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

What causes pain in jaw and temple area post head injury?

Feb 2018
User rating for this question
Answered by

General Surgeon
Practicing since : 1984
Answered : 16002 Questions
I had a head injury - blow to the middle of my forehead - went to ER - they did neuro checks and sent me home. I noticed on the way home I could not open my mouth very much without a lot of pain to my left jaw and into the left temple area. Also have nausea and clear nasal drainage which they knew about in the ER. They can't answer my question about the mouth problem over the phone. Should I be concerned?
Posted Wed, 20 Aug 2014 in Brain and Spine
Answered by Dr. T Chandrakant 19 minutes later
Brief Answer:
Visit ER

Detailed Answer:

How was the blow done ? If the blow was close to the left temple or jaw there may be trauma to the temporalis muscle there by going into spam and causing painful opening of the jaw.

At this point of time, I am more concerned about the clear nasal discharge. In this context leakage of CSF (cerebro-spinal fluid - from the coverings of the brain) through the breach between the nose and the interior of the skull needs to be rule out. If you haven't discussed about it with ER doctor, you may perhaps consider doing it again.

In the meanwhile do not blow nose. Try ice and warm compresses alternatively to the jaw and see if you feel better. Visit the ER if symptoms worsen.

Above answer was peer-reviewed by
Follow-up: What causes pain in jaw and temple area post head injury? 42 minutes later
I did discuss the nasal drainage at the ER. He said if there were no blood I didn't need to worry (that's not what I learned as a nurse). He felt since all my neuro checks were OK I did not need a CT. I have already blown my nose several times. He asked if I had allergies. I think he was a nurse practitioner actually. I really don't want a second ER charge unless absolutely necessary. Can I buy those dip sticks OTC to see if there is sugar in the drainage? Would that be advisable?
Answered by Dr. T Chandrakant 51 minutes later
Brief Answer:
Confirmation / ENT Endoscopy

Detailed Answer:
Thanks for your feedback.
Very true, the way he explained is wrong. You are absolutely right, he must be a trainy only. ( It is possible that he did not knew that you know this).

Neuro check-ups will be normal even though you have CSF Rhinorrhea.
OK- but please stop blowing the nose now. The history of nasal discharge on head-injury that too in the forehead has to be investigated and the best way to have a final diagnosis by contrast CT Cysternography and MRI.

This is a good idea to check for the sugar in the discharge but this is only indicative and since CSF Rhinorrhea can have dreaded complications, it is better to rule out this at the earliest. You may consult an ENT or NeuroSurgeon to get the best diagnostic facility.
Above answer was peer-reviewed by
Follow-up: What causes pain in jaw and temple area post head injury? 22 minutes later
Is it ok for me to wait 4 hours to call my own neurologist?
Answered by Dr. T Chandrakant 2 minutes later
Brief Answer:
Yes please!

Detailed Answer:
Certainly ,yes.
You may please wait.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+

The user accepted the expert's answer

Ask a Neurologist

© 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