Meniere’s Disease

Ménière’s disease comorbidity with TMJ Disorders

Ménière’s disease describes by the American Academy of Otolaryngology – Head and Neck Surgery as a set of episodic symptoms including:

– vertigo (attacks of a spinning sensation)

– hearing loss

– tinnitus (a roaring, buzzing, or ringing sound in the ear),

– a sensation of fullness in the affected ear.

Episodes typically last from 20 minutes up to 4 hours. Hearing loss is often intermittent, occurring mainly at the time of the attacks of vertigo. Loud sounds may seem distorted and cause discomfort. Usually, the hearing loss involves mainly the lower pitches, but over time this often affects tones of all pitches. After months or years of the disease, hearing loss often becomes permanent. Tinnitus and fullness of the ear may come and go with changes in hearing, occur during or just before attacks, or be constant (American Academy of Otolaryngology – Head and Neck Surgery website)

TMJ ear pain tinnitus ear fullness ringing otalgia

(Kuttila 2003)

TMJ Disorders in Patient’s with Menière’s disease

A study (Bjorne, 1996) of 31 patients who where diagnoised with Menière’s disease and where compared to 31 control subjects. TMJ Disorder symptoms of pain in the face or jaw; tenderness over the TMJs (temporomandibular joints), tenderness over the masticatory (chewing muscles), pain on movement of the mandible; fatigue of the jaws; and pain located in the vertex  area, the neck/shoulder area, and the temples was evaluated in the patient’s with Menière’s disease and the control group.  TMJ Disorder symptoms occurred signicantly more often with the patient’s with Menière’s disease. Their conclusion was: “The findings indicate a much higher prevalence of signs and symptoms of craniomandibular (TMJ Disorder / TMD) disorders in patients diagnosed with Menière’s disease than in the general population.


TMJ Disorder Treatment and Menière’s disease

A study (Bjorne, 2003) of 24 Menière’s disease patients who underwent temporomandibular joint (TMJ) Disorder (TMD) and Cervical Spine Disorder (CSD) treatment.

The results of the TMJ Disorder (TMD) treatment and Cervical Spine Disorder treatment caused highly significant decreases in the intensities of:


nonwhirling dizziness


feeling of fullness in the ear

pain in the face and jaws

pain in the neck and shoulders



It also caused a highly significant reductions in the frequencies of:

– vertigo

– nonwhirling dizziness

– headache

– complete disappearance of pain located in the vertex area


The results showed that a coordinated treatment of TMJ Disorders (TMD) and Cervical Spine Disorders (CSD) in patients with Meniere’s disease is an effective therapy for symptoms of this disease.



American Academy of Otolaryngology – Head and Neck Surgery website (

Bjorne A, Agerberg G. Craniomandibular disorders in patients with Menière’s disease: a controlled study. J Orofac Pain. 1996 Winter;10(1):28-37.

Bjorne A, Agerberg G. Symptom relief after treatment of temporomandibular and cervical spine disorders in patients with Meniere’s disease: a three-year follow-up. Cranio. 2003 Jan;21(1):50-60.

Seppo Kuttila. Secondary aural symptoms in relation to cranio-cervical and general disorders. ANNALES UNIVERSITATIS TURKUENSIS. SARJA- SER. D MEDICA-ODONTOLOGICA, OSA-TOM. 2003)


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