Test for tmj

by Holly
(Elizabethton TN)

Temporomandibular joint

Temporomandibular joint





Are there any test to determine if my problem is the tmj joint or Trigeminal neralgia nerve? Also, I have read that if the tmj is misaligned that it can press on the trigeminal nerve. I also, have degenetive disk in my neck and a goiter could any of those cause gum and teeth pain when I chew?





Hello Holly,
Not that I know of. There are two types of trigeminal pain. Firstly, a condition called tic douloureaux, of the nerve itself. Secondly, more commonly one of the tissues supplied by the trigeminal nerve. The jaw joint, the jaw muscles, the teeth, gums, sinuses, skin of the face etc.

Each has to be considered in its own right. Could it be the source of the pain? As a rule of thumb if you have pain in the jaw joint, or gums for example, then it's best to assume that is the source of your pain.

Just to complicate matters, the sensory nucleus of the trigeminal nerve is found in the upper neck, so the pain is often also felt there.

So, a bit of minefield.

Dr Barrie Lewis


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Cream for tmj pain

What cream can I rub on tmj joints and cheek bones to relieve pain when they play up especially when I have a cold.





Hello Frangipani,
Frankly I think it makes little difference; deep soft tissue work may well relieve the pain in the muscles such as the temporalis or internal pterygoid, but the contents of the cream are of little consequence. It's the massage that helps.

But it's usually a joint problem, so massage will at best bring temporary relief. Try rather the TMJ exercises at our site; use the search function key.

If it's brought on by a cold, then it may be a sinus condition rather than related to your jaw joints.

Dr Barrie Lewis


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TMJ pain for two years

I have suffered from TMJ for at least 2 years now; I got into the habit of grinding sub conciously around 10 hours a day at work as a bus driver. My eyes are so messed up from my TMJ, and unless someone can give me relief i really am worried i may do something really stupid. Life just isn't worth living like this anymore; every day is unbearable.

But no matter what people have told me, and I've found online, NOTHING HELPS. I have no money to see a chiropractor as I had to leave my job. I dont know what to do. HELP.





There are two things you could try, Evan. Firstly the TMJ exercises at this site. They are more for prevention of the next episode, so I'm doubtful, but it costs you nothing.

The second is to get a bite plate to wear at night.

I'm afraid it needs treatment, and yes that costs. Save up your pennies, forego all your luxuries for a bit, and start looking for a chiropractor in your area who specialises in the jaw joint.

I'm afraid I can't be more helpful.

Dr Barrie Lewis


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TMJ stuck open

by Lydia

If I open my mouth too wide, my jaw will get stuck open. I have to force it shut but when I do it makes a crunching sound. What is another way to deal with this? And how severe would you rate this?
Thank you.





Hello Lydia,
You want to try and avoid that forcing shut with the crunching sound. It's probably from the disc in the joint, and you're damaging it. The first step is simply avoiding biting into a whole apple, or double Mac. Try not to yawn.

What other symptoms do you have? Facial pain, or migraine type headaches? Neck pain?

You'll find some TMJ exercises at this site; that would be a good place to start.

Start hunting for someone who specialises in the jaw joint.

Dr Barrie Lewis


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Diverted TMJ pain

by Joanie
(Lemmon, SD, USA)

So, my jaw diverts when it goes up and down; it makes a major pain when chewing food. I'm not sure if these exercises would be good for me or not.

Thanks.





Hello Joanie,
The rule with any exercise is that they shouldn't hurt, or in this instance pop or click. If you're doing it gently then it certainly won't do any harm.

But equally they probably won't fix the problem; it sounds like you have an injured meniscus; have you had dental work done under a general anaesthetic? Or a hard punch or slap to the face?

It sounds like you need to consult someone experienced with jaw joint work.

Do you grind your teeth at night? Do you get facial pain or headaches?

Dr Barrie Lewis


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Jun 11, 2014
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Re: My Diverted tmj Jaw..lol
by: Joanie

Yes Dr B, I have had this since I can remember, but I did have oral surgery to have my wisdom and molar teeth removed. I had braces when I was young, that was supposed to "fix my jaw" as I had moonface, my jaw sticking out way far, and he thought it would fix that as well.
I don't grind my teeth, but my dentist gave me an insert that would help my clenching she thought. I clench my jaw very tight during the night. I have bitten my tongue and cheek very hard as to draw blood and scar both of them.

I do get headaches; have had migraines for a good long time.

I'm thinking about going to a chiropractor here in the area who is "really good at" these things but it scares me as I have fibromyalgia, and it usually screws me up for quite a while when I visit him. Anyway, thank you for the suggestion.




Hello again Joanie,
Whether caused by the braces, or the surgery, or would have happened anyway is of no consequence for you; it's water under the bridge.

Talk to your chiropractor; tell you want to come, but are screwed up after his treatment. Spell it out. He needs to hear you, and adapt his treatment; or you go elsewhere.

Incidently, for your polymyalgia, increase the omega 3 foods in your diet, and decrease the omega 6; it's the ratio that's important and it sounds like yours is far too high. Not pills. Food. Type anti inflammatory omega 3 into the Site Search function at chiropractic help.

Wear that plate; I know it's a pain but they do help.

Dr Barrie Lewis



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Cervical and TMJ dystonia

Torticollis (ST)

Torticollis (ST)

Dear Sir/madam,
My name is Pete. After a head injury case from an army boxing match in 1990, I developed cervical dystonia in 1995 and my head pulls down to the right. I have a lot of jaw spasms most of the time now also which started a couple of years ago which make it difficult to talk sometimes also.

A brain scan discounted jaw dystonia so i am asssuming after research that it must be just TMJ disorder. Could you please offer me some advice and more importantly could you please reassure me that it is indeed curable with treatment. Many thanks for your kind support and i really hope to hear back from you soon, kindest regards,
Peter

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Sep 16, 2016
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Tmj dystonia treatment dentist
by: Dave

Well, been having treatment with a Richard Dean in London for last year now with some benefit but not completely cured. Richard only now works from his Sussex clinic which is quite a way from where I live so now looking for another dentist who is proficient in treating cervical dystonia caused by faulty tmj. Only one name crops up time and again, Andre Hedger in Surrey. He has some good write ups so it's looking like. I will be having treatment with this dentist who has had some very good results with patients.




Many thanks, Dave. Great that it's working for you. Perhaps you could give readers some insights into what Dr Dean does that is different from other dentists.

Dr Barrie Lewis





Jun 10, 2016
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Dave?
by: Adam Ridgewell DO, Canada

Do we know what happened to Dave?




Hello Dave,
I think you will probably receive this in your email box. As you can see there's been considerable interest in your post. Can you give us an update?

Dr Barrie Lewis




Oct 14, 2015
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tmj
by: Sue

Hello Dave
I too am looking for a tmj dentist who treats cervical dystonia, I came across your post when searching myself, I know someone who is having tmj treatment with dr hedger, and is having really good results, I myself cannot afford to pay for private treatment, so I'm trying to find a dentist who will treat me on the nhs, at the moment, A few cd tmj patients have just met up with some tmj specialist from america, who came over for a conference in London, the doctors name was jeffrey brown, and dr stack, you can look them up on utube, and facebook..I hope this helps you and would be good to know how you get on,

best wishes

Sue

Mar 06, 2015
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Total Postural re-programming!
by: Anonymous

I am a British trained Osteopath- strong preference for structural correction, but recently figured out that sensory correction is needed to "cement" structural changes. I have done some work with an outfit in Montreal, Canada. Great great stuff! Check this out-
www.posturepro.ca

I hope some day you can go down this route! I took one look at your picture and thought of this! Good luck!

Adam Ridgewell, DO




There is nothing to lose in your situation, Dave. Thanks for your contribution, Adam.

Dr Barrie Lewis




Feb 24, 2015
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Treatment Cervical Dystonia
by: Anonymous

Hi Dave,

You can contact Dr. Patrick Grossmann of Dr. Andrë Hedger for treatment of your Cervical Dystonia. Wish you all the best!

Jan 06, 2015
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Enquiry about TMJD and cervical dystonia
by: Dave

I am seeking a dentist who specialises in tmjd treatment for cervical dystonia. I live in the East London area and would like to find a suitable practitioner. Many thanks




Hello Dave,
I'm afraid I don't know the local dentists; I recommend you phone Dr Michael van den Bos, ask to speak to him personally, about whether he could help you, or recommend a local dentist.

I hope this contributes.

Dr Barrie Lewis



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