Temporomandibular Joint Pain
Age: years old
Gender:
HISTORY:
Presents with a - history of TMJ pain
Onset was , started
Radiation to
Rated at / 10
Described as
Pattern
Worsening factors:
Alleviating factors: ,
Associated symptoms: *Try using right-click for negatives*
, , , ,
, up to °, over
Contributing factors:
no history of: , , , , , ,
EXAM:
General appearance: ,
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Head: , scalp
Ears: tympanic membranes , auditory canal on , hearing
Nose: , discharge ,
Throat: , , ,
Neck: , , , c-spine
ASSESSMENT:
DDx: temporomandibular joint disorder, osteoarthritis of the TMJ, myofascial pain syndrome, dental issues, acute otitis media, otitis externa, Eustachian tube dysfunction, sinusitis, trigeminal neuralgia, migraine, tension headache, maxillary osteomyelitis, giant cell arteritis
PLAN:
Investigations:
- TMJ X-ray
- MRI of the TMJ
- Blood work: ,
Treatments:
-
-
-
- Avoidance of hard or chewy foods, large bites of food, gum chewing, wide yawning, nail biting, teeth grinding
- Stress management techniques
Further care:
- Referral to dentist
- Referral to maxillofacial surgeon
- Follow-up in
- Return if pain worsens, if new symptoms develop such as difficulty opening mouth or jaw locking, or if symptoms do not improve with treatment
HISTORY: Associated symptoms: EXAM: ASSESSMENT: PLAN: