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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Is Acute TMJ Treated?

How should I treat my acute tmj/d flare up? I'm in a LOT of pain, which makes me clench my jaw which feeds the vicious cycle. Should I try pain meds and muscle relaxer and go to bed? It hasn't been this bad in years. I know for certain that the joint is damaged and there is significant swelling now, too.
Mon, 6 Oct 2014
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Dentist, Oral and Maxillofacial Surgery,  's  Response
Thanks for your query. I have gone through your query.
The pain in the TMJ can be because of the disc displacement of TMJ or retrodiscitis.
Nothing to be panic, If i am your treating doctor, i would have advised you to take, tablet piroxicam 20mg twice daily on first day and once daily for next 6days.
Do not clench your teeth, do not eat hard things and do not open your mouth wide.
You can give hot fomentation over the joint.
If the pain does not reduce after this, then consult a oral physician and get it evaluated.
Medicines are temporary, so you can go for arthocentesis or joint lavage with saline or autologous blood, this gives relief for 6months to year..
i hope my answer will help you. Take care
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How Is Acute TMJ Treated?

Thanks for your query. I have gone through your query. The pain in the TMJ can be because of the disc displacement of TMJ or retrodiscitis. Nothing to be panic, If i am your treating doctor, i would have advised you to take, tablet piroxicam 20mg twice daily on first day and once daily for next 6days. Do not clench your teeth, do not eat hard things and do not open your mouth wide. You can give hot fomentation over the joint. If the pain does not reduce after this, then consult a oral physician and get it evaluated. Medicines are temporary, so you can go for arthocentesis or joint lavage with saline or autologous blood, this gives relief for 6months to year.. i hope my answer will help you. Take care