Though not primary, the stress factor cannot be overlooked as it can result in physical damage and thereby be a substantial component of the overall syndrome.10 Identification of TMJ symptoms is crucial. Pain is usually localized in and around the joint, however it can be diffused in adjacent areas and even in areas as remote as the back and shoulders. Pain associated with TMJ is usually quite severe and can be the primary cause of attendant headaches. Crepitus14 is the customary popping and clicking experienced in the joint. This symptom includes difficulties in opening and closing the mouth, with associated pain.
Victims also tend to develop middle ear problems.
Tinnitus, dizziness, balance problems and feelings of fullness are directly connected to middle ear. The victim often experiences difficulties in swallowing and speaking. Occasionally the joint may lock in the open or closed position.15 Other related conditions which can develop include odontalgia, diplopia, and vertigo. The temporomandibular joints are located just in front of each ear. Each joint contains a condyle16 that fits into the condylar fossa17 and a meniscus is situated between the condyle and the temporal bone.