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Please Help...no One Can Figure Out What's Wrong With Me...

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VMA

New User, Becoming EHEALTHy
Joined: 14 Sep 2006
Posts: 2
Location: NYC
Please Help...no One Can Figure Out What's Wrong With Me...
Posted: 09-14-06 20:30pm

Hi everyone,

i've never done anything like this, but i'm so desperate that I don't know what else to do. I've been suffering with what started two months ago as severe pressure behind my eyes. Then it became this constant headache, all day and every day, as well as pain around my temples, cheeks, and around my eyes (like the eye sockets I guess). After about a month or so it progressed to what felt like a lot of pressure around the bridge of my nose, so I thought maybe all of this was my sinuses acting up. Sleeping was a nightmare, especially when I lay flat and didn't prop my head up (and that barely helped). I've always had a history of nasal allergies (i.E. Cats, dust), but the weird thing was that I never felt like I had a cold or post-nasal drip or anything like that - one day, my eyes just randomely started feeling really weird. More recently, I thought my ears were starting to bother me, and I thought maybe it was that if I had an infection somewhere in my respiratory system, that it had spread to my ears and that I was just getting worse. But just today I realized that actually I think that that pain is stemming from right in front of my ears (where that jaw joint is I guess). I had noticed some discomfort in my jaw area earlier, but I thought it was unrelated, or else maybe just part of the stress associated with this constant discomfort. When I try to read, or frankly do anything that forces me to strain my eyes too much, it's is so unbearably uncomfortable and almost painful that it makes me nauseous. I've also noticed that my eyes have become more sensitive to light.

So far, i've been to an eye doctor, a neorologist, several internists, several "naturalists" (one put me on a strict food diet + vitamins), and two ent doctors. The eye doctor said there was nothing wrong with my eyes, the neurologist said there was nothing wrong with my nervous system. Most of the doctors so far have sort of guessed that my sinuses are the problem, but none of them seemed all that confident about it. My ct scan showed a little build up of fluid in my sinus behind my left cheek, and for a little bit I felt a little more of the headache on the left side of my face (esp my left eye), but the other side of my face still felt far from great and so i'm still not really convinced about a sinusitis diagnosis (at least not only that). The treatments i've been given for sinusitis include amoxicillin, prednisone, claritin + benadryl + 9 ibuprofen/day + sudanyl, and now moxifloxacin (aka avelox). The moxifloxacin helped with the pain around the bridge of my nose, but the constant headache and eye pressure is literally driving me crazy, and nothing helps. It even bothers me when I try to just close my eyes and/or sleep.

Today I went to the second ent doctor, and although he informed that I have a deviated septum, he said my sinuses didn't look inflamed and that he really doesn't think that's the source of the problem. He was the one who suggested that what I might have is tmj. This was the first time I had ever heard of the disorder, so I know very little about it.

If anyone who reads this has any information - if you have had/are suffering with the same thing, you think tmj might finally be the right diagnosis - please please please let me know!!!

I'm desperately hoping I don't have to drop out of school this semester because of this...

Thanks,
vickie
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catswolds

Experienced User , Rather EHEALTHy
Joined: 28 May 2006
Posts: 62
Location: Michigan

Posted: 09-15-06 13:42pm

Hi vickie,
i'm sorry to read that you are having so many problems. I have had tmj for 26 years and my eyes are also sensitive to light and burn quite frequently (they are right now). It took me years of seeing doctors, etc., before I realized that everything going on in my head is because of tmj.

Unfortunately, tmj can be very difficult to get treat properly. It is possible, but you have to find the right tmj specialist (usually a dentist) and that almost seems to be the most difficult part of treating tmj.

The easy scenario would be that your bite is off just a little bit and you are grinding your teeth at night because of stress or really any reason. This situation puts strain on any/all the muscles, tendons, cartilage, etc., in the area around the temporal mandibular joint(s). Our tm joints must work well together (or balanced) usually in order for the mouth system to work properly. It can just be one little part of a tooth that is throwing everything off. So, your first step would be to see a good dentist who specializes in tmj.

Usually before I recommend that appointment though, I highly urge you to educate yourself as much as possible by going to support groups, message boards and general internet surfing. There is a lot of information on the internet (i wish it had existed when I really needed it), but be careful to not compare your situation to someone else's. Sad to say, tmj is so very different for each of us (but sometimes so alike). What may work for me, might not work for you.

I can tell you here and now the basic instructions that most new tmj patients are usually told to help themselves -
1. Use lots of moist heat and/or ice
2. Eat only soft or liquid foods for some weeks. Stop all gum chewing.
3. Do not open your mouth wide for any reason (yawning). Be gentle to your muscles, etc.
4. See if the dentist or your doctor will prescribe either valium or xanax to take at night for a few weeks. Good sleep is essential.
5. Ibuprofen tends to be the most effective pain killer (600 to 800 mg)
6. Evaluate your posture. How you are sitting at a computer or a desk can play a very large role on the stress put on the tmjoint. Go to nismat.Org (physical therapy, tmj) for some pictures of posture problems and some good exercises to do, etc.
7. Reduce your stress anyway possible (yoga, exercise, massage).
8. If above doesn't work - ask your doctor to refer you to physical therapy with a tmj-trained therapist.
9. Bite splints (but I must make this comment that bite splints are only as good as the bite splint maker. A good bite splint maker is worth his/her weight in gold).
10. No surgery. No surgery ever. Never.

I hope the information here can help you. I will pray that you find the right tmj specialist and he/she can help you.

Take care and god bless...
Carol
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