I know of for correcting most internal derangements is that of splints to correct jaw position, cranial adjsutments by chiros, physical therapy and in worse case scenarios surgery. Once the derangment is corrected braces or other dental work may be required to correct occlusional problems which should prevent further occurrences.#5; Tue, 18 Dec 2007 21:57:00 GMT