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Suggest Treatment For Injury To Cartilage

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Posted on Sat, 18 Oct 2014
Question: Hi, I was hit in the jaw on both sides about two and a half weeks ago. There was minimal skin discoloration, and I didn't feel much pain until about 2 hours later when I couldn't close my mouth all the way, or chew on my left side. After ten days of not being able to chew without pain I went to the ER where they did a CT scan I believe and stated there weren't any broken bones. A few days ago I started getting this sensation in my left ear where its tingly, and it feels almost like bubbling. The jaw pain isn't as bad, but it still persists, What could this be?

Also it looks like I left out, there was considerable amount of pain on the left side. And when I close my jaw tight, or clench my teeth I hear a clicking sound, and a slight pressure in my ear like something is pressing on what I believe to be my ear canal. If I hold my jaw clenched in this position the tingling sensation persists in my left ear, and subsides about a minute after opening my mouth, or releasing the clench on my jaw.
doctor
Answered by Dr. Sudhir (15 minutes later)
Brief Answer:
Injury to cartilage.

Detailed Answer:
Hello,

In view of details and CT scan being normal, possibility of temporomandibular joint cartilage injury is very likely in your case.

CT scan cannot evaluate cartilages as it is designed to evaluate bones better.Also the CT scan must have covered your internal ear structures, you can request doctor to have look at your facial nerve, this might be cause of tingling.

Clicking sound is quite indicative of cartilage injury.

So you need to get a MRI done.See an ENT specialist, let him/her assess your TM joint and advise you accordingly.

Please ask if there are doubts.Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir (1 hour later)
Ok, would an ENT be able to perform the MRI or would I be referred elsewhere? Also what kind of treatments would be available? Would it heal fully on its own?
doctor
Answered by Dr. Sudhir (32 minutes later)
Brief Answer:
Doctor will refer you.

Detailed Answer:
Hello,

ENT doctor wont be able to perform MRI, he/she will refer you to radiologist.

Treatment will depend on extent of injury.Most cases are treated with conservative treatment, rarely surgery may be needed.

Yes, with conservative treatment it can heal on its own.

But MRI can help understand better.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir (30 minutes later)
Would it be easier to go to the ER to get the MRI? And would they be capable of seeing the problem at the hospital? I only ask because I don't have health insurance, and the extra time I would have to pay a hospital XXXXXXX would help. As opposed to money being due upfront for a Radiologist, and the specialist. Also aside from surgery what other treatment options are there? They offered me a steroid shot, but I refused because they said I would be stimulated for five days that the shot lasted, and my sleep schedule is already out of whack for work. Would NSAIDS help with the cartilage, or just the pain?
doctor
Answered by Dr. Sudhir (49 minutes later)
Brief Answer:
Yes, ER may refer you to MRI

Detailed Answer:
Hello,

Yes, ER may refer you to MRI.You can give it a try.

Other options are - bite splint, Stress-reduction techniques , Getting joint washed off with use of needles and steroid injection.

But to select type of treatment MRI is needed.

NSAIDs can help relieve pain , but it is not treatment to help healing.

Regards
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sudhir

Internal Medicine Specialist

Practicing since :2000

Answered : 1415 Questions

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Suggest Treatment For Injury To Cartilage

Brief Answer: Injury to cartilage. Detailed Answer: Hello, In view of details and CT scan being normal, possibility of temporomandibular joint cartilage injury is very likely in your case. CT scan cannot evaluate cartilages as it is designed to evaluate bones better.Also the CT scan must have covered your internal ear structures, you can request doctor to have look at your facial nerve, this might be cause of tingling. Clicking sound is quite indicative of cartilage injury. So you need to get a MRI done.See an ENT specialist, let him/her assess your TM joint and advise you accordingly. Please ask if there are doubts.Regards