Pain in temple and behind eye for a year now.

by Supriya
(Mumbai, India )

I had been diagnosed or say misdiagnosed for migraine, cevicogenic headache, sinusitis, occipital neuralgia for last one year when it was TMD.

Been a walking pharmacy since then. Tried physio, accupuncture but all in wrong places. It started with pain in temple and behind eye on my left side which increased to neck pain and pain in cheeks. I didn't think it's TMD since no jaw pain.

Anyway after being diagnosed with TMD have been taking ultrasound, magnesium supplements and sound some jaw exercises and yoga which has helped partially. I am staying in Mumbai and don't have any chiropractors here. Any self treatment I can take to be pain free?

Hello Supriya,
You've had a miserable time of it, worst being that there is still some doubt about the diagnosis.

For me, to call it a TMD you must have at least one of four things:
1. Place your fingers over the temporomandibular joints, just in front of the tragus of the ears. Go to Chiropractic Help's search function and type in TMJ anatomy to find these structures. If you press moderately firmly, is the marked tenderness on one or both sides?

2. Keeping your fingers on the TMJ, slowly open your mouth several times looking for
a) asymmetrical opening of the joints. Does one open later than the other?
b) any popping or clicking or grinding sounds?

3. Repeat 2. with your index finger in your ears, pulp forwards. The TMJ lies immediately in front of your fingers. Tenderness, delay, clicking?

4. Marked tenderness of the temporalis muscle, masseter muscle, or external pterygoid muscle. The last is difficult to feel; using your index finger, pulp facing outwards, poke your finger past the upper row of teeth deep into the so called pterygoid pocket. Often in a TMD it's extremely tender with radiation of pain into the eye.

Do you have one or more of these?

Because the sensory nucleus of the trigeminal nerve lies in the upper neck, pain is felt there too.

Keeping to this thread, let me have some answers.

Dr B

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.

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