TMJ Vision Problems | TMJ Dentist Chicago | Dr. Ira Shapira (2023)

The link between your vision issues & TMJ Disorder

  1. Adamon October 12, 2016 at 6:36 pm

    For the past two years I have been suffering from brain fog, pressure in ears and behind eyes, and somewhat blurry vision. In addition, I suffer from vestibular migraines (which came at the onset of the other symptoms). I am being treated with medication for the vestibular migraines and it helps a good amount. I still have symptoms of pressure in ears and behind eyes, along with slightly blurry vision and now a great deal of anxiety. Over the past two years I have noticed some jaw pain (especially when eating bagels), however, I never thought much of it until my mom told me about TMJ and I looked into it. With that said, I decided to get a night guard made and have been wearing it the past couple of nights. My question is, have you seen patients who have foggy head, head pressure, etc. with some jaw pain (but one of the lesser symptoms) who found relief in symptoms after fixing the misalignment from TMJ? I think there is a chance that TMJ is causing my problems, but I am skeptical just because I don’t have much pain- I have more so discomfort in my entire head.

  2. Dr. Shapiraon October 13, 2016 at 4:15 pm

    There are many connections between the ears, the eyes and your other symptoms. These occur inboth the somato-sensory nevous system and the autonomic nervous system. When there are issues within the trigeminal nervous system it can cause secondary ear pain, tinnitus pressure and even vestibular problems. The tensor tympani (tenso of eardrum) is innervated by the trigeminal nerve which also innervates jaw muscles, jaw joints teeth gum and periodontal ligaments.

    Pressure in the ears can be due to improper function of the tensor vili palatine muscle that opens and closes the eustacian tube. The blurry vision can result from changes in the orbit of the eye called by the sphenomandibularis muscle.

    Wearing a nightguard can help but I strongly suggest a 24/7 diagnostic neuromuscuar orthotic. A problem that effects you day and night should ideally be treated both day and night.

    There is an excellent chance that correcting jaw positioning and muscle function can help relieve all your issues.

    There is usually ultimodal therapy including SPG Blocks, Trigger Point injections exercises and other therapies direct toward your unique issues.

    You can find additional information at and see patient testimonial viddeos at:

    The good news is that you should expect considerable improvement with physiologic treatment and trigger point treatment. Treating the autonomic system with SPG Blockscan also give amazing improvement.

  3. Dr. Sam (Shrink)on December 8, 2016 at 8:17 pm

    I have been having some slight pain on my left jaw from sleeping using a pillow that sometimes bother me in the middle of the night. So, I went out for breakfast with wife, came back. Wife said, tree leaves hanging over our neighbor’s property. I got to work. Got sweating and some panting. Came in, sat down with fan in my face. Cooled down. Laid down, took a nap. Got up and my left jaw seemed tight on teeth and right jaw floating and right teeth do not touch now. Started to see double vision, had a headache on the right side of forehead. Was dizzy. Got scared. Most cleared except my jaw is now in new position as said. Can see Okay now. Called my Heart Surgeon brother and he felt it was a mini-stroke because of the double vision. I sense somewhat that it could be TMJ related. Can you give me any idea if I’m nuts or wrong? Will be going to my internist to check me out. What is your take Doc?

  4. Dr. Shapiraon December 9, 2016 at 5:06 am


    Most jaw injuries are repetitive strain injuries. Whther it is jaw position, chewing gum, head postural issues ete. When you worked on tree limbs you used shoulder and neck muscles differently than yon your usual routine. The cold fan could easily set off tightening of the jaw and neck muscles all of which could trigger a pre-existing problem.
    There is good possibility of an internal derangement of your TMJoint. The double vision could have been related to cranial sacrl issues. Tourqing of the maxila alters the orbits of the eyes. First, rule out issue of TIAs
    Your Internest probably won’t have a clue.
    Check out my youtube channel. I have many patients with similar types of symptoms.

  5. Sasha Bryanton December 26, 2016 at 8:40 pm

    I woke on 10/28 w a pain in mu skull. Along w migraine symptoms, I have extreme light sensitivity and constant eye floaters. I’ve been checked out by my PCP, opthomologist, neuro, and ENT. MRI of the orbits and Ct scan all clear. Could this trigeminal nerve or possibly the occipital nerve be causing this because I’m very sick and nobody know why. Also what specific doc do I see and tests to confirm this
    Thank you

  6. Dr. Shapiraon December 27, 2016 at 6:16 am

    The good news is between CAT Scans and MRI you have ruled out major organic issues. You are the type of patient I routinely see in my practice. Physicians rule out major disease but have nothing to offer but medications to improve the condition.
    I often can relieve much of the pain on the very first consult appointment in the process of evaluation. I have no effect on the floaters and the light sensitivty usually takes longer to heal. The majority of pain is usually myofascial and trigeminal in nature. Very often there is an autonomic component that SPG Blocks can help.
    Please check my youtube channel to hear the stories of patients with similar stories to yours and hpw they responded to treatment.
    You can also visitmy website.

  7. Jessie Dukeron January 3, 2017 at 3:15 pm

    For many years I have had increasing symptoms (especially nuerological). I have had terrible vision problems that continue to get worse. It is as if my entire vision is made up of floaters. Tiny little ones that are behind my entire vision. I was told by my doctors 2 years ago that I have tmj. Could these eye problem be related to tmj? I also constantry deal with blurred vison, and light sensitivity (I’m desperate for answers, as my vision has gotten terrible!) Thank you!

  8. Dr. Shapiraon January 4, 2017 at 3:22 am

    There are many connections between the eyes and the functional systems of the jaw. The trigeminal nerve accounts for over 50% of input to the brain after amplification in the Reticular Activating System and it can cause or excerbate mant types of neuological systems as well as have major effects on the eyes.
    Please view my Videos on Youtube, many of these patients had diverse eye problems in addition to other symptoms.

  9. rahmion January 19, 2017 at 6:41 am

    I think I have tmj problems. It happened when I trıed to open my mouth too big to see my dents.. I was frequently doing that action at the end I ended up some vısual dısturbances like flash lights, floaters in the eyes, visual snow..What can I do to get over this problems. Pelase help me about this issue. I will try to get some cervical spondylosis treatment I dont know weather it works or not…

    pelase tell what to eat or what not to eat and other general things.

    thank you so much.

    (Video) Dr. Ira Shapira podcast interview on airway dental treatment with Dr. Jennifer Hobson TMJ Specialist
  10. Rick Dellagattaon April 28, 2017 at 8:53 pm

    I took a knee to the side of my right jaw during a takedown attempt in wrestling. I was treated for a concussion and whiplash. I ended up with blurry vision / floaters, pressure behind the eyes, mild balance issues really more of a floating sensation, especially if I am on my feet for too long and some mild cognitive impairment when on my feet to long.

    I wen through concussion treatment for two years and nothing seemed to improve my symptoms. I also had some atrophy in the neck from all the prescribed bed rest.

    Anyways my jaw always locks and pops since the injury, however due to the other symptoms this was really not a main concern of mine. However it has been several years the other symptoms haven’t fully resolved. I noticed that by even just gently pushing on my jaw at the point were it locks i can trigger the facial numbness and tingling sensation below my eye and increased ear fullness sensation. I started looking up the nerves involved in both the area I touch and the sensations in my face. Being that is also part of where I was hit I am beginning to wonder If TMJ could be a part of my symptoms. Vestibular damage and other things have been ruled out by previous specialists and my 3T brain and cervical MRI’s/ MRA’s don’t seem to correspond to these symptoms.

    I was wondering if this is something that is possible? I apologize for the long winded questions. This injury has completely altered my life so I am just willing to look into all avenues.

    I Thank you for your time.

  11. Karenon May 14, 2017 at 2:50 am

    I’ve got droppy eyelids due to either tmd or bruxuism. In addition my whole face has changed. Is there any hope that this can be fixed ? Thanks

  12. Dr. Shapiraon May 14, 2017 at 6:10 am

    Dear Karen,

    Droopy eyelids is a common symptom seen in TMJ disorders and in patients with sleep apnea. These problems are closely related. The ULF-TENS utilized in physiologic dentistry stimulates both the trigeminal nerve and facial nerve which controls the eyelids. I strongly Rx starting with a Diagnostic Physiologic Orthotic. Avoid any aggressive treatment until symptoms are resolved. Some dentist will want to equilibrate your mouth by grinding on your teeth which could make your issues much worse.

  13. Dr. Shapiraon May 14, 2017 at 6:24 am

    I can help. Your story is very typical of many patients. The pain and TMJ disorders can take two or more years to occur after whiplash even if there is not a direct injury to the jaw or jaw joints. The locking is particularly ominous and I suggest you start treatment with an diagnostic physiologic orthotic to eliminate pain and locking. Some patients need seperate day and night appliances. The trigeminal system accounts for over 50% of input to the brain after amplification in Reticular Activating System. The trigeminal nerve innervates the teeth, periodontal ligaments, jaw muscles, tensor of eardrum, the muscle that opens and close the eustacian tube, the sinuses, the nose and the tongue. It is called the “Dentist’s Nerve” but it is also in the center of every headache and migraine. The trigeminal nerve controls blood flow to the brain thru the meninges of the brain.
    I look forward to helping you alleviate symptoms. There is frequently significant improvement after just 1-2 appointments.

  14. Tamara Sullivan-Hallon July 8, 2017 at 7:07 pm

    Been having lots of pain on the left side of my face. My ear has fullness and makes me feel as if I have a bubble in my ear. The eye on my left side has pressure and pain. Makes me nauseous and feels like my vision is being affected. Been doing PT almost for a year 2 times a week and now doing actue puncture and my pain continues to get worse. I am in so much pain my anxiety is off the chart because of the pain and the fear of blindness from the pain

  15. Dr. Shapiraon July 8, 2017 at 9:37 pm

    Dear Tamara,
    It is unlikely that your pain will cause blindness. I would suggest having your physician do a Sed rate to rule out Temporal Arteritis that can cause blindness if not treated. It is likely you have a TMD disorder with referred myofascial pain and irritation of the Trigeminal nerves. A diagnostic neuromuscular orthotic may quickly let pain disperse. An SPG Block may also be helpful. The pain is usually easy to treat. Please watch my patient videos to understand treatment better.

  16. Gregon July 11, 2017 at 5:56 pm

    Hi Dr. Shapiro,
    I have a reverse neck curve, open bite, narrow upper and lower pallet and other minor jaw abnormalities. I also get chronic headaches, but only when reading. Opthomologists say its because of a fusional vergence dysfunction, where my eyes focus fine but don’t team together. Can TMJ be the cause of this?

  17. Dr. Shapiraon July 11, 2017 at 6:14 pm

    Dear Greg,
    You have developmental issues of your jaws and airway that are probably related to neck issues. The vision problems may have a common source as well. I suggest evaluating your TMJ problems with a diagnostic neuromuscular orthotic.
    Long term treatment with
    Epigenetic orthopedics/orthodontics could correct developmental issues and possibly help vision problems. The shape of crainal bones do affect vision.

  18. Dr. Shapiraon July 11, 2017 at 6:18 pm

    Dear Greg,
    You have developmental issues of your jaws and airway that are probably related to neck issues. The vision problems may have a common source as well. I suggest evaluating your TMJ problems with a diagnostic neuromuscular orthotic.
    Long term treatment with
    Epigenetic orthopedics/orthodontics could correct developmental issues and possibly help vision problems. The shape of cranial bones do affect vision.

  19. Kimon August 8, 2017 at 10:35 am

    Hi I have been clenching I have pain on the upper part of my left eye,temple and beck I am currently working out doing heavy lifting and wore braces for two years to fix my bite thstbinhd wearing a splint have not had a flare up in two years I have been taking ib pro 800 bid and nothing helps just stress but what can ease the pain

    (Video) Dr. Ira Shapira Presents - Prevention of Developmental TMJ disorders and Sleep Apnea in Children!

  20. Dr. Shapiraon August 8, 2017 at 11:02 am

    Look into a NEUROMUSCULAR ORTHOTIC which will perfectly balance physiology. You will probably need to adjust the orthotic with time.
    Most Lifters tend to develop severe forward head postures that actually interfere with idealizing physical abilities. They are also the cause of back pain. Most orthodontists move teeth but do not aim to improve airway. The Aqualizer Appliance is a self balancing appliance that will probably give better results than your current splint but a true neuromuscular orthotic is the best solution.

    I treated a shot put state champion with one and he thew the shot 8 inches further on his first throw with it in his mouth and continued to improve. He was throwing national champion distances but was not able to do that under the stress of national championship competition.

    Pain is always a problem and one sided pain off points to imbalances that go throughout the body. Visit to understand the individual patterns of pain. To understand how the body connect is more complicated as there are both ascending and descending chains.

    You should find a doctor who will teach you Travell spray and stretch techniques.

  21. Sandra Hegaron August 23, 2017 at 9:15 pm

    All were informative!

  22. Dr. Shapiraon August 24, 2017 at 9:25 am

    I am glad you found it helpful.

  23. sonam khandelwalon November 29, 2017 at 10:25 am

    Mam i m suffering from tmj from last y month but got to knew last month only when all options of migrane , earpain and teeth pain are rule out………but today i m suffering not only pain in jaw , ear n head neck but also my right side eye …..tje pain is going high on every passing day…..i feel immse pressure on eye , eye brow part and blurr vission sometime ………can u plse suggest me what i have to do …..n where should i go …. i m totally freakout ….as no one understand my pain …..please suggest me something……i have my ca final exam….i want to do my best ….

  24. Dr. Shapiraon December 16, 2017 at 7:38 pm


    I can help with pain like you describe often very quickly. Please contact my office for an appointment if possible. If not look into getting an Aqualizer Appliance which can help until you find a neuromuscular dentist. Understanding your pain requires a face to face visit.

  25. Danielon January 12, 2018 at 9:02 am

    Hi, my name is daniel, i’m just wondering if there’s any chance you could help me. 10 years i have have some pretty insane symptoms. Crackling and popping in my right tmj, i have been diagnosed with atypical trigeminal nauralgia. The symptoms i was hit with 10 years ago was severe vision problem, foggy brain, pain in my face, tunnel vision. After i would eat something, the colors in my vision would all go bright, like a nuke when off. It all terrified me. Now it’s just a normal day. Hearing problems with vision problems, and the foggyness, it was a nightmare. All that stress triggered fibromyalgia, which just added to the nightmare.

    Can tmj cause these severe symptoms? I had all the test in the world the last 10 years. A dentist said it might be tmj. I get sensitive to light and sensitive to sound. Can the trigeminal nerve cause these severe symptoms?

  26. Dr. Shapiraon January 12, 2018 at 1:47 pm

    I see many patients with a wide variety of symptoms some of which are typical and some atypical. I have not heard avbout “colors of vision going bright when eating” but the other symptoms are similar to other patients. Treatment begins with a diagnostic orthotic and many issues like cracking and popping can rapidly resolve. These are videos of patients stories: I can help with many if not all of your symptoms.

  27. Deniseon January 13, 2018 at 5:38 pm

    Good Afternoon,

    Two weeks ago I had dental work to prep for a crown on an upper left molar. After the administration of a 3rd shot of novicane, double vision started in my left eye. the double vision subsided after several hours. I’ve now been dealing with pain where the jaw meets the ear, neck, facial and head pain since the dental visit. Ive been told I have TMJ in the past, but it’s never bothered me..I’m wondering if it the trigeminal nerve that’s been damaged or TMJ? I am taking ibuprofen and tylenol. I have also been using a nightguard after braces for several years. I’m very nervous to go back to the dentist for the crown. Thank you.

  28. Dr. Shapiraon January 14, 2018 at 4:25 am

    Very unlikely that ou have any damage to the trigeminal nerve. It is most likely joint and/or myofascial pain (muscle) You may have kept your mouth wide open and strained your jaw. I suggest having the dentist evaluate your condition. If he is familiar with MPD or myofascial pain he can utilize Travell Spray and Stretch to turn off muscle pain. Sometimes there is muscle splinting or issues with the bite.

  29. Shaun E.on January 31, 2018 at 5:56 pm

    I have had a progressively problem for nearly 2 years now. I have had peripheral flashes in my left eye that have gotten thicker and bluer over the last 1.5-years. A new floater developed, I have eye pain – a foreign body and/or paper cut feeling. I have started seeing pinpoint ‘fireworks’ in my central vision. I have also been seeing a faint orange tinted shadow in my central vision thats aoparent when I look at a bright screen and blink. A retinal specialist ruled out a detachment 3x over 2 years. I do have hx of retinal detachments bilaterally and have had a cateract removed from my left eye (same eye as visual disturbances). On top of that I have a cap on my back bottom tooth on the left that I play with and press down on (same side as eye problems). It has never felt right. Over the last few months I have had almost constant left sided jaw pain – a warm throbbing sensation and sometimes a sharp pain. I have also been told I have bruxism, I find myself clentching down on my jaw often, and I can hear my right jaw cracking if I open my mouth wide. Furthermore, my left ear often hurts – a dull pressure and I find myself tugging at it like a child might. OTC painkillers only help so much. Lately I have been using orejel and chloreseptic spray in my mouth and muscle rub on my check and neck. MRI c/ and s/ contrast came back non-extrodinary. XR of my jaw came back normal. Neuro optho doesn’t seem to know what to tell me – but insit’s flashes deal with CN II or the retina and nothing else. I only have one functional eye so these problems are severely impacting my life. Does this sound like a TMJ problem and if so, what courses of action could I take?

  30. Dr. Shapiraon January 31, 2018 at 6:27 pm

    Many of the issues are primarily in the realm of the opthamologist and I am very glad you are being closely watched by a retinal specialist. You do have TMJ/TMD issues that can create some of the symptoms you have mentioned. Many of your symptoms could be related to the jaw issues by common trigeminal nerve input.
    The opthalmic branch of the trigeminal nerve goes to the upper eyelid via the supratrochlear nerve and to the conjuctiva of the eye.
    The lacrimal branch has parasympathetic and sensory fibers that go to lacrimal gland
    Contains parasympathetic fibers to lacrimal gland.
    The Long ciliary nerves supply sensory innervation to eye (cornea, ciliary bodies, iris) and
    contains sympathetic fibres to dilator pupillae muscle.
    Floaters and irritation of eye are trigeminally innervated. The Sphenopalatine Ganglion sits on maxillary division of trigeminal nerve and supply sympathetic and parassympathetinc innervation to the eye. Many of you symptoms may respond to Self administered SPG Blocks. Diagnostic neuromuscualr orthotics turn down the “noise” in trigeminal system which can lead to referred pain.Many of your symptoms are typical TMJ symptoms.
    I suggest a trial SPG Block for autonomic nerves and a diagnostic neuromuscular orthotic. These two procedures may eliminate many or even most of issues.

  31. Mr Reyeson February 7, 2018 at 10:46 am

    my wife underwent TMJ surgery over a year ago and now suffers from constant right eye tearing and has had numerous eye infections. Believe this was due to nerve damage from the surgery. Is there a remedy for this issue as it has become very damaging to her eye.

    thank you

    (Video) 1500 Dr. Ira L. Shapira, DDS, on the Science of TMD, Sleep & Neuromuscular Dentistry
  32. Dr. Shapiraon February 7, 2018 at 11:52 am

    These problems are usually due to issues with either the somatosensory or autonomic nerves of the trigeminal nerve. SPG Blocks address both the sympathetic and parasympathetic divisions of the trigeminal nerve which control tearing of the eye.
    I would suggest your wife learning to do self administered SPG blocks with cotton tipped nasal catheters.

    I usually find most patients can actually avoid TM Joint surgery.

  33. Christopher Trakason March 21, 2018 at 3:02 pm

    Over a year ago I finally began to understand that TMJ was probably the main cause of the dizziness, tinnitus in mostly one ear and TTSS (clogged eustacean tubes) I had been experiencing during the prior few years. There was also a visual component, sensitivity to bright lights and auras. Through exercises and a night guard I was able to relieve those symptoms almost entirely. They started up again out of nowhere 2 months ago. I had returned from a trip to Europe, 20 hours in planes and airports, and attributed it to exhausting travel and cramped posture. Then I had a few bouts of acute vertigo, they hit me out of nowhere and knocked me off my feet for a few hours each time. They were worse than before and more frequent. My reading about such vertigo attacks, as well as the tinnitus predominantly in one ear has made me consider either vestibular migraines (presence of auras but no headache and the vertigo) or , god forbid, meniere’s disease. Can my TMJ be responsible for such acute and sudden onsets of vertigo or do I need to look into the dreaded miniere’s? I should say that a hearing test 4 years ago (w/ ENT) when the problem initially manifested showed no hearing loss and I don’t think my hearing is compromised now. I also have started experiencing relief through upper cervicular chiro and TMJ exercises as well as eye exercises. But the vertigo really startled me and has created an anxiety that I may be dealing with a worse case scenario. I will continue to do my exercises and the upper cervicular chiro and hope it all clears up again but if I need to look for somethong more serious it seems better for me to know that sooner than later. Thank you for your time and consideration!

  34. Dr. Shapiraon March 25, 2018 at 8:12 am

    Yes these porblems are all probably related but TMJ, MPD, Trigeminal issues, posture, repetitive strain are among the items that need to be understood and correlated. I suggest looking int trigger point injections and learning how to use Travell Spray and Stretch at home, learning “Self Administered SPG Blocks” a 24/7 neuromuscular orthotic if there is no snoring or sleep apnea otherwise an airway dilator appliance at night and neuromuscular orthotic during the day. DNA and mRNA Appliances may be answer for long term relief (cure). Please vist my youtube patient video page to hear patients stories, many similar to yours. You may also want to visit http://www.IHateHEADACHES.ORG and

  35. Raeon March 27, 2018 at 9:33 am

    Okay so.. For a while I have been seeing tube-like stuff in my vision, but it’s been like a year and a half and it’s still happening. It’s weird though, It’s like two wavy parallel lines with horizontal lines between them. Also, I have been seeing flashes in my eyes every so often for the past week or so. Sometimes I can’t focus on things. Recently I have been seeing two circles, side by side, and they move together in my vision. I believe that this is all happening in my left eye. I also feel pain in my let eye occasionally.

    Also, I have an astigmatism, but these problems have never happened before and my astigmatism was discovered when I was a child.

  36. helen keepon March 31, 2018 at 4:52 am

    i have been told i have disc displacement without reduction from ct scan have terrible left ear pain hyperacusis and tinnitus advised to get night and day splints can they really cure this. I FEEL I CANT COPE WITH THIS. Even walking or any jarring hurts in my ear.

  37. Alexandra Collinson April 17, 2018 at 11:29 pm

    Dr Shapiro,

    I’m hoping you can help! I’ve been looking online for massage tips for hours and came upon your site. I have suffered from chronic migraines for years, experiencing only temporary relief at best. An accident lead to what I believe was a concussion remained untreated, and began two years of 3-4 real migraines a week, and a constant full headache. Chiropractic work helped, and it was then I was told my jaw was the issue. I also have a slight underbite that my ortho tried to correct poorly. I’ve tried sporadic massage, elimination diets, and medications with no sustained success. The only thing that helped at all was a tragus piercing, but even the benefits of that are wearing thin. I can not sleep at night because of pain, and I wake up unable to move. I have auras, spots, trouble focusing my eyes, and headaches that won’t respond to anything I do. Can you help?

  38. Dr. Shapiraon April 18, 2018 at 10:33 am

    Alexandra ,

    I have been helping patients with stories like yours for over 35 years.

    There is a great deal we can do that is more effective than a Daith piercing in the tragus.

    I will have a Team Member contact you to set up an appointment.

    In the meantime there are over 100 videos of patients with stories like yours who have been helped. Neuromuscular dentistry and SPG blocks ideally would both be utilized. Trigger point injections are also very helpful.

  39. Dr. Shapiraon April 18, 2018 at 10:46 am

    I have helped many patients with disc displacement become fre of pain. The ear problems usually dissipate with treatment. The excepting is a very high pitch tinnitus that never changes, that is sometines due to an acoustic nerve problem or a reaction to medications, especially aspirin, advil and other nsaids.
    Please visit my patient videos to hear other patients stories and how their problems resolved.

  40. Dr. Shapiraon April 18, 2018 at 10:59 am


    I can help with many of those issues but the flashes in the eye need to be evaluated by an Opthamologist as they can indicate a very serious condition.

  41. Jack Raymondon June 24, 2018 at 8:54 pm

    (Video) TMJ devastated my life. Treatment has restored me back to life. TMJ TESTIMONIAL

    Dr Shapira,
    For the past few weeks my jaws have been very tight. My right jaw has always popped off and on for years but now it’s popping more often and louder. The jaw tension turned into what most would consider a tension headache. The tension headache seems to move around my head depending on posture and sleeping positions. I’ve been to my pcp and he says stress and anxiety are contributors to the headache. Based on my current symptoms he has ruled out any serious condition. I bought two mouth pieces one for my bottom and one for my top teeth. When I put them in, I get a ton of relief from all my head tension but when I take them out the tension comes back. My right jaw has started hurting since last week.

    Also, I randomly have a glaze of fog with my vision. It’s maybe happened 3 times in two weeks. It only last a few seconds. Just now, it happened when I took my mouth pieces out. Do you think this glaze is related to tmj?

  42. Dr. Shapiraon August 26, 2018 at 6:33 am

    Absolutely. I think you should try a Diagnostic Neuuromuscular Orthotic as part of a complete treatment plan and thorough differential diagnosis.

  43. Kelsey E Jayneson August 28, 2018 at 3:25 pm

    I was recently diagnosed with an ear infection in borth ears. I’ve been taking my ear drops etc. Today Ive had extreme neck and jaw pain on my left side and that lymph node is swollen. I layed down for about an hour, and then had some temporary vision blurring. I was born with an abnormal optical nerve. I was wondering if that could be related.

  44. Joeon September 12, 2018 at 1:43 pm

    For the past month I have had floaters eye pain and balance issues on top of neck pain all on my right side, the same side of jaw cracking and locking. It is prevalent even more when looking at a computer screen any advice on how I can treat? Certainly causing anxiety

  45. Dr. Shapiraon September 25, 2018 at 6:27 pm

    The ear and the jaw both have trigeminal nerve innervation and often have overlapping symptoms from jaws, jaw joints, ears, sinus tissues and more. TMJ was originally called Costen’s Syndrome after the ENT who originally described it. TMJ disorders are known as “The Great Imposter” because they are so frequently misdiagnosed as related to the ear rather than the jaw.

  46. Siwaron September 30, 2018 at 7:32 am

    I I have had a progressively problem for nearly 2 years now. had a progressively problem for nearly a year now.
    It all began with a flickering star in my right eye which lasted for a few months before developping in the left eye as well i went to several eye doctors and after doing a lot of tests that came back clear they diagnosed me with ocular migraine and sent me home .. after a couple of weeks i had my first vertigo attack along with loud ringing in my ear which lasted for 30 seconds and left me dizzy and brain fogginess that won’t go away .. i went to an ent specialist and aftrr doing some tests he told me that everything looks fine and it’s probably due to anxiety .. i didn’t give up because the dizziness and fogginess kept on getting worse and finally i went to a tmj specialist who diagnosed me with tmj due to clenching teeth and mouth breathing ..
    But lately i started experiencing more visual symptoms like senesitivity to light , flashing lights, tunnel vision and eye pain that comes and goes especially after straining my eyes .. do you think these symptoms are related to TMJ ?

  47. siwaron September 30, 2018 at 3:18 pm

    I had a progressively problem for nearly a year now.
    It all began with a flickering star in my right eye which lasted for a few months before developing in the left eye as well .. i went to several eye doctors and after doing a lot of tests that came back clear they diagnosed me with ocular migraine and sent me home .. after a couple of weeks i had my first vertigo attack along with loud ringing in my ear which lasted for 30 seconds and left with dizziness and brain fogginess that won’t go away .. i went to an ENT specialist and after doing some tests he told me that everything looks fine and it’s probably due to anxiety .. i didn’t give up because the dizziness and fogginess kept on getting worse and finally i went to a tmj specialist who diagnosed me with tmj due to clenching teeth and mouth breathing .. and he gave me some exercises to do for two months and see if it helps otherwise i go back so he could fix me up with an orthotic.
    So i’ve been doing the exercices but lately i started experiencing more visual symptoms like sensitivity to light ,floaters, tunnel vision ,flashing lights and pain behind the eyes that comes and goes so i went back to the ophthalmologist and he told me everything is fine, so i went to a second one because i was so sure that something with wrong with my eyes but he also confirmed that my eyes are fine!
    So my question to you is is it possible that TMJ could cause these visual symptoms or there might be something wrong with my eyes and the doctors missed it ..

  48. Dr. Shapiraon October 8, 2018 at 7:11 am

    Many of the problems aare associated with the trigeminal nerve as well as autoniomic nerves associated with the trigeminal nerve. Flashing lights in the eyes is often a warning of retinal detachment so it is good that was ruled out by the opthamologists. Vertigo is a problem with the proprioceptive system. 80% of all proprioception occurs in the mesencephalic nucleus of the trigeminal system.
    I would suggest a trial of a neuromuscular orthotic which may eliminate the issues. All headaches and migraines are primarily mitigated by the trigeminal nerve also called the Dentist’s nerve or Cranial nerve 5. Ringing in the ear is very typical of many TMJ issues as well as a symptom of MPD or Myofascial Pain and Dysfunction.
    You shoiuld probably have an overnight sleep study to rule out sleep issues.
    Sphenopalatine Ganglion Blocks might eliminate all of the issues as well and work well with neuromuscular orthotics. I suggest checking out self administration of SPG Blocks. See my other website

  49. Dr. Shapiraon October 8, 2018 at 7:15 am

    Consider self administered SPG Blocks (sphenopalatine ganglion blocks) and a neuromuscular orthotic. These are all TMD related symptoms and many if not all should improve or be eliminated. All TMJ doctors do not use ULF-TENS and SPG Blocks which are often needed in conjunction

  50. Dr. Shapiraon October 8, 2018 at 7:23 am

    Joe, Floaters are not directly related to jaw issues but often improve dramatically with treatment of TMJoint locking and pain. A Aqualizer could be used to evaluate response to treatment.

  51. Hamid alion January 27, 2019 at 12:08 am

    Dr.Shapira! Thank you for the post.
    About 8 months ago i started correcting my tongue posture (tongue on the roof of the mouth) because i was a mouth breather and now i breath through my nose but since i have started correcting my tongue posture i have forehead pain, eye floaters and sometimes pain behind the eyes at times sensitivity to light do you think its a TMJ disorder? Also does tmj disorder harm eyes? Like retinal detachment or anything because i’m really worried also do you think i start correcting my tmj disorder do you think my floaters will go away?

  52. Hamid alion January 27, 2019 at 2:23 am

    Actually i would clench teeth hard while my tongue was on the roof of the mouth.

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(Video) Patient describes how Dr. Shapira fixed TMJ problem and Thumb Problem: TMJ TESTIMONIAL


Who is the best specialist to see for TMJ? ›

Oral and maxillofacial surgeons (OMS) are an example of professionals who specialize in treating diseases associated with the head and neck, which includes TMJ disorders. These surgeons focus specifically on the muscles, joints, and ligaments in the maxillofacial region.

Is TMJ considered a medical or dental condition? ›

TMJ Disorders Can Be Both Medical and Dental Problems

Arthritis is another medical condition that can lead to a TMJ disorder. However, TMJ disorders can also be a dental problem by nature, especially when it is caused by an underlying problem with a person's teeth.

Can TMJ make your vision blurry? ›

Blurred vision – Much in the same way that TMD can cause hearing problems, the disorder can also result in vision issues. Inflamed nerves behind the eyes can lead to blurred vision, eye twitches, and light sensitivity.

Should I see a dentist or ENT for TMJ? ›

If you're experiencing TMJ pain, you should see a dentist. Dentists don't just treat your teeth—they're specialists who are trained in the anatomy of the jaw and diagnosing dysfunction in the bite.

What does a dentist do for TMJ? ›

Treatment form an orthodontist can alleviate TMJ symptoms in many cases. If your TMJ comes from teeth grinding or clenching, your dentist may recommend that you wear a custom dental appliance. Often called a bite plate or a splint, this appliance will keep your upper teeth from grinding against your lower teeth.

Can TMJ cause neurological problems? ›

As it courses posteriorly to the condylar head of the TMJ, compression, injury or irritation of the AT nerve can lead to significant neurologic and neuro-muscular disorders, including Tourette's syndrome,Torticolli, gait or balance disorders and Parkinson's disease.

What will happen if TMJ is not treated? ›

Although not life threatening, if TMJ disorder is left untreated, it can contribute to significant discomfort and tension. Chronic pain can even lead to the development of diseases like anxiety and depression.

Why Is TMJ not covered by dental insurance? ›

Many medical plans do not cover orthodontic treatment provided as an adjunct to temporomandibular joint (TMJ) disorder surgery, because such treatment is considered dental in nature and, therefore, not covered under the medical benefit.

What does severe TMJ feel like? ›

Aching pain in and around your ear. Difficulty chewing or pain while chewing. Aching facial pain. Locking of the joint, making it difficult to open or close your mouth.

Can TMJ affect optic nerve? ›

Your TMJ is connected to your vision in a number of ways. For instance, many TMD patients experience disturbances in vision through nerve pathways. Along with discomfort and pain, TMD causes headaches which in turn, cause vision problems.

Can TMJ cause pressure behind eyes? ›

Pain Behind the Eyes

When someone has TMJ dysfunction, it can cause them to overuse their chewing muscles. These muscles are attached to the jaw from behind the eye socket. As a result of hyperactivity of this muscle, patients can experience pain behind their eyes or a headache.

Can TMJ cause pressure around eye? ›

Pain in the eyes which may accompany headaches, can be caused by a TMJ disorder. It starts as a tightness in the skull's base region that spreads to the side of the head, ultimately creating pressure and pain in the eyes area. Pain, stuffiness and ringing in the ears (tinnitus) may be part of TMJ Disorder syndrome.

What are dental codes for TMJ? ›

631-M26. 633, M26. 639, M26. 69 (ICD-10-CM), temporomandibular joint disorders (TMJ).

Does Medicare pay for TMJ? ›

Is TMJ treatment covered by medicare? Medicare Part B covers TMJ treatment (even TMJ surgery) as long as it is performed by a qualified physician. If, however, your TMJ treatment falls into the category of pure dentistry, and not general healthcare, Medicare may not cover it.

What is the difference between TMJ and TMD? ›

Temporomandibular disorders (TMDs) are a group of more than 30 conditions that cause pain and dysfunction in the jaw joint and muscles that control jaw movement. “TMDs” refers to the disorders, and “TMJ” refers only to the temporomandibular joint itself. People have two TMJs; one on each side of the jaw.

How is TMJ disorder diagnosed? ›

If your doctor or dentist suspects a problem, you may need: Dental X-rays to examine your teeth and jaw. CT scan to provide detailed images of the bones involved in the joint. MRI to reveal problems with the joint's disk or surrounding soft tissue.


1. Neuromuscular Dentistry for Effective TMJ Treatment: TMJ TESTIMONIAL
(Think Better Life - Orofacial Pain, TMJ & Sleep Disorder Solutions Chicago)
2. Dr. Shapira teaching 5 Physical Therapists about how TMJoint, Jaw, and muscles affect the whole body
(Think Better Life - Orofacial Pain, TMJ & Sleep Disorder Solutions Chicago)
3. Dr Shapira with Spg Blockl Sphenopalatine Ganglion Block Reduces Clenching and Grinding
(Think Better Life - Orofacial Pain, TMJ & Sleep Disorder Solutions Chicago)
4. Jaw locked for 2 years! Unlocked at first visit!
(Think Better Life - Orofacial Pain, TMJ & Sleep Disorder Solutions Chicago)
5. TMJ Pain: Sharp Piercing Pain, Neuromuscular Dentistry and permanent bite correction is the answer.
(Think Better Life - Orofacial Pain, TMJ & Sleep Disorder Solutions Chicago)
6. TMJ after Dental Work. 1 1/2 years severe pain and cannot chew any food.
(Think Better Life - Orofacial Pain, TMJ & Sleep Disorder Solutions Chicago)
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