There has been much discussion among doctors, dentists and patients about the benefits of bisphosphonate medications (such as Fosamax, Actonel, Boniva and Reclast) and the potential risk of osteonecrosis of the jaw. This condition, which involves painful, exposed bone in the jaw that does not heal normally, has been linked for some time with the use of bisphosphonates, although only rarely with the oral formulations most commonly prescribed to osteoporosis patients. A recent article in Endocrine Today -- www.endocrinetoday.com/view.aspx?rid=26870 -- helps put the relationship between bisphosphonates and ONJ in perspective. As has been previously reported, the possibility of this side effect is much higher for those taking the drugs in the doses given intravenously for cancer patients. For many osteoporosis patients, the risk of breaking a bone is much higher than developing osteonecrosis of the jaw. This is important to bear in mind when one talks to a physician about&n...
TMD; Temporomandibular joint disorders; Temporomandibular muscle disorders
Symptoms associated with TMJ disorders may be:
Biting or chewing difficulty or discomfort
Clicking, popping, or grating sound when opening or closing the mouth
Dull, aching pain in the face
Jaw pain or tenderness of the jaw
Reduced ability to open or close the mouth
Signs and tests
You may need to see more than one medical specialist for your TMJ pain and symptoms, such as your primary care provider, a dentist, or an ear, nose, and throat (ENT) doctor, depending on your symptoms.
A thorough examination may involve:
A dental examination to show if you have poor bite alignment
Feeling the joint and connecting muscles for tenderness
Pressing around the head for areas that are sensitive or painful
Sliding the teeth from side to side
Watching, feeling, and...
When I was in the middle of a deep depression six years ago, going to my local bipolar support group meetings was the best thing I did for myself. With advice, support and encouragement from group members, I found help in the mental health community and gradually got myself together. I still go to meetings regularly in order to maintain my own balance and help others. Yet whenever I recommend going to bipolar support group meetings, I invariably hear from someone who lives in an area where there are no such groups available. There were none in Ithaca, New York, where I now live, until ten years ago when Carole Stone, along with a supportive friend, founded the Ithaca Bipolar Explorers, which is affiliated with the Depression and Bipolar Support Alliance (DBSA). All it takes is one dedicated person to get a support group started, though when two or more work together, the burden is lighter. DBSA offers a complete package on how to start a support group affiliated...
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