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Sometimes TMD pain can radiate or be referred from its cause (i.e. the TMJ or the muscles of mastication) and be felt as headaches, earache or toothache. [12] Due to the proximity of the ear to the temporomandibular joint, TMJ pain can often be confused with ear pain. [23]
Temporomandibular joint pain is generally due to one of four reasons. Myofascial pain dysfunction syndrome, primarily involving the muscles of mastication. This is the most common cause. Internal derangements, an abnormal relationship of the disc to any of the other components of the joint. Disc displacement is an example of internal derangement.
The cause of condylar resorption is unknown, but there are theories. Because condylar resorption is much more likely to occur in young females, hormonal mediation may be involved. Strain on the temporomandibular joint from orthodontics or orthognathic surgery may be related to the condition.
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Some gastroenterology conditions may be associated with costochondritis-like chest pain such as gastroesophageal reflux disease, and esophagitis. [22] Vitamin D deficiency can be a differential diagnosis for costochondritis as it may cause chest pain. [6] Chest pain has also been reported following the use of cocaine, which can increase the ...
Invasive surgical procedures in TMD may cause symptoms to worsen. [1] Menisectomy, also termed discectomy refers to the surgical removal of the articular disc. This is rarely carried out in TMD, it may have some benefits for pain, but dysfunction may persist and overall there it leads to degeneration or remodeling of the TMJ. [2]
Psychogenic causes of chest pain can include panic attacks; however, this is a diagnosis of exclusion. [12] In children, the most common causes for chest pain are musculoskeletal (76–89%), exercise-induced asthma (4–12%), gastrointestinal illness (8%), and psychogenic causes (4%). [13] Chest pain in children can also have congenital causes.
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