How is TMJ diagnosed? Do I see my dentist or a neurologist?

Q. I have been suffering from neck pain and vertigo symptoms (headaches, dizziness and nausea) since early May 2009. It was first thought that I had an inner ear infection however,due to the severity of neck and shoulder pain, it was thought that it may be delayed onset of whiplash following a car accident (rear collision) at the end of March. I have seen a physiotherapist and acupuncturist whose treatment of whiplash has proved ineffective and has not yielded longterm results. In the meantime I have developed a problem with my teeth; I cannot bite properly without making a loud squeaking noise. My jaw is tense and clicks. I pointed this out to my dentist when having a wisdom tooth removed and she agreed that this was not normal and said that she would refer me to a specialist. Having read up on this I am confident that I have TMJ, which has developed/been exacerbated by whiplash. My question to you is therefore this: how is TMJ diagnosed? Do I see my dentist or wait for a neurologist appointment?

A. TMJ is a very misunderstood condition, missed by many dentists and not really looked for by Neurologists.

It does sound like your symptoms are similar to TMJ which can be brought about by whiplash.
I would definitely see your dentist to determine how your bite has changed and see if you could benefit from wearing a splint on your teeth to relax the muscles.
You can get more information at www.tmjpainrelief.co.uk 
Dr Justin Glaister Umbrella 11 Harley Street, London, W1G 9PF Web: www.umbrellasmiles.com Tel: 020 7612 9810 View My Profile Dr Glaister

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