MISDIAGNOSED MEDICAL CONDITIONS:
IT'S A TMJ DISORDER PROBLEM
MENIERE'S DISEASE & TMJ DISORDER
Ménière's disease describes by the American Academy of Otolaryngology-Head and Neck Surgery as a set of episodic symptoms including:
-
vertigo (attacks of a spinning sensation)
-
hearing loss
-
tinnitus (a roaring, buzzing, or ringing sound in the ear),
-
a sensation of fullness in the affected ear.
MENIERE'S DISEASE SIGNS AND SYMPTOMS
-
Episodes typically last from 20 minutes up to 4 hours
-
Hearing loss is often intermittent, occurring mainly at the time of the attacks of vertigo
-
Loud sounds may seem distorted and cause discomfort
-
Usually, the hearing loss involves mainly the lower pitches, but over time this often affects tones of all pitches.
-
After months or years of the disease, hearing loss often becomes permanent.
-
Tinnitus and fullness of the ear may come and go with changes in hearing, occur during or just before attacks, or be constant
(American Academy of Otolaryngology-Head and Neck Surgery website)
TMJ DISORDERS IN PATIENT’S WITH MENIÈRE’S DISEASE
A study (Bjorne, 1996) of 31 patients who were diagnosed with Menière’s disease and were compared to 31 control subjects. TMJ Disorder symptoms of pain in the face or jaw; tenderness over the TMJs (temporomandibular joints), tenderness over the masticatory (chewing muscles), pain on movement of the mandible; fatigue of the jaws; and pain located in the vertex area, the neck/shoulder area, and the temples were evaluated in the patients with Menière’s disease and the control group.
​
TMJ Disorder symptoms occurred significantly more often with the patients with Menière’s disease.
Their conclusion was: “The findings indicate a much higher prevalence of signs and symptoms of craniomandibular (TMJ Disorder / TMD) disorders in patients diagnosed with Menière’s disease than in the general population.”
TMJ DISORDER TREATMENT AND MENIÈRE’S DISEASE
A study (Bjorne, 2003) of 24 Menière’s disease patients who underwent temporomandibular joint (TMJ) Disorder (TMD) and Cervical Spine Disorder (CSD) treatment.
​
The results of the TMJ Disorder (TMD) treatment and Cervical Spine Disorder treatment caused highly significant decreases in the intensities & frequencies of:
-
vertigo
-
non-whirling dizziness
-
headache
-
complete disappearance of pain located in the vertex area
​
It also caused a highly significant reduction in the intensities of:
-
tinnitus
-
feeling of fullness in the ear
-
pain in the face and jaws
-
pain in the neck and shoulders
The results showed that a coordinated treatment of TMJ Disorders (TMD) and Cervical Spine Disorders (CSD) in patients with Meniere’s disease is an effective therapy for symptoms of this disease.
REFERENCES:
-
American Academy of Otolaryngology-Head and Neck Surgery website (http://www.entnet.org/content/menieres-disease)
-
Bjorne A, Agerberg G. Craniomandibular disorders in patients with Menière’s disease: a controlled study. J Orofac Pain. 1996 Winter;10(1):28-37.
-
Bjorne A, Agerberg G. Symptom relief after treatment of temporomandibular and cervical spine disorders in patients with Meniere’s disease: a three-year follow-up. Cranio. 2003 Jan;21(1):50-60.
-
Seppo Kuttila. Secondary aural symptoms in relation to cranio-cervical and general disorders. ANNALES UNIVERSITATIS TURKUENSIS. SARJA- SER. D MEDICA-ODONTOLOGICA, OSA-TOM. 2003)