Can TMJ migraines be a result of dental surgery that removed all four wisdom teeth? I really think this might be the case. When I was 26, it was strongly suggested to me by my dentist to have all four of my impacted wisdom teeth surgically removed, or I'd be in pain in later years. Well, I been suffering TMJ migraines since my mid-forties. I'm now 53; I get so tired of waking up every day in pain to some degree. Sometimes it's so bad that I must go to the emergency room.
I've not been able to get my Relpax (only get six per month) for several weeks now. I have to take Advil liquid gels daily and I have to take two at a time, but I don't ever go past taking four in one day. They don't always help the pain that much. I am sitting here right now, and I'm in pain. I get so sick of it. I'm also chronically depressed most of the time because of this and other things. I think that surgery may have caused these as I feel the pain starting way back after my last upper molar. I think my teeth shift when I'm sleeping causing the pain. I think my back molars creating pressure causes the pain, also. All this pain really affects my life very negatively. Anybody got any suggestions? Thanks.
Being in pain 24 hours a day is very frustrating and exhausting, and definitely depressing. Migraines are caused by a genetic neurological disease thought to be caused by overactive neurons and genetics. TMJ can certainly trigger a Migraine attack. TMJ needs to be treated and we have a question in our Ask the Clincian section that addresses this issue: Can TMJ cause Migraines?
The other thing I'd like to discuss is medication with you. You see, if we take migraine abortive meds such as triptans or any kind of pain med more than two days a week, a big part of the problem may well be medication overuse headache (MOH), aka rebound. See Medication Overuse Headache - When the Remedy Backfires for more information on this.
Sleep can be a real problem for some Migraineurs. Keeping a regular sleeping schedule is vital - too little sleep, too much sleep, disrupted sleep, irregular sleep schedule and/or poor quality of sleep.You may want to consider a sleep study if you are waking with a migraine. Even if you're sleeping long enough, it may not be good quality sleep. You can get more information in Migraines, Headaches, and Sleep: Video.
Trigger identification and management is an important part of migraine management and preventing migraines. You may have some triggers that you can avoid, thus preventing migraines brought on by those triggers. Do you know what any of your triggers are? When working to identify triggers one of the best tools is a good migraine diary. You can read more about this and download a free diary workbook in our article Your Migraine and Headache Diary.
If your doctor isn't able to help, it may well be time to consult a Migraine and headache specialist. It's important to note that neurologists aren't necessarily Migraine and headache specialists. Take a look at the article Migraine and Headache Specialists - What's So Special? If you need help finding a Migraine specialist, check our listing of Patient Recommended Migraine and Headache Specialists.