Yeah.
Ok, new day, trying again. Thanks for reminding me who I am Vigs. I also like the new me and am glad I got here, though the road is sometimes tough. I love you guys. 
1 Like
my guess is that TMD, neck issues/pain and migraine can be part of a vicious cycle. migraine could well be triggered (not caused) by ongoing neck or jaw issues, and likewise migraine can cause neck and jaw pain/tension. so once you start, it’s probably hard to say what’s causing which.
1 Like
@Manatee Ah sorry I thought it sounded like you were interested. Did you catch the migraine summit episode on vertigo? I did and didn’t really learn anything new from it. A disappointment if you ask me. They did a much better job of covering vestibular migraine last year, at least the expert was better. This year it almost sounded like they played down the dizziness, like it wasn’t that bad of a thing to experience.
@Jess09, I was able to watch Dr. Frederick Godley’s talk that included vestibular migraine & vertigo. I thought the first part was good, when he was explaining how he uses a certain type of CT scan to rule out a sinus infection, and how you can have a stuffed-up nose and sinus pressure but it’s really caused by migraine.
Years ago that’s what happened to me. I went to the doctor because I thought I had a sinus infection. He gave me antibiotics and the pain finally went away. It happened a couple more times and each time he gave me antibiotics. Finally, I went in one day and had to see one of his partners because he was out of the office. That doctor said, “Let’s do an x-ray,” and the results were… my sinuses were clear. This was many years ago (probably 25) and he didn’t mention migraine as being a possibility.
Hi @Jess09, can you jog your MAV brain to remember the name of the doc who spoke about the different preventatives last year . Was planning on seeing if a free version of the video was available anywhere
Here’s a partial lineup of the 2017 speakers:
https://www.migraineworldsummit.com/speakers/
Anna, you are so helpful!
Just lucky. Now it’s up to @GetBetter to figure out which speaker it was, then find a free version of the video. 
I have no doubt he will!
Breaking the Vicious Cycle of Chronic Migraine
William B. Young, M.D.
This is the one which i think can potentially discuss preventatives.
1 Like
Ha! Reliably awesome, Vigs!
@GetBetter Sorry it took me so long to get back to you on this…my memory is poor these days (although improving slightly now that I’ve been getting better sleep again!) and I know I listened to even fewer sessions last year than I did this year as it made me pretty dizzy to do so. I know it was a male speaker. I really want to say it was Dr. David Dodick who gave the talk “Rare Migraine Types: Vestibular, Hemiplegic, and Complications.” At any rate he explained vestibular migraine better than anyone I’ve ever heard.
I think I heard the medications talked about by a few doctors in a few different sessions at the summit in 2017 and they each had different opinions on the medications. I think Dr. Dodick went a little into which medications were better for vestibular migraine, in his opinion. I was hoping to hear him again this year. I hope this helps. Did you come across any of the 2017 videos?
@Manatee Yeah Dr. Godley’s presentation wasn’t bad. I too was originally diagnosed as having sinus infections by my family practitioner. I was given antibiotics twice and did feel better while on them, less dizzy and everything. They had me taking cold medicine too and even that helped with the dizziness back then. Now I can’t take cold medicine without it making me dizzier. I was then seen by an ENT who did a scan of my sinuses, I forget which type of scan, and he said and showed me that they were completely clear. It was interesting to hear the explanation, but at this point it doesn’t help me much.
OK. I think I need to eat my hat
The ET is turning out to be a bit of a common feature:
https://www.verywellhealth.com/temporomandibular-joint-disorder-1046500
2 Likes
Put a little syrup on it. Works for crow, probably hats, too. 
3 Likes
So I asked “llama3” the following … and see the reply!:
>>> can enlarged jaw muscles impinge upon the eustachian tube?
Yes, enlarged jaw muscles (also known as masticatory muscles) can potentially impinge upon the Eustachian tube.
The Eustachian tube connects the middle ear to the back of the throat and plays a crucial role in maintaining
equal air pressure on both sides of the eardrum. When we swallow or yawn, the Eustachian tube opens to allow air
to enter the middle ear and equalize the pressure.
The masticatory muscles (masseter, temporalis, medial pterygoid, and lateral pterygoid) are responsible for moving
the jaw during chewing and grinding food. If these muscles become enlarged or hypertrophic due to various factors
such as bruxism (teeth grinding), temporomandibular joint disorders, or other conditions, they can potentially
compress or impinge upon the Eustachian tube.
When this occurs, it may lead to a variety of symptoms, including:
1. Conductive hearing loss: The blockage of the Eustachian tube can prevent air from entering the middle ear,
leading to conductive hearing loss.
2. Ear fullness or feeling of plugged ears
3. Tinnitus (ringing or buzzing in the ears)
4. Discomfort or pain in the ears or jaw
5. Difficulty equalizing air pressure during air travel or changes in altitude
In some cases, enlarged jaw muscles can also contribute to chronic rhinitis, sinusitis, or other respiratory
issues by obstructing the normal flow of nasal secretions and air.
It's essential to note that not everyone with enlarged jaw muscles will experience Eustachian tube-related
symptoms. However, if you're experiencing any of these issues, it may be beneficial to consult an ear, nose, and
throat (ENT) specialist or a dentist for a comprehensive evaluation and guidance on managing your symptoms.
Now obviously don’t take that as wrote, but I will definitely be looking into that a bit more!
1 Like
i believe it – i have hypertrophied masseter muscles in my jaws and have all those problems
1 Like
Interesting!
Has anyone proposed any specific treatment? Just try to avoid the parafunctional movement of your jaw?
This might be coincidental, but around a month before my chronic onset, I was at the dentist, opened my jaw a little too wide for too long (was having a clean), and then had a sharp searing pain in my left masseter muscle as my jaw automatically closed on me. Absolutely killed for the rest of the day. I don’t feel it’s been right since.
I also grind my teeth whilst sleeping. Will be interesting to see if you find anything else on the topic James.
1 Like
That sounds extremely relevant to me!
I would take concerted action to eliminate your grinding.