How does TMJ affect the balance system and cause dizziness?

Doctor's Answers 1

Thanks for asking me such an intriguing question! One of the lesser known symptoms of Temporomandibular Joint Dysfunction (TMJ/TMD) is dizziness as your TMJ or jaw joint sits very close to the structures of the middle and inner ear. Your TMJ is supplied by a rich network of nerves which also supply different parts of the ear itself.

So if there is any irritation or inflammation around the TMJ, then it may potentially affect the ear and give rise to ear-related symptoms such as:

  • ear pain
  • tinnitus (noise in ear)
  • ear fullness or pressure sensation
  • vertigo (spinning sensation)
  • hypersensitivity to sound and dizziness too.

In addition, the blood supply to the TMJ comes from blood vessels in the neck circulation so sometimes, muscle spasms adjacent to these blood vessels may affect the blood flow to the TMJ as well as to the neck and the head/brain. This may make you feel dizzy too, especially if you have neck and shoulder muscle problems.

However strictly speaking, balance is controlled by the brain, inner ear function, eyes and nerve function in the neck, spine, trunk and legs.

So before we can assume that your dizziness is due to TMJ problems, we must always take a detailed history from you and conduct a thorough full examination of all these important structures as many other conditions can cause dizziness and present in a similar manner like your problem.

The fact that you say you suffer constant dizziness is a bit unusual so I definitely would not wish to just label your dizziness as “TMJ related”.

The key to the management of dizziness is to obtain the correct diagnosis, so that we may then proceed to manage your condition successfully. Get well soon, Mohammad!

Similar Questions

How can I get rid of TMJ pain that persists despite a mouth guard?

Mouthguards do not cure bruxism but are used to try and limit the irreversible damage done to your teeth from the grinding. TMJ pain usually occurs on moving the jaw (opening or closing) and not necessarily on chewing. If you have issues with your TMJs, clicking, popping or cracking sounds may also occur during jaw movement. If you are experiencing persistent pain only on chewing on the left hand side, I would suspect the possibility of a cracked tooth. This requires treatment at the level of the tooth and cannot be solved just by wearing a mouthguard.

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What are the symptoms of TMD (temporomandibular disorder)?

The cracking sound that you hear is due to the articulation disc. It may be a sign of overuse of your muscles of mastication. If it persists and there is associated pain, then you will need to see a doctor that specialises in treating temporomandibular joint (TMJ) disorders. Other symptoms of TMJ disorders include tenderness in the face/jaw, difficulty in opening the mouth (trismus), jaws that lock in an open or closed position, neck ache or earache.

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