Based on your history of recurrent TMJ (jaw joint) dislocation, the heaviness/pressure in front of the ear and muscle spasms may be related to temporomandibular joint dysfunction or strain of the surrounding muscles and ligaments. Repeated dislocation episodes can sometimes leave the joint inflamed or unstable, leading to discomfort even months later. The sensation of altered hearing or ear fullness can also occur because the TMJ is located very close to the ear. However, an ear-related condition should also be ruled out if symptoms persist.

You can keep it simple: The heaviness and pressure near your ear is likely related to your jaw joint (TMJ) and the muscles around it, especially since you have a history of jaw dislocation. TMJ problems can sometimes cause muscle tightness, pain in front of the ear, and even a feeling of fullness or slight change in hearing. Avoid opening your mouth too wide, stick to soft foods for a few days.

Hello Sir. Given your history of recurrent jaw dislocations, the heaviness/pressure near the ear and muscle spasms are likely related to TMJ inflammation, muscle strain, or joint instability. TMJ issues can also cause a feeling of ear fullness or slight hearing changes because the joint is very close to the ear. If symptoms persist for more than a week, worsen, or you notice jaw locking, limited mouth opening, significant pain, or increasing hearing changes, it’s best to see an oral and maxillofacial surgeon or TMJ specialist for evaluation. In the meantime, avoid wide mouth opening, stick to a soft diet, and use warm compresses.

The recurrent jaw dislocations have likely caused temporomandibular joint (TMJ) instability and surrounding muscle strain, leading to the sudden muscle spasms and protective guarding (heaviness). The proximity of the TMJ to the ear canal means that localized inflammation or muscular tension can compress nearby structures, causing the altered hearing sensation. Since the current muscle relaxant therapy is insufficient, the patient needs an evaluation for custom stabilization splints and targeted physical therapy to prevent further dislocations. Here are the primary treatment options for this patient's recurrent TMJ dislocation and secondary myofascial spasms: • Conservative & Medical Management: Continue soft diet restrictions, avoid wide yawning, and optimize muscle relaxants (or transition to NSAIDs/anti-anxiety medications to address nocturnal clenching). • Occlusal Splint Therapy: Fabrication of a custom stabilization splint or nightguard to reduce elevator muscle hyperactivity, redistribute forces, and minimize nocturnal bruxism. • Physical Therapy & Trigger Point Injections: Target the lateral pterygoid and masseter muscles using ultrasound therapy, gentle stretching, or localized anesthetic/Botox injections to relieve chronic spasms. • Surgical/Interventional Options: If conservative methods fail, consider autologous blood injection into the joint space to induce scarring/restriction, or surgical emectomy/capsulorraphy to prevent future subluxation episodes.

Hello From whatever explanation you have given, seems like you have TMJ issue Please have your bite check because that also causes the TMJ issue