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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Temporal Region And Neck Muscles?

Hi I am a diabetic type one and am now treated since last September for anxiety and panic attacks. I take pro clonazepam daily for this. Since now four days I feel a pain spreading from my left temporal region to my teeth, neck muscles, front lobe and behind my eyes. The pain is mostly on the left side of my head and I rate it as a 5 out of 10. It s growing every day though. Today the pain has spread a lot behind my nose and my right temporal region has started to hurt. I am concerned about a possible seizure... Also I don t know if it s important but since four months I take like half and sometimes less the posology of my clonazepam, without any panic I can t control. Since two weeks though I have suffered light but non stop hyperventilating.
Mon, 29 Jun 2015
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Cardiologist,  's  Response
Hello!

Thank you for asking on HCM!

Your symptoms do not seem to be related to any possible seizures. The troubles with breathing may be caused by anxiety (or a low control of anxiety from an insufficient dose of clonazepam).

I would like to explain that there are different disorders, which can cause pain in this region :

1- A temporal-mandibular junction arthritis
2- A temporal arteritis
3- An infection of the soft tissues or the sinuses

I recommend you to consult with the GP for a careful physical examination, a routine blood test, inflammation tests, thyroid hormone levels, kidney and liver function tests and blood pressure monitoring.

A chest x ray may be necessary to rule out other possible causes of hyperventilation.You may need to discuss with your attending physician on a possible increase in the doses of clonazepam.

A brain CT scan may be necessary to exclude a possible sinusitis or a brain lesion.

I would also advise you to consult with your dentist, for a better examination of the temporal-mandibular junction.

Hope to have been helpful!

Greetings! Dr. Iliri
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What Causes Pain In Temporal Region And Neck Muscles?

Hello! Thank you for asking on HCM! Your symptoms do not seem to be related to any possible seizures. The troubles with breathing may be caused by anxiety (or a low control of anxiety from an insufficient dose of clonazepam). I would like to explain that there are different disorders, which can cause pain in this region : 1- A temporal-mandibular junction arthritis 2- A temporal arteritis 3- An infection of the soft tissues or the sinuses I recommend you to consult with the GP for a careful physical examination, a routine blood test, inflammation tests, thyroid hormone levels, kidney and liver function tests and blood pressure monitoring. A chest x ray may be necessary to rule out other possible causes of hyperventilation.You may need to discuss with your attending physician on a possible increase in the doses of clonazepam. A brain CT scan may be necessary to exclude a possible sinusitis or a brain lesion. I would also advise you to consult with your dentist, for a better examination of the temporal-mandibular junction. Hope to have been helpful! Greetings! Dr. Iliri