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Chronic Sinusitis lead to TMJ ?? (Page 1)

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I have had chronic sinusitis after a horrible sinus infection, I have all the symptoms of TMJ
im having a hard time ruling out if it is sinusitis causing the pain and dizzyness, aches in front of my ears or TMJ?
please help! Sad
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First Helper bmilks
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replied April 13th, 2010
TMJ can cause sinus problems itself. Sinus infections can cause TMJ like symptoms though according what I have read. You haven''t stated anything related to jaw pain, clicking or popping, or anything muscle related so I am going to say go to a doctor and get tested to see if you have a sinus infection or viral illness. If you do not then I would probably check into TMJ from there.
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replied April 14th, 2010
yes right in front of my ears when i push on it is tender and radiates to my ears. I had a REALLY bad sinus infection for 4months then went to the dr. and did not finish the prescription she gave me and it came back worse, i then took about 5 other antibiotics that didn't work bc the bacteria i guess was resistant. I then had sinus surgery in Dec. 09 which i feel it has made everything worse. before my surgery my ENT found some yeast in my sinuses and gave me meds for. my MRI showed nothing in my brain, it showed a massive infection but i have had surgery...why do you think i am still having sinus infection symptoms? (BTW, my sinus infection was brought on by a cold after a trip to the mountains).please help!
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replied April 14th, 2010
also, i forgot to mention my ENT has never done a culture on my sinuses to rule out if it was fungal, viral, or bacterial...or possibly all three.
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replied April 14th, 2010
Sorry that you have had to endure the problems with your sinuses. I can understand the frusteration of not knowing what exactly is wrong and why you feel the way you do. Your Ent should have determined the cause which is bad if he didn''t inform you if he did determine it. Sounds like you need to be put on an anti-fungal as fungal infections cause yeast.

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replied April 15th, 2010
I had what I thought was TMJ but it turned out to be chronic sinusitis. I had a ct scan and then elected a balloon sinuplasty procedure and have never felt better.

At first what I thought was that the TMJ actually was causing sinus issues, which I was told is possible. But that wasn't it.

Best of luck.
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replied April 20th, 2010
I was just scouring the intertubes for "chronic sinusitis clenching" (as I do) and happened upon this page, which thankfully is a recent post and relevant to my own condition.

Here''s my situation.

In fall 2001 I transferred to Cornell University in Ithaca, NY. Within 3 months I had a constant tension behind my eyes, problems sleeping, always feeling tired, and a chronic dry cough, which my family thereafter called the "Cornell cough" since it started after I got to campus. Also my right TMJ would click a lot when eating or yawning. The winter break between fall and spring semesters, my friends at home commented how I always seemed tired, and how on vacation in France I was sleeping *all* the time. Like literally a 15 minute cab ride, I''d take a nap. Soooooo tired.

Imagine feeling like there''s a 2 lb weight pushing against the little triangle between your eyes and your cheeks. That''s the way it''s been since then.

For the next two years I figured this was all stress related, but it never went away. I saw therapists thinking it was psychological but that did nothing. I went to the medical center, where they prescribed nasonex... did nothing. Senior week, senior year, I remember laying in a river on a warm Ithaca summer day, tubing and happy that I was done classes, but sad that even now I was in horrible discomfort.

I moved to Seattle in 2004, still feeling the pressure. Always tired when I woke up, even after 9, or hell even 10 hours of sleep. I saw an ENT who did a cursory glance of my nose (didn''t even use an endoscope!), prescribed some more nasonex, and sent me on my way. Didn''t work, as expected. I saw dozens of other doctor types including neurologists, psychiatrists, dentists, even hypnotherapists. I had a $3,000 neuromuscular orthotic built for my jaw as it was thought that TMD, not necessarily sinus infection, was causing the discomfort. 6 months and three grand later, that test was shown to be false.

Out of sheer frustration I turned to nutrition... tried different diets, ultimately did a 30 day raw vegan diet where I dropped 30 lbs but still didn''t change my sinus pressure.

I also tried exercise -- LOTS of exercise. I was hitting the gym 6x/week, sometimes 2x/day, as many people report that regular exercise has amazing effects on the body and could help cure me. Well, that works for some people, not me... I would feel great physically after a workout, but I would always still feel that pressure behind my eyes. In fact, after a SUPER intense workout like CrossFit, I could even feel it more! Like the rest of my brain was light and isolated and happily dripping sweat, but the area behind my eyes was still sore. A miserable existence.

Then in 2007 I moved to the Bay Area, still in discomfort. It''s hard to live your life when you don''t really want to go out and be around people since all I want to do is lay down and try to avoid the pain of existence. No one else seems to understand; they think you''re just depressed or anti-social. Quite the contrary, I''ve always loved hanging around people, I just don''t like having what feels like a sinus infection all day, every day.

On the bright side, my TMD seemed to have subsided -- I didn''t notice clicking regularly anymore.

Anyway, by this time I basically had given up and just tried to live with it, assuming it was entirely mental, and something I should worry about in the future. Then, in summer 2009, a casual conversation with a doctor friend slipped that my condition might be related to sinus polps. While the pressure in my forehead had been around my sinuses, I never really thought of them much. I mean, they''re just spaces in my skull.

I started diving into the online literature. I had never heard the terms maxillary, frontal, ethmoidal, or sphenoidal -- soon I was fluent in everything sinus-related.

I went to an ENT in DC who did a CT scan and saw that, yes, my sinuses were in fact infected. I remember her asking if I had green discharge, and I said "ummm... yeah isn''t it supposed to be green?" I was so used to green phlegm that I assumed it was always green. A culture showed I had a staph infection, so she put me on the usual path -- steroids and antibiotics. Two months later it was obvious this wasn''t going to work (as I had told her), so we went for FESS (functional endoscopic sinus surgery).

Surgery was technically successful but did NOT produce any results. In fact for a few weeks I was even more infected than before. More antibiotics brought down the infection, but the swelling was still there. Endoscopic probes also revealed heavy swelling. She prescribed more steroids.... weeks and weeks later, nothing. At the point where she was prescribing another surgery, I decided to get a second opinion.

I went back to California and saw another sinus surgeon at Stanford who sounded pretty legit. He identified that the last surgery, while successful in its operation, was not sufficient to alleviate the symptoms. We scheduled another surgery combined with a septoplasty to fix my septum''s deviation.

I''m now almost 3.5 weeks past surgery. How do I feel? The infection has gone away almost entirely, or at least I don''t see any green discharge. I''m still sneezing daily, and still irrigating with my neti pot. However, the chronic sinus pressure is still there... right behind my eyes. I feel it now. I feel it when I wake up. I feel it when I prepare for bed. I just got another prescription for prednisone to hopefully bring down swelling in the next two weeks before my next post-op.

And now to relate to TMJ... I went to a new dentist today and described my story above, at least briefly. She identified my overjet and overbite, but also after I asked about a night guard, she noticed how tense my jaw muscles were -- just feeling sore from constant clenching. Not grinding, just clenching. So, on Thursday I''m going back to get fitted for a night guard.

Will the $600 night guard be better than the $3,000 orthotic I got in Seattle? I doubt it... but I definitely feel the clenching. And this time around, I did have a very major sinus surgery.

Is it possible that my brain has been somewhat rewired to clench all the time? I''ve tried yoga and detox diets and all sorts of ways to avoid clenching. It may work for some people, not for me. Perhaps my brain is too much in overdrive?

Anyway, I happened upon this post and wanted to voice my thoughts. I''ve tried almost everything out there. I''ve contemplated suicide several times just to no longer have to deal with this pressure behind my eyes, since life isn''t worth living when you''re ALWAYS in pain. (I''ll never actually commit suicide, but I wanted to vent that I''ve thought about it... if you''re reading this and know my pain, you will understand).

I am desperately hoping that the combination of a night guard, muscle relaxants, steroids, and the sinus surgery will help. I am also contemplating orthognathic surgery to re-align my jaw in the future, but right now I just want to fix the pressure in my head so I can enjoy life again.

The good news here is that I should have something to report back within a few weeks!

Ranonsbby09, my sinus surgery also seemed to start after entering a colder climate (this time, Ithaca NY). I also am frustrated that I''ve now had TWO sinus surgeries and don''t feel much better. I am further frustrated that I''ve talked to some medical students who are studying sinus problems and say that modern sinus therapy is only marginally effective for some people.

Why are the sinuses such a terrible battleground despite massive amounts of surgery, drugs, nutrition, etc?

Who knows. But I have seen posts like this on this forum so I am hoping we can collectively help each other, either by little nuggets of wisdom someone picks up and shares or some trick that works for others. Hell, before my first sinus surgery I remember reading somewhere on the net that some folks got sinus relief by snorting cayenne pepper (and I tried it). Didn''t do anything, but for some folks I guess that works.

Alright, I''m going to take my prednisone and bed down. Good night folks, I''ll let you know how things go in the next few weeks.
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replied June 25th, 2011
You have tried everything under the sun. Do you have amalgam? You could have mercury toxicity. Or you might have mold biotoxins. Have you ever read about Biofilms in sinuses? It is the same as biofilms that build up in lungs and over pancreas in cystic fibrosis. Hopkinton pharmacy in MA. has a powerful sinus spray to break up biofilms. I have had you same struggles. Still trying to find answers.
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replied April 23rd, 2010
Unfortunaterly it seems my previous post was removed to be reviewed for God knows what reason. Rannonsbby since you didn''t recieve my response check into fungal infections just for a quick reference for the yeast you said was in your sinuses.

Futureboy I feel for you, a nightguard helps for bruxism and if you tend to clench your teeth then a nightguard will help in that area at night. Since your jaw muscles are so tight you could be experiencing what is called myogenous TMJ(muscles related TMJ. I would however get an x-ray done of the TMJ joints themselves. If surgery is suggested I always think people should get a second opinion. To help strenghten your jaw muscles as well you can look up some simple jaw excercises. One I have read is push on one side of your jaw while keeping your mouth aligned to apply some pressure to the jaw muscles do it to both sides. Tehn take your tongue at the roof of your mouth and open your mouth keeping your tongue at the roof of your mouth open as wide as you can making sure your tongue still touches the top of your mouth.

As far as sinuses I honestly would start looking into the natural remedies to try and find a solution that may benefit you.
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replied August 19th, 2010
Please research PROLOTHEAPY INJECTIONS first...You will google this on the internet please read carefully then decide if this option is for you....

Good Luck and May God be with you ..don't worry he is...
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replied September 4th, 2010
Experienced User
Wow - someone with a similar situation to me! I started having these deep pains in the jaw and in the teeth and I had a cold at the time and have had bad nasal polyps for years. So when I went to the ENT I was diagnosed with sinusitus which was confirmed on the xray. I went through surgery and they removed a humongous polyp. But a month after the surgery the pains were still there. And by that time the pain had spread to neck, back, legs.

On theory that I have on this is that the nasal polyps have forced me to mouth breath all the time including when I sleep. This puts my jaw in a vulnerable position as I sleep on my stomach. At night a lot of weight can go on the jaw while changing positions. That's my theory and I think it holds for sinusitis the same way. That is- the nasal polyposis and sinusitis forces you to become a mouth breather and makes your jaw vulnerable at night to pressure at odd angles. Just my theory.
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replied September 13th, 2010
zerenity syptoms seem awful close to TMJ, maybe get an MRI of the jaw joint or a paranomic X-Ray. TMJD causes a vicious cycle and symptoms vary per person. Not saying you didn't have polyps but just some advice.
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replied April 5th, 2011
Experienced User
I think you are right - it was TMJD.
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replied September 29th, 2010
I have to mention something that noone else ever does.

Cocaine, and meth use...(either now or in your past) eventually leads to chronic sinus problems.

Amphetamines cause their users to constantly grind their teeth, and clench those jaw and face muscles.

Why doesn't anyone ever bring that up when talking about the sinus/tmj connection?


I admit, I was a user once upon a time.
I have no doubt in my mind how my sinus problems and TMJ relate to each other.

I may have been genetically predisposed to TMJ, or I may have even had the beginnings of TMJ when I was an adolescent, but I no doubt aggravated it by my own behavior.
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replied August 27th, 2011
TMJ and sinus
I have the exact same problem (tmj and chronic sinitus, pain, and soreness in jaw) constant unrelleting sinus infections,..etc..18 years !!! but no past drug use, or addiction, do smoke....
and have been diagnosed only recently / briefly with tmj, and given flucticasone by the head of the ent dept at upstate medical center. I tried explaining my symptoms, which are all relate to constant sinus blockage and ear pain, trouble feeling clear in ear / simuses, especially bad after sleeping/ tinnitus/ ear sinus blockage and feeling of glue like substance in ears..and it's further complicated by the fact that most of my teeth have been removed for dentures. I am suffering nightly with pain. It seem there is not much they have to do besides sinus type operations I am only recently wae of, and it took forever to get to see a ent speciallist with medicaid. Any info you hav eand want to share would help me. TY steven locurcio
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replied August 27th, 2011
TMJ and sinus
I have the exact same problem (tmj and chronic sinitus, pain, and soreness in jaw) constant unrelleting sinus infections,..etc..18 years !!! but no past drug use, or addiction, do smoke....
and have been diagnosed only recently / briefly with tmj, and given flucticasone by the head of the ent dept at upstate medical center. I tried explaining my symptoms, which are all relate to constant sinus blockage and ear pain, trouble feeling clear in ear / simuses, especially bad after sleeping/ tinnitus/ ear sinus blockage and feeling of glue like substance in ears..and it's further complicated by the fact that most of my teeth have been removed for dentures. I am suffering nightly with pain. It seem there is not much they have to do besides sinus type operations I am only recently wae of, and it took forever to get to see a ent speciallist with medicaid. Any info you hav eand want to share would help me. TY steven locurcio
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replied February 15th, 2013
I had the same problem had been put on several different stron antibiotics, when an xray of my sinuses came back clear and the doctor chalked it up to just being allergies I went to another doctor. He put me on steroid pack and referred me to an ear nose and throat doctor who finally found what was causing all my pain. It turned out that It was being caused from bad jaw pain causing inflamtion all in my sinuses, face, ears, and even a little in my throat. He referred me to a tmj and facial pain specialist so its definately something worth looking into. It felt like all this pain was a horrible sinus infection until he examined my jaw!
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replied February 23rd, 2013
Hi I have exactly the same problem Can we compare notes Please let me know your progress if you can

thanks

OP
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replied February 15th, 2013
I had the same problem had been put on several different strong antibiotics, when an xray of my sinuses came back clear and the doctor chalked it up to just being allergies I went to another doctor. He put me on steroid pack and referred me to an ear nose and throat doctor who finally found what was causing all my pain. It turned out that It was being caused from bad jaw pain causing inflamtion all in my sinuses, face, ears, and even a little in my throat. He referred me to a tmj and facial pain specialist so its definately something worth looking into. It felt like all this pain was a horrible sinus infection until he examined my jaw!
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replied February 23rd, 2013
Hi bmilks I have exactly the same problem can you please keep me posted of any developments and I will you

thanks
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replied May 14th, 2013
Sinisitus nightmare
Hi all. i have what i think is sinisitus and it's been going on for a couple of weeks now. this is just the most excrusciating type of pain and discomfort to live with. i sympathize with the long term sufferers and pray to god mine will resolve itself. i've suffered from terrible migraines all my adult life and they are monsters but this problem is something altogether different and worse in my opinion and in my personal experience. i really understand that this can become a cause of terrible depression and i am really concerned about those f you with suicidal thoughts. i admit in my worst moments i've had them myself and I am still hopeful for a speedy recovery so i can only imagine how it must feel after battling it for years. i want to ask a question about pain relief in case of slow progress. im just using paracetamol every 4 hours and it's not enough to keep me sane. the particular pain and discomfort and pressure in the nose,cheeks, forehead temples and radiating to the jaw and teeth make one imagine that the bones of the face are rotting and there is also a sharper pain from behind the nose and cheeks which is akin to a stubbed toe sort of impatient agony. i've resorted to xanax but it's stopped making me feel any more accepting of the scenario. i know this sounds dramatic but i say i' m shocked to know now what sinisitus really is. How are you all coping??? And help me please if you would with symptom relief ideas. My husband has had it with me because i can't offer any conversation or normal kind of company.
ok I finally got that off my chest and i hope you all get some relief at some hours of the day somehow. huggs all
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replied May 14th, 2013
Hi all. i have what i think is sinisitus and it's been going on for a couple of weeks now. this is just the most excrusciating type of pain and discomfort to live with. i sympathize with the long term sufferers and pray to god mine will resolve itself. i've suffered from terrible migraines all my adult life and they are monsters but this problem is something altogether different and worse in my opinion and in my personal experience. i really understand that this can become a cause of terrible depression and i am really concerned about those f you with suicidal thoughts. i admit in my worst moments i've had them myself and I am still hopeful for a speedy recovery so i can only imagine how it must feel after battling it for years. i want to ask a question about pain relief in case of slow progress. im just using paracetamol every 4 hours and it's not enough to keep me sane. the particular pain and discomfort and pressure in the nose,cheeks, forehead temples and radiating to the jaw and teeth make one imagine that the bones of the face are rotting and there is also a sharper pain from behind the nose and cheeks which is akin to a stubbed toe sort of impatient agony. i've resorted to xanax but it's stopped making me feel any more accepting of the scenario. i know this sounds dramatic but i say i' m shocked to know now what sinisitus really is. How are you all coping??? And help me please if you would with symptom relief ideas. My husband has had it with me because i can't offer any conversation or normal kind of company.
ok I finally got that off my chest and i hope you all get some relief at some hours of the day somehow. huggs all
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replied September 10th, 2013
Hi magibell. Read my response below.. I am sure it wil help you, as it did to me. Just be consistent and your patience will be rewarded..
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replied September 10th, 2013
TMJ and chronic sinusitis
Do a reseaserch on bromelain and turmeric or curcumin, which i used to combat my chronic tmj. I went to several doctors but those natural treatments worked far better than the treatments that they prescribed to me. Also, garlic helped me get rid of infection than any antibiotic. Believe me, mine was one of the worst cases of tmj because it led to trigeminal neuralgia which is the worst kind of pain. I am thankful to God for discovering the natural solution to my miserable situation..
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