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What Causes Temple Pain On Moving The Tongue?

Posted on Sat, 19 Apr 2014

Question: Hi, I have a medical question re right sided temple pain. I am having pain in my right temple that I can feel in a mild way without doing anything, but when I press my tongue up against the back of my upper teeth or roof of my mouth, I get a very bad pain in my right temple area, sometimes into the top of my head area. Mostly it is in my temple area. It is not the roof of my mouth that is sore, as I can press a finger on there and it doesn't hurt; it is the muscle movement of doing that with my tongue that causes the pain. Chewing has been painful also in the last couple of days, and can bring it on. Thanks! I am a 54 year old female. I do have some teeth issues...I had my upper teeth capped with crowns, but haven't done the bottoms yet, so I think I am misaligned in that area.

Answered by Dr. T Shobha Deepak (2 hours later)

Brief Answer: Possibility of TMJ ankylosis Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day Painful muscle movements of tongue, especially when trying to carry out full range of movement like touching the palate one should consider possibility of following needs to be considered 1. Temporo mandibular joint ankylosis secondary to malalignement of upper and lower teeth. Any discrepancy in the alignment of teeth on one side could cause excessive stress while making chewing movements leading on to TMJ (Tempero-mandibular ankylosis). Diagnosis will depend on clinical examination by demonstration of TMJ click and also by Orthopentogram 2. Oral submucous fibrosis: fibrosis of the the oral submucous can lead to restricted mobility and cause pain while chewing. I would suggest you to consult Orofer facial and Maxillary Surgeon for further assessment and evaluation. In case you require any further assistance, will be glad to assist you. Take care Best Regards Dr T Shobha Deepak MBBS, MD

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

Follow up: Dr. T Shobha Deepak (49 minutes later)

Thank you so much for the great answer and detailed info! So, I was concerned about something serious such as an aneurysm or blood clot, but would that be unlikely given the fact that I can make the pain happen with the tongue movements? Thanks again so much. I appreciate your time.

Answered by Dr. T Shobha Deepak (1 hour later)

Brief Answer: It's unlikely to be aneurysm Detailed Answer: Hi Greetings It's not a usual presentation of aneurysms. Majority of aneurysm of head and neck are asymptomatic. Pain is not feature of their presentation. They may present with sudden onset of focal neurological deficit due to embolism. From the description of symptoms provided , I would not consider possibility of aneurysm. I hope it helped Take care Best Regards Dr T Shobha Deepak

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