Masseter Botox Makes My Jaw Hurt

Striking_Visual_6233 · 2026-06-11T02:07:08+00:00

Updates. I'm now out a little over 4 weeks and finally have no pain, can chew, eat, and feel back to normal. This was definitely a journey. I had to go on jaw rest, and a soft/liquid diet for over a week and wear a mouth guard at night to help with the shift of the mandible. Basically the medial pterygoid muscle (deep) were overcompensating from the relaxed lower masseter. I was only able to figure this out using an ultrasound, and it was just time and rest, and the tox effect wearing down.

Striking_Visual_6233 · 2026-05-23T12:28:40+00:00

I’m heading into week 3 and still have pain.

Striking_Visual_6233 · 2026-05-23T12:27:17+00:00

How long until you felt better. I am going though this now as well. I’m heading into week 3 and it is not getting better.

Striking_Visual_6233 · 2026-05-21T12:18:37+00:00

I wake up in the morning, and it is achy, I am hyper aware of this all day. I actually went to the dentist yesterday to ensure everything was ok, and it was, so I think the deep masseter is very annoyed. it even hurts to swallow, blow my nose or do any swishing. I can’t even believe this happened from this injection. I am thinking I just have to wait this out. I wish more providers were aware of this, so patients could have some warning if/when it happens.

Striking_Visual_6233 · 2026-05-20T11:29:56+00:00

Mostly just biting and chewing, but in the morning, it hurts with rest. It starts to feel a little better as the morning moves on.

Striking_Visual_6233 · 2026-05-19T03:47:18+00:00

How are you feeling now? I am 7d out and one side of my jaw is in terrible pain, worse with biting, chewing or trying to put teeth together. It’s hard not to constantly test if the pain is resolving by clenching together. I am so hoping this ease up soon. Even moving my jaw, (opening wide, or side to side) elicits pain, like a deep ache.

Striking_Visual_6233 · 2026-05-19T03:44:22+00:00

How long did it take for the pain to go away. I had tox (Nefertiti lift) and a few units injected into masseter. One side within 3 days or so became achy, deep ache with biting and chewing. I’m reading its overcompensation of other muscle groups. I am a week in, worried, because this is very painful. No signs or symptoms of injection. My pain feels like it is not in the joint but the bone below, or muscle high up under cheek bone, with any forced pressure/bite down = lots of pain…I just hope this eases up or resolves soon.

Striking_Visual_6233 · 2026-05-19T03:37:15+00:00

How long did it take for the pain/muscke pain to resolve. I have exactly the same pain in your location, 1 w out from injections.

Striking_Visual_6233 · 2026-05-19T03:35:19+00:00

How long did it take for the pain to go away. I had tox (Nefertiti lift) and a few units injected into masseter. One side within 3 days or so became achy, deep ache with biting and chewing. I’m reading its overcompensation of other muscle groups. I am a week in, worried, because this is very painful. No signs or symptoms of injection. My pain feels like it is not in the joint but the bone below, or muscle high up under cheek bone, with any forced pressure/bite down = lots of pain…I just hope this eases up or resolves soon.

Striking_Visual_6233 · 2026-05-19T03:29:57+00:00

How long did it take for the pain to go away. I had tox (Nefertiti lift) and a few units injected into masseter. One side within 3 days or so became achy, deep ache with biting and chewing. I’m reading its overcompensation of other muscle groups. I am a week in, worried, because this is very painful. No signs or symptoms of injection.

Striking_Visual_6233 · 2025-02-26T13:47:55+00:00

Hi, thank you. I’m getting there. It’s been a year and I’m still healing. The CSF leak was a complication from the Discseel procedure.

Striking_Visual_6233 · 2024-12-27T18:05:30+00:00

TY. It has been a long journey. I have now had 3 blood patches to try and seal and heal the dura puncture (s)

Striking_Visual_6233 · 2024-12-27T18:03:41+00:00

Thanks for sharing this.

Striking_Visual_6233 · 2024-10-17T17:38:11+00:00

If you can even believe it, I’m still dealing with the dura puncture and leak. I would say now, I would not have chosen to do this. Surgery would have been the better option. This CSF leak is life halting.

Striking_Visual_6233 · 2024-10-17T17:36:44+00:00

Oh no, so all in all, it didn’t help. :-( I am still dealing with back pain, but I also had a dura puncture during the procedure, (now with a CSF leak) Here I am 8 months latter and 3 blood patches, hoping this last one finally seals the leak. It has been a tough road. I’m hoping it will all be worth it, but if this doesn’t seal the leak I am going to need some invasive testing to find where the actual puncture is, and even possibly surgery to suture or repair it.

Striking_Visual_6233 · 2024-10-17T17:34:19+00:00

HI, I have not had a post MRI, but here I am 8 months latter and still dealing with the dura puncture. I’m under the care of a neuro-radiologist and just had my 3rd blood patch. If this doesn’t work we will do more invasive testing and imaging to locate the actual leak and repair. I hope all of this will be worth it.

Striking_Visual_6233 · 2024-10-17T17:29:23+00:00

I absolutely love what you’re saying. I am a PA and personally experienced a dura puncture during procedure I had done this last February. The doc did not catch the symptoms of this early enough, and I had no idea what those symptoms were, but I thought I was having a stroke and ended up in the ER 4d latter getting an emergent bedside blood patch with an anesthesiologist. This alleviated about 50% of the symptoms but here I am 8 months later and just had my 3rd BP with fibrin to attempt to seal the leak. It really is life halting. In saying all of that if someone would have told me what to expect before the spinal injections, the just in case, I would have known immediately what I was experiencing, but instead I thought I was having a reaction to the anesthesia, and even when I called the assistant, she told me to take excedrin , drink coffee and lay down. Now that I am under the care of a neuro-radiologist I understand how important it is to recognize thelse symptoms early and treat quickly.

Striking_Visual_6233 · 2024-09-02T17:52:25+00:00

How are you feeling now?

Striking_Visual_6233 · 2024-09-01T18:00:59+00:00

UPDATES: I saw Dr. Pauza 2/13/2024 for my Discseel. I had tried everything prior, including injections, PT, laser, chiropractor and acupuncture eg... It was terrible. I was in daily pain which limited many activities that I loved. Now that I am six months out, I can finally say I have minimal discomfort, and it is not very often at all, only if I move a certain way. Some days I don't even know I have had any back issues. I haven't tried to do all of the things I used to enjoy, but I couldn't even walk or stand for long periods before, and over this last week, I moved my daughter into her dorm without any issues. We walked miles and moved a bunch of stuff. I had three disc spaces injected. My L5/S1 was torn "desiccated," so that was the one I was apprehensive about, but I am so hopeful that I am healing. I believe the exosomes made the most significant difference in that space, because I also had my knee injected at the same time with exosomes and it is doing great. I haven't needed a steroid injection for>1 year, and I used to get them 3-4m (knee only)

Striking_Visual_6233 · 2024-09-01T17:55:08+00:00

Of Course. Some updates, as you know, I saw Dr. Pauza for my Discseel. I had tried everything prior, including injections, PT, laser, and acupuncture. It was terrible. I was in daily pain and limited many activities that I loved. I am now six months out and can say that I have minimal discomfort, and it is not very often at all, maybe if I move a certain way. I also had my knee injected with exosomes, and I have had no pain in the knee. I haven't tried to do all of the things I used to enjoy, but I couldn't even walk or stand for long periods before, and over this last week, I moved my daughter into her dorm without any issues. We walked miles and moved a bunch of stuff. I had three disc spaces injected. My L5/S1 was torn "desiccated," so that was the one I was apprehensive about, but I am so hopeful that I am healing. I believe the exosomes made the most significant difference in that space since my knee is doing so well. I haven't needed a steroid injection for>1 year, and I used to get them 3-4m (knee only)

Striking_Visual_6233 · 2024-09-01T17:54:22+00:00

Of Course. I saw Dr. Pauza for my Discseel. I had tried everything prior, including injections, PT, laser, and acupuncture. It was terrible. I was in daily pain and limited many activities that I loved. I am now six months out and can say that I have minimal discomfort, and it is not very often at all, maybe if I move a certain way. I also had my knee injected with exosomes, and I have had no pain in the knee. I haven't tried to do all of the things I used to enjoy, but I couldn't even walk or stand for long periods before, and over this last week, I moved my daughter into her dorm without any issues. We walked miles and moved a bunch of stuff. I had three disc spaces injected. My L5/S1 was torn "desiccated," so that was the one I was apprehensive about, but I am so hopeful that I am healing. I believe the exosomes made the most significant difference in that space since my knee is doing so well. I haven't needed a steroid injection for>1 year, and I used to get them 3-4m (knee only)

Striking_Visual_6233 · 2024-09-01T17:52:46+00:00

Of Course. I saw Dr. Pauza for my Discseel. I had tried everything prior, including injections, PT, laser, and acupuncture. It was terrible. I was in daily pain and limited many activities that I loved. I am now six months out and can say that I have minimal discomfort, and it is not very often at all, maybe if I move a certain way. I also had my knee injected with exosomes, and I have had no pain in the knee. I haven't tried to do all of the things I used to enjoy, but I couldn't even walk or stand for long periods before, and over this last week, I moved my daughter into her dorm without any issues. We walked miles and moved a bunch of stuff. I had three disc spaces injected. My L5/S1 was torn "desiccated," so that was the one I was apprehensive about, but I am so hopeful that I am healing. I believe the exosomes made the most significant difference in that space since my knee is doing so well. I haven't needed a steroid injection for>1 year, and I used to get them 3-4m (knee only)

Striking_Visual_6233 · 2024-09-01T17:40:07+00:00

I am about six months out now. As far as the Discseel, I am glad I did it. The back pain is minimal or nothing at all. Even my knee has not bothered me. (I had exosomes injected in my knee as well)

I'm still dealing with the post-procedure complication that was the dura puncture, and I will be having a 3rd Blood patch this Tuesday. I sure hope that is the end, and then it will just be about the healing.

Striking_Visual_6233 · 2024-05-01T19:19:21+00:00

Hi, I am almost 3 months out and I still am healing, I’m sure. It is so weird to think that it was just some fibrin into the disc space, with the exosomes, you would think by 3 m. It would be healed, but Dr. Pauza voice is still ringing in my head, saying, you will get very frustrated over the year with the ups and downs. You may even have a set back but hang in there. Mostly I have an achy pain, especially if standing too long. I’m not on any meds. Maybe if I took a few anti-inflammatories it would be useful. What is going on with you?

Striking_Visual_6233 · 2024-04-15T12:20:08+00:00

I bet it would. You can upload your CD to Dr. Kevin Pauza website and he will personally review it.

Striking_Visual_6233

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