Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
162 Doctors are Online

Suggest treatment for severe jaw and inner ear pain?

User rating for this question
Very Good
Answered by

ENT Specialist
Practicing since : 1991
Answered : 2543 Questions
Hi, I was wondering if you could help me with a question. I have been suffering with severe jaw and inner ear pain that is getting progressively worse. It started as an earache so I went to my MD and he looked inside and said my ear was just fine. Slowly it progressed to jaw pain and now I can't even chew the softest food. The worst part is is that my dentist sent me to an oral surgeon who said it was probably TMJ and sent me back to the dentist to have her ajust my bite plate. That did nothing and she said did I tell him that I've been on Boniva for five years which I forgot to mention to him, so back I'm going again tomorrow. All this without dental insurance. The worse part is the pain is so intensified when I lay down at night to sleep and there is absolutely no way I can put any pressure on my left side to sleep. Niether the dentist or the oral surgeon seemed conserned about the fact that laying flat intensifes my pain. I have had mixed collagen vascular disease since I was 19yrs. old and Hashimotos Thyroiditis about the same time. Now to add insult to injury I was diognosed with small fiber neuropathy in May of this year. I am already in so much pain with the neuropathy, this jaw thing is just making a bad situation worse. Please if you have any suggestions I'm desperate, both for sleep, and I don't relish the idea of eating my Thanksgiving dinner liquified and drinking it with a straw. Sincerely, XXXXXXX
Posted Sun, 22 Dec 2013 in Ear, Nose and Throat Problems
Answered by Dr. Sumit Bhatti 2 hours later
Brief Answer: As below: Detailed Answer: Hi, Thank you for your query. 1. The pain and sensitivity in the jaw may be due to the following reasons: a. Pain due to Bisphosphonate (Boniva/ Inbandronic acid) deposition in bone. b. Osteonecrosis of the mandible (jaw bone) due to bisphosphonates (rare). c. Vasculitis due to mixed collagen vascular disease. d. Neuropathy due to small fiber neuropathy. 2. Discontinuation of the bisphosphonate is recommended. It may take many months for the pain to disappear. 3. Get an MRI and a Bone Scan done to rule out Osteonecrosis. 4. Hypothyroidism following Hashimoto's may worsen small fiber neuropathy. Get your thyroid Function Tests done. A skin biopsy may help. 5. The vision problems may be due to the mixed collagen vascular disease and the small fiber neuropathy. 6. Get your EMG (electromyogram) and NCS (Nerve Conduction Studies) done. These tests should be done in an Institute specializing in Neurological testing. 7. Neuralgic pain requires painkillers which are different from routine painkillers. request your physician to give a trial with pregabalin, gabapentin, carbamazepine or amitriptyline. I hope I have answered your query. If you have any further questions I will be available to answer them. Regards.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics

The user accepted the expert's answer

Ask an ENT Specialist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor