Main complaint:

pain in the ear and tmj radiating to the frontal part of the zygomatic arch ( cheek bone)
   
other symptoms:

tinnitus
   
trigger points located in
    m. pterygoideus lat. sup. et inf.
   
pterylat possible therapy:
  - injection in the trigger point
  - reciprocal inhibition ( activation of the jaw opening muscles)
   - splint ( tooth contacts on frontal part)
   - relaxation techniques
   - correction of bad  posture