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Suggest Treatment For Pulsating Pain In Ear Canal Caused By TMD

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Posted on Mon, 26 Oct 2015
Question: About once a year I have had intense pulsing pain in the depression just superior to the hole for my ear canal. It was always strong enough to take my breath away, and would last just a few seconds. For the first time in my life it is happening more than once. About once an hour yesterday I had pain just as I described about just less severe. It has now been about 20 hours. I teach A&P and cannot even imagine what is causing this. Can you help?
doctor
Answered by Dr. Dr. Erion Spaho (35 minutes later)
Brief Answer:
Temporimandibulary joint condition should be assessed further.

Detailed Answer:
Hello and thanks for using HCM.

I have read your query and understand your concerns.

Most probable condition that may cause your symptoms is Temporomandibulary joint (TMJ) dysfunction.

Conditions that may affect TMJ are local trauma, arthrosis, misplaced bones and cartilages that form TMJ, or muscles and glands around TMJ ( parotid gland stones eg.) dysfunction.

Other less probable causes of your symptoms include middle ear infection, temporal artery inflamation ( temporal arteritis ).

As a first step to properly diagnose your condition is clinical examination by a Physician by evaluating locally signs of TMJ dysfunction, soft tissues around it and ear condition.

As further steps in diagnosis there is need for TMJ x-rays in different positions.

NSAID drugs such Ibuprofen eg. could be used to relieve the pain.

Hope you found the answer helpful.

Let me know if I can assist you further.

Take care.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
Dr.
Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4494 Questions

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Suggest Treatment For Pulsating Pain In Ear Canal Caused By TMD

Brief Answer: Temporimandibulary joint condition should be assessed further. Detailed Answer: Hello and thanks for using HCM. I have read your query and understand your concerns. Most probable condition that may cause your symptoms is Temporomandibulary joint (TMJ) dysfunction. Conditions that may affect TMJ are local trauma, arthrosis, misplaced bones and cartilages that form TMJ, or muscles and glands around TMJ ( parotid gland stones eg.) dysfunction. Other less probable causes of your symptoms include middle ear infection, temporal artery inflamation ( temporal arteritis ). As a first step to properly diagnose your condition is clinical examination by a Physician by evaluating locally signs of TMJ dysfunction, soft tissues around it and ear condition. As further steps in diagnosis there is need for TMJ x-rays in different positions. NSAID drugs such Ibuprofen eg. could be used to relieve the pain. Hope you found the answer helpful. Let me know if I can assist you further. Take care.