We Are Often Asked How Does My TMJ Cause Vertigo?

TMJ (temporomandibular joint) disorders can sometimes cause vertigo, or a sensation of dizziness or spinning.  This is often due to the close anatomical relationship between the TMJ pain, the muscles and nerves around it, and the structures involved in balance within the inner ear.  Dr. Konig can help with these issues and explains that a full assessment of the TMJ, neck, and posture along with the bite can usually determine if TMJ is the cause.  Too many times, dentists look at the teeth only.

The following explains some TMJ/ear correlations:

1. Proximity to the Ear

• The TMJ is located near the ear canal, and TMJ dysfunction can affect the structures of the inner ear, which is responsible for balance and spatial orientation.
• Inflammation or pressure in the TMJ can irritate the nerves and tissues, potentially disrupting the vestibular system, which controls balance, leading to vertigo or dizziness.

2. Nerve Involvement

• The TMJ and the inner ear share connections through the trigeminal nerve, which controls sensation in the face, and the vestibulocochlear nerve, which helps manage balance and hearing.  There are multiple nerves that run through the ear that can also be disturbed
• TMJ disorders can cause irritation or inflammation of these nerves, leading to a miscommunication between the brain and the balance system, which can trigger vertigo.

3. Muscle Tension and Proprioception

• TMJ disorders often causes tension in the muscles of the jaw, neck, and shoulders. These muscles play a role in the body’s sense of spatial awareness (proprioception). This is why posture plays a role too.
• Increased muscle tension, particularly in the neck, can disrupt signals to the brain about the body’s position, leading to dizziness or balance problems. There is a direct relationship of the neck and jaw posture

4. Eustachian Tube Dysfunction

• The TMJ is also near the Eustachian tube, which helps regulate pressure within the middle ear. Dysfunction in the TMJ can affect the ability of the Eustachian tube to open and close properly, leading to a buildup of pressure in the middle ear.
• This pressure imbalance can cause feelings of fullness in the ears, dizziness, or vertigo.

5. Jaw Misalignment

• When the TMJ is out of alignment or not functioning properly, it can lead to misalignment in the neck and spine, which may impact the body’s overall balance system, contributing to dizziness or vertigo.

6. Altered Blood Flow

• Tension in the muscles around the TMJ and neck may affect blood flow to certain areas of the head, potentially contributing to feelings of dizziness or lightheadedness.

Symptoms to Watch For:

• Dizziness or lightheadedness
• A sensation of spinning (vertigo)
• Ear pain or fullness
• Jaw pain, clicking, or locking
• Headaches or neck tension

Managing TMJ-Related Vertigo:

• Treat the underlying TMJ disorder: Addressing the TMJ dysfunction through treatments such as physical therapy, or bite adjustments can help reduce symptoms of vertigo.
• Jaw and neck exercises: Strengthening and stretching the muscles of the jaw and neck can help alleviate tension and improve posture, which may reduce vertigo symptoms.
• If you’re experiencing vertigo along with TMJ symptoms, Dr. Konig can assess your situation and help with these issues.

If you have any questions regarding Houston TMJ, Vertigo, or  TMJ Treatment, please feel free to contact our office, Ronald W. Konig DDS, FAGD, LVIF, 713-668-2289.