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What Causes Pain In Lower Jaw During Exercise With TMJ Disorder?
Question: Hi, I have been diagnosed with Temporomandibular Joint Disorder,in both ears,but I feel the affects mainly the right ear. I do some jaw exercises as suggested, but when I have stress in my day, the right ear (mainly), begins to become painful and the pain radiates down to the neck. I take pain medicine, and try to not let stressful situations get to me, but I am human, and they do from time to time. I am a 50 year old white female. The only medication I am on, is Levothyroxine. Thanks for your thoughts.
Brief Answer:
soft splints, soft diet,medication, orthocentesis,
Detailed Answer:
Thanks for your query,
I have gone through your query. TMJ disorder can be disc displacement with or without reduction or subluxation or retrodiscitis. If i am your treating doctor I would have suggested you to take an MRI of the joint to see the condition of the disc.
Before starting the treatment we have to remove the cause of the joint disorder, that could be maloclusion, grinding teeth during night time, trauma. Stress plays a major role in this because stress aggravates the joint disorder. Start exercise, yoga and mediation to combat strss. If you have the habit bruxism you can use soft splints after consulting the oral physician.
If there is a disc displacement then I would have prescribed tablet piroxicam 20 mg twice daily on first day and once daily for next six days(if you are not allergic) and advised not to open your mouth too wide and take soft diet. you can also give hot fomentation over the joint. If this treatment doesn't work then I would have suggested the joint lavage with saline or blood (orthocentesis).
You need not suffer as you are currently. A well planned treatment can help you from this situation. It all starts first with MRI of the joint. Visit an oral surgeon and discuss about.
I hope my answer will help you. if you have any queries, please reply me back.
Take care
soft splints, soft diet,medication, orthocentesis,
Detailed Answer:
Thanks for your query,
I have gone through your query. TMJ disorder can be disc displacement with or without reduction or subluxation or retrodiscitis. If i am your treating doctor I would have suggested you to take an MRI of the joint to see the condition of the disc.
Before starting the treatment we have to remove the cause of the joint disorder, that could be maloclusion, grinding teeth during night time, trauma. Stress plays a major role in this because stress aggravates the joint disorder. Start exercise, yoga and mediation to combat strss. If you have the habit bruxism you can use soft splints after consulting the oral physician.
If there is a disc displacement then I would have prescribed tablet piroxicam 20 mg twice daily on first day and once daily for next six days(if you are not allergic) and advised not to open your mouth too wide and take soft diet. you can also give hot fomentation over the joint. If this treatment doesn't work then I would have suggested the joint lavage with saline or blood (orthocentesis).
You need not suffer as you are currently. A well planned treatment can help you from this situation. It all starts first with MRI of the joint. Visit an oral surgeon and discuss about.
I hope my answer will help you. if you have any queries, please reply me back.
Take care
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
Dr. Mahesh Kumar T S
Dentist, Oral and Maxillofacial Surgery
Practicing since :2007
Answered : 3377 Questions
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