If Self Care for TMJ Disorder Fails

by Stacy Stone

If self care techniques for TMJ Disorder do not relieve your pain, your physician might recommend moving forward with treatment more involved than self care.

This can include:

Imaging: MRI, CT, X-Rays (Panorex, Tomogram, etc.) and other imaging techniques can be used to determine the state of the joints and surrounding tissues as well as determine what treatment may be the most appropriate. MRI's are primarily used for visualizing soft tissue such as discs and muscles, while CT scans show bone in great detail. X-Rays give a basic look at the joints and their relationship with your occlusion (the way your teeth fit together).

Splint Therapy: Splints, nightguards, biteplates and NTI's (all words for similar devices) are the most common treatment for jaw related pain and muscle disorders.

Injections: Trigger point injections are injections to address knots in muscles that cause pain. They can be done with anesthetic only, that is, without epinephrine or anti-inflammatory. After having these injections, your physician will direct you to use some sort of coolant such as spray and stretch or ice and to do stretching exercises to avoid discomfort. Some physicians may choose to do a type of injection called "dry needling" which involves no anesthetic or steroids. Anti-inflammatory injections are given with anesthetic followed by either a steroid or serapin, which is a type of anti-inflammatory derived from a natural plant source. The amount of steroid injections are limited because the structure of muscles can be compromised if given too much.

Physical Therapy: Some doctors will send you to physical therapy, others will perform it in their offices, and others will have you do it at home. The most common modalities performed in physical therapy are TENS, ultrasound, infared, iontophoresis, stretching exercises, hot and cold packs, massage, and evaluation of posture, ergonomics, and sleeping positions.

Alternative Therapy: Some doctors will refer you to chiropractors, massage therapists, acupuncturists, biofeedback therapists or nutritionists. An osteopath – a doctor who has different medical training than an MD – is trained to perform all of these functions. As with any medical procedure, one must do their homework and be comfortable both with the modality and the practitioner for it to be successful.

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