Frequently Asked Questions about Facial Pain
Why am I having headaches or face pain?
Answer - There are several reasons for headache and face
pain. For example, injury to a muscle or ligament or to the jaw joint can be
a cause. Also, a person my suffer muscle strain or sprain and at the same
time suffer a migraine condition.
How do I know if my temple of face pain is muscle sprain or migraine?
Answer - Two tests are often used: Local anesthetic is used to
numb muscle sprain pain, whereas an oral migraine medication is used to test
for migraine. And, sometimes a person may suffer both conditions.
Why is a TMJ bite plane recommended for jaw joint clicking, popping and
Answer - Often a TMJ appliance (bite plane) is worn on the
teeth to improve the blood flow to the joint and to the temple muscle, and
to relieve the corresponding pain to the jaw joint, temple and face.
Is this treatment effective?
Answer - Yes, in many cases it is that simple.
Your web-site lists several muscle, tendon and ligament injuries. Can they
be repaired or corrected?
Answer - Yes, and the treatment used is designed to be
proportionate. Meaning a mild muscle or ligament sprain or strain can be
treated with the application of local anesthetic and cortisone, often very
effectively. A more advanced injury can be treated with
This therapy renders the injured muscle, tendon, or ligament fiber unable to
transmit a pain impulse.
And, this method of therapy is usually painless and offers no side
effects. The net result is reduced pain or no pain at all in about 80% of
Answer - Yes it is, and there are many causes from whiplash to
general anesthesia to prolonged opening of the mouth. We call many of these
causes “an accident waiting to happen”, meaning that the tendon is already
weakened and the procedure done triggers a clinical condition, where the
face, cheek, jaw joint or temple begins to hurt and simply gets worse in
intensity and frequency.
Is the ligament associated with pain below the ear known as
Answer - Yes it is, and the pain over time spreads to 6 or 7
different areas in the face, ear, jaw, cheek, eye, temple and even the
Is the treatment for these muscle and ligament injuries painful?
Answer - No, and there is also no need to be put to sleep!
If I decide that I may have Temporal
tendonitis, Ernest Syndrome,
or some other pain condition, what do I do to find out if it is true?
Answer - Call the office. We recommend that you spend 3 to 4
days with us to first determine what may be wrong with you, decide with you
the choice of treatment, and then treat the problem or problems. It is not
unusual for a patient to suffer 2 or more conditions at the same time. We
usually schedule one to two new patients per week so that we have the
necessary time to be as effective as possible for you. We do not have people
waiting in multiple rooms to be seen.
Will insurance pay for my exam and treatment?
Answer - Our experience in this situation regarding insurance
goes back to the early 1980’s, therefore the patient pays for their exam and
treatment at the time care is given.
If I have Radiofrequency
surgery (thermal ablation ) what can I expect following surgery?
Answer - Most patients have mild soreness for 7 to 10 days
following surgery. We recommend that after 15 days they should be able to
return to normal activities such as chewing and opening the mouth. The
intentionally creates a small scar at the site of injury. A s this
effectively prevents further transmission of painful impulses. We usually
prescribe an antibiotic to prevent infection, and a cortisone medication to
prevent swelling and resulting discomfort from swelling. Actual pain
relievers such as Motrin or Tylenol are usually adequate for any residual
"To relieve pain is to do God's
Edwin A. Ernest, III D.M.D.
Disorders such as Ernest Syndrome, Temporal
Tendonitis, TMJ Neuralgia, and Splenius Capitis Muscle Syndrome, and his innovations with radiofrequency surgery to treat his discoveries, have caused
Dr. Ernest to be acknowledged as a recognized authority among medical and dental professionals regarding his discoveries. His work is referenced in Neurology, ENT
Medicine, Plastic &
Reconstructive Surgery and Neurosurgery programs and articles,
dental literature, and is referenced on the internet in a variety of languages, and through
Pub/Med, the influence of which is world-wide.