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TMJ and Migraines

TMJ and Migraines

Do your migraines start near your temples or behind your eyes? A surprising culprit may be your jaw. TMJ dysfunction often presents with migraine-like headaches—treating the joint can ease both.

The TMJ–Migraine Connection

  • Shared innervation: Trigeminal nerve branches serve both jaw joint and intracranial blood vessels.
  • Muscle referral pain: Tense masseter/temporalis muscles can refer pain upward into the head.
  • Joint inflammation: TMJ arthralgia triggers neurogenic inflammation contributing to migraine pathways.

Signs You’re Experiencing TMJ-Related Migraines

  • Headaches that worsen with chewing or jaw movement
  • Accompanying jaw clicking or stiffness
  • Morning headaches after nighttime clenching
  • Lack of response to standard migraine medications

Targeted Treatments

  1. Botox for TMJ: Reduces muscle tension and dampens trigeminal nerve sensitization—often improving both pain types.
  2. Splints & Night Guards: Prevent nocturnal bruxism that fuels morning migraines.
  3. Physical Therapy: Releases myofascial trigger points in head and neck muscles.
  4. Dental Corrections: Bite equilibration to eliminate joint stress.

Patient Outcomes

  • Studies show up to 60% reduction in headache frequency when TMJ is treated effectively.
  • Combined Botox protocols targeting both migraine and TMJ sites yield superior relief.

Conclusion

If your migraines coexist with jaw pain or dysfunction, addressing TMJ may unlock a new avenue of headache relief. Talk to a multidisciplinary TMJ clinic to evaluate your joint as part of your headache work-up.

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