My Headache Won’t Go Away!

 

 

Did you know that your Headache may be from your neck muscles?  It’s true.  The muscles of the neck commonly refer pain to your head.

 

                               

                       Sternocleidomastoid Muscle                        

              

  Trapezius Muscle

Trigger points, indicated by the black “x’s” on the pictures can refer pain to distant sources.  Some of the symptoms can be mistaken for TMJ issues, Migraine, earache, sinus infections, toothache.  Each muscle creates its own referred pain pattern.  Below I have listed different symptoms that occur when a trigger point in these muscles refers pain to another area.    

Sternocleidomastoid Muscle:

  • pain in forehead
  • earand mastoid zone
  • nausea
  • vertigo
  • ataxia
  • dizziness
  • Often, there is a triad of concomitant symptoms like dizziness, frontal headache, and dysmetria (lack of coordination of movement).

  

Trapezius Muscle:

  • headacheson the temples / “tension” headaches.
  • facial, temple, or jaw pain.
  • pain behind the eye.
  • dizzinessor vertigo (in conjunction with the sternocleidomastoid muscle)
  • severe neck pain.
  • stiff neck.
  • limited range-of-motion.
  • intolerance to weight on your shoulders.

 

Treatment can be simple and quick or may take several appointments.  At Carolina TMJ and Facial Pain Center we often find that treating the trigger points through multiple modalities works the best.  If you are suffering with the symptoms listed above and would like to learn more about your options of relief, call us now!

 

Carolina TMJ & Facial Pain Center

919-3-NO-PAIN

 

 

My Aching Ear

MY  EAR HURTS!

ear-pain2
Ear Pain

Does this sound familiar….”My ear hurts but I have gone to the doctor several times begging for an antibiotic and he keeps telling me that my ear looks fine!”

This is more common than you may think.  Many of my patients have complained about this.  They present with severe ear pain and pressure, some eye pain or pressure, pain around the temple area, and sometimes sensitive upper teeth.  How could this not be an infection of some sort….right?  Well the truth is, you may be suffering from temporal tendonitis.

 

What is Temporal Tendonitis?

Temporal Tendonitis is a craniofacial pain disorder affecting the temporal tendon.  The temporal tendon is a tendon that connects your temporalis muscle (muscle on the side of your head and near your temple area) with your lower jaw on the coronoid process.

temporal-tendon
Temporalis Muscle attaches to the lower jaw (mandible) on the Coronoid Process by the Temporal Tendon

 

Classic Symptoms of Temporal Tendonitis are:

temporal pain, TMJ pain, Eye pain, Ear Pain and Pressure, and sensitivity of upper maxillary teeth.

 

What Causes Temporal Tendonitis?

Temporal Tendonitis is often caused by trauma (eating hard foods, dental work, etc..), loss of vertical dimension of occlusion (the distance between your nose and chin is shorter than it was when you were younger – you are becoming over-closed), chronic parafunction (your bite is off and your teeth do not come together appropriately), and/or hypertrophy of the coronoid process (your coronoid process, a part of your lower jaw, becomes larger than it once was).

 

How Do You Treat Temporal Tendonitis?

Treatment of temporal tendonitis can involve multiple processes, such as, anti-inflammatories (like ibuprofen), muscle relaxants, soft diet, splints/orthotics, physical therapy, biofeedback if clenching related, and/or injection therapy with a long lasting local anesthetic and a steroid, sarapin, or prolotherapy.

 

If you believe that you may be suffering from Temporal Tendonitis, we can help you!  Call us today for an evaluation and treatment and be DONE with that EAR PAIN once and for all!

 

Dr. Tracy Davidian

Fellow of the American Academy of Craniofacial Pain

Fellow of the Las Vegas Institute of Neuromuscular Dentistry

919-366-PAIN (7246)

 

Did You Know That Your Tooth Pain Could Be From Muscle and Not Your Tooth?

what-is-facial-pain-raleigh-dentist-tracy-davidian

Most people are unaware that trigger points in their muscles (neck and face) can cause pain in their teeth.  There are many trigger points in our face and neck that cause radiating pain to your upper or lower jaw.

Trigger Points From Temporalis Muscle (X) Refers Pain To Upper Arch

trigger point 2

Trigger Points  From Masseter Muscle (X) Refers Pain To Upper & Lower Arch and TMJ

trigger point 1

Trigger Points From Your Neck Muscles (X) Can Refer Pain to Your Face, Head, & TMJ

 TRIGGER POINT 6That “toothache” that your Dentist has not been able to diagnose, could be coming from a Muscle Problem.   We have the solution.  There are many ways we help relieve your achy muscles:

Trigger Point Therapy

Massage Therapy

Ultrasound

Iontophoresis

Phonophoresis

Spray & Stretch

Call us today for your Head and Neck Muscle Evaluation to see if your “pain” is from your muscles.

919-366-PAIN (7246)

How can a Dental Appliance help my Migraines go Away?

One of the first questions patients ask me when they are at my office for their New Patient or Consult appointment is: “How can a Dental Appliance help my Headaches/Migraines go Away?”  The simplest way to explain this is by having them imagine a Bucket.  We each have our own Buckets that are filled with our daily intakes.  For example, if you drink coffee every morning….that cup will go into your daily bucket.  If  you drink a glass of wine every night….it to will go into your bucket.  Other things that get poured into our individual daily buckets are: stress, lack of sleep, food allergies, allergies in general, monthly hormonal changes, temporomandibular joint or facial muscle issues, etc…  What happens when your bucket gets full of daily intake?  For a lot of my patients, they develop headaches or migraines.  These headaches/migraines can be debilitating for a lot of my patients.  It, in fact, is what brought them to my office in the first place.  So back to the question: How can a Dental Appliance Help My Headaches/Migraines go Away?…..   It has been proven that by repositioning the lower jaw in a down and more forward position, that the muscles of the face begin to relax.  They are no longer constricted and in spasm; thereby, reducing headaches/migraines.  Now how does this relate to the bucket?  It is a wonderful thing for my patients, and for others that suffer from headaches/migraines, that by repositioning and relaxing the muscles of the face…. a huge portion of the bucket is emptied.  This is Fantastic!  My patients have fewer, if any, headaches/migraines with this treatment.  And, I’m referring to my Many patients who have had debilitating, in the corner, lights off Migraines for many years…….they are now gone or Greatly Reduced.  Will you ever have another headache/migraine with this treatment?  Well sadly, the answer is probably yes.  Occasionally.  However, you are Always in Control of what You put into Your Daily Bucket.  If you are filling it with EVERY Trigger you have, then chances are you will get a headache….  The power is still in Your Hands.  But isn’t it Fabulous to know that You are In Control?  An Occlusal Appliance will Help to Give you that Control….and in turn, help to Give you Your Life Back.  Call Now……Physiologic Aesthetics is Where the Pain Ends and Your New Life Begins!   919-366-PAIN

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There are many types of teeth stains; some are caused by a person’s genetics, environmental or pharmacological in nature. The most common type is surface stains on the enamel or beneath the enamel. Surface stains are caused by foods, beverages and lifestyle behaviors, like smoking. Teeth whitening can help reverse some of the damage, however results vary by person.
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Dr. Tracy Davidian is bringing revolutionary sleep treatments to the Triangle. Dr. Davidian uses state-of-the-art technology to treat snoring and sleep apnea.

Sleep disorders are a bigger problem than most people think. Disorders like sleep apnea disrupt more than just a good night’s sleep and hard day’s work. Over time, it’s a risk factor for heart attack, stroke, diabetes and other serious conditions.
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Why do I have Facial Pain?

More than 15 percent of American adults suffer from chronic facial pain, such as jaw pain, headaches or earaches.
To understand the reasons for Facial Pain, you must first understand the different types of Muscular Disorders that can lead to Facial Pain. 
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