[sci.med] TMJ- temporo-mandibular-joint syndrome

btb@ncoast.UUCP (Brad Banko) (10/27/86)

Has anybody else had any experience with TMJ pain... aka temporo mandibular
joint syndrome... this is the joint between your jaw and your skull which
articulates just in front of your ears... I have had this type of pain, and
it can be very annoying, if not scary... I think that it is supposed to be
related to tension and stress, but I also think that it may be related to
having had orthodontics at one time or another... I have seen several different
medical types... ENT men, dentists, etc., but none of them seem to have any
answers... it's either "in your head", or is "nothing to worry about"... easy
enough for them to say, eh?  You are the one who has to live with it...

	Thanks,


-- 
			Brad Banko
			...!decvax!cwruecmp!ncoast!btb
			Cleveland, Ohio

spear@ihlpf.UUCP (Spearman) (10/28/86)

> Has anybody else had any experience with TMJ pain... aka temporo mandibular
> joint syndrome... this is the joint between your jaw and your skull which
> articulates just in front of your ears... I have had this type of pain, and
> it can be very annoying, if not scary... I think that it is supposed to be
> related to tension and stress, but I also think that it may be related to
> having had orthodontics at one time or another... I have seen several different
WARNING: 3rd hand, medical hearsay follows:
If you put your finger in your ear, then open and close your jaw, you
will hear a definite and obnoxious clicking if your mandible is not seating
correctly.  This can be a cause of TMJ pain.  One treatment I have heard of
is to exercise the muscles related to the jaw to strengthen them and
presumably help the jaw be held in place better.  The exercises are
things like jutting your jaw forward and back against mild resistance
(e.g. your hand).

Steve Spearman  ihnp4!ihlpf!spear

wws@sfsup.UUCP (Bill Stoll) (10/29/86)

> Has anybody else had any experience with TMJ pain... aka temporo mandibular
> joint syndrome... this is the joint between your jaw and your skull which
> articulates just in front of your ears...
> -- 
> 			Brad Banko
> 			...!decvax!cwruecmp!ncoast!btb
> 			Cleveland, Ohio

There is an article in the Nov/Dec '86 issue of _Self_Care_ about TMJ.
It says that several dentists and chiropractors "specialize" in TMJ.
They also listed some references that you may be interested in.  I've
included them below; please note however that I have no idea whether
they are worth the electrons they are printed with.

	"Killing Pain Without Prescription" by Harold Gelb, D.M.D.
	and Paula Siegel, 1982, 247 pages, $7.95 postpaid from
	Barnes and Noble, 105 Fifth Ave., New York, NY 10003.
	A discussion of TMJ for the layperson.  Includes causes
	and symptoms, self-help exercises, relaxation techniques,
	and nutritional recommendations.

	"Jam Joints and Allied Musculo-Skeletal Disorders Foundation,
	Inc." (JJAMD), c/o Milton and Renee Glass, 790 Boylston St.,
	suite 17-H, Boston, MA 02199.  Self-help group for TMJ sufferers.
	They provide information, referrals, and group meetings.
-- 
	Bill Stoll
	ihnp4!attunix!wws

bill@sigma.UUCP (William Swan) (10/29/86)

In article <1638@ncoast.UUCP> btb@ncoast.UUCP (Brad Banko) writes:
>Has anybody else had any experience with TMJ pain... aka temporo mandibular
>joint syndrome... [...] I have had this type of pain, and
>it can be very annoying, if not scary... [...]

I have (suffered from) TMJ also.

I had orthodontic work done 14 years ago, apparently a mis-alignment of the
teeth was causing some jaw "dislocation".. this might have been the onset
but the orthodontist didn't mention it.

I went to a TMJ specialist about two years ago. I'd suffered occasional pains
for several years, most often a severe cramp in the jaw most times I yawned.
I really don't remember much of what he said then, but he has become my
"regular" dentist and thereby is keeping an eye. I seem to recall that
surgery could become required if measures aren't taken soon enough.

What I had to do was to learn to not keep my teeth clenched shut all the
time, to modify the relaxed posture to one with the jaw (not necessarily
the mouth) slightly open. Not an easy change..especially when you're under
stress. It's amazing how much difference that makes.. I've experienced the
jaw cramp perhaps twice in the past six months, as opposed to almost daily
before.

The specialist noted that I had had orthodontic work done, but made nothing
of it beyond that. 

I will be seeing him again in a couple weeks. If there are any questions you
want answered, let me know.

cetron@utah-cs.UUCP (Edward J Cetron) (11/01/86)

	My wife had TMJ quite bad for several years, the bottom line
(after much research, pain, consultations....)

	1. In many cases (but NOT all) there are no major secondary problems
(like your jaw falling off :-) ) except the pain.
	2. Stress has a LOT to do with exacerbating the pain/problem.
	3. In many cases learning to relax the jaw muscles will help immensely.
	4. Grind your teeth (such as at night) or clenching your teeth are very
bad.
	5. To counter act 4., my wife used a 'bite plate' or some such to keep
her from grinding her teeth.
	6. I have heard of muscle relaxants being perscribed also to relieve
4. though she didn't need any.
	7. In serious malformation cases, surgery is indicated.
	
	the good news is:

	1. there are several 'non-quack' DDS's specializing in TMJ
	2. since she stopped grinding her teeth, there has been very little
pain.

-ed cetron
center for biomedical design
Univ of Utah

jsdy@hadron.UUCP (Joseph S. D. Yao) (11/06/86)

In article <829@ihlpf.UUCP> spear@ihlpf.UUCP (Spearman) writes:
>> Has anybody else had any experience with TMJ pain... aka temporo mandibular
>> joint syndrome... 
>>					... I think that it is supposed to be
>> related to tension and stress, ...

I had an episode of this, and was told that "bruxing," or grinding
my teeth together, was causing this.  First, I was given a prescrip-
tion for a muscle relaxant/tranquilizer.  This kept me from grinding
my teeth while I was asleep.  Second, I found that a leak in the room
where I was staying was chilling me at night (I hadn't noticed!), and
when I moved so did this problem.  It hasn't recurred.

BTW, for most acronyms there really is no one definitive reference;
but the expansion in the Subject: line is what I've most often heard.
Many acronyms have more than one expansion (CVA, e.g.), and many
phrases have more than one acronym (EKG/ECG).
-- 

	Joe Yao		hadron!jsdy@seismo.{CSS.GOV,ARPA,UUCP}
			jsdy@hadron.COM (not yet domainised)