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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Jaw Tenderness Below Ears, Painful To Touch. What Could This Be?

I have been experience some jaw tenderness right below both ears down the straight part of the jaw and around the curve a little bit. It doesn t ache, it is just painful to touch. What could this be? I have a dentist appointment tomorrow. What should I be looking for? I have no wisdom teeth and most of my molars have crowns over them.
Sat, 23 Feb 2013
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General & Family Physician,  's  Response
Hi and thanks for question,
Jaw tenderness around that area could imply lots of things. First, it could be a chronic inflammation, and a rare type of rheumatoid arthritis dpoes actually presents as such. Doing an a Rheumatoid factor dosage, ESR, CRP, Complete blood count, HLA27 could be good guides in excluding this diagnosis and other autoimmune diseases.
Secondly, depending on your dental history, this could also be an indication of an early stage of a bone infection or osteomyelitis. Its not that rare, and most of the time is discovered in the chronic phase. A tumoor of the ENT sphere, due to compression of nerves or blood vessels could produce such a symptomatology. A Head CT scan is most appropriate in eliminating a tumour. These are conditions that are not that very rare.
I suggest you could start with taking an appointment with an ENT specialist for a proper evaluation .
Thanks for your questions and best of health.
Best regards,
Luchuo, MD.
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Jaw Tenderness Below Ears, Painful To Touch. What Could This Be?

Hi and thanks for question, Jaw tenderness around that area could imply lots of things. First, it could be a chronic inflammation, and a rare type of rheumatoid arthritis dpoes actually presents as such. Doing an a Rheumatoid factor dosage, ESR, CRP, Complete blood count, HLA27 could be good guides in excluding this diagnosis and other autoimmune diseases. Secondly, depending on your dental history, this could also be an indication of an early stage of a bone infection or osteomyelitis. Its not that rare, and most of the time is discovered in the chronic phase. A tumoor of the ENT sphere, due to compression of nerves or blood vessels could produce such a symptomatology. A Head CT scan is most appropriate in eliminating a tumour. These are conditions that are not that very rare. I suggest you could start with taking an appointment with an ENT specialist for a proper evaluation . Thanks for your questions and best of health. Best regards, Luchuo, MD.