Joint Disorder Specialist Bellefontaine OH

Unfortunately, despite decades of research, we still don’t know what causes TMJD. But strong evidence suggests excessive use of the jaw muscles (grinding or clenching the teeth and jaws, known as bruxis), trauma tothe joint from an accident, and, of course, stress all play a role.

Mohammed M Ahmed MD
(419) 517-1115
3020 N McCord Rd, Suite 102
Toledo, OH
Business
Arthritis and Rheumatism Center
Specialties
Rheumatology, Internal Medicine
Insurance
Insurance Plans Accepted: Most Insurance Plans accepted

Doctor Information
Residency Training: Tuft's University, Boston, MA and Louisiana State University, Shreveport, LA
Medical School: Rawalpindi Medical College, 1989
Additional Information
Languages Spoken: Urdu,Hindi,Panjabi

Data Provided by:
Paul Eugene Thomson, MD
(513) 574-7174
5420 Haft Rd
Cincinnati, OH
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Vanderbilt Univ Sch Of Med, Nashville Tn 37232
Graduation Year: 1985

Data Provided by:
Dr.Carlos Zevallos
(440) 899-4917
29099 Health Campus Dr # 350
Westlake, OH
Gender
M
Education
Medical School: Univ Peruana Cayetano Heredia, Prog Acad De Med, Lima
Year of Graduation: 1967
Speciality
Rheumatologist
General Information
Hospital: Fairview Gen Hosp, Cleveland, Oh
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided by:
Bessie Susan Sullivan, MD
(330) 533-6767
7938 Kerrybrooke Trl
Youngstown, OH
Specialties
Internal Medicine, Rheumatology, Allergy
Gender
Female
Education
Medical School: Med Coll Of Pa, Philadelphia Pa 19129
Graduation Year: 1967
Hospital
Hospital: Muhlenberg Reg Med Ctr, Plainfield, Nj
Group Practice: Arthritis Allergy & Immunology

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Rula A Hajj-Ali, MD
(216) 445-6580
185 E Orange Hill Cir
Chagrin Falls, OH
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: American Univ Of Beirut, Fac Of Med, Bei
Graduation Year: 1993

Data Provided by:
Terrence George Foley, MD
(216) 953-8700
13071 Radcliffe Rd
Chardon, OH
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1986

Data Provided by:
Tauseef G Syed
(419) 874-1566
900 W South Boundary St
Perrysburg, OH
Specialty
Rheumatology

Data Provided by:
William Earl Venanzi, MD
(937) 257-9926
1180 Deer Run Rd
Centerville, OH
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1989

Data Provided by:
Mary Bratovich Toth
(330) 543-8574
1 Perkins Sq
Akron, OH
Specialty
Rheumatology

Data Provided by:
Michael Alan Gordon, MD
(419) 473-9380
3840 Woodley Rd
Toledo, OH
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1977
Hospital
Hospital: St Vincent Mercy Med Ctr, Toledo, Oh
Group Practice: Arthritis Associates-NW Ohio

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Muscular and Joint Disorders

Provided by: 

By Sam Dworkin, dds, phd, professor emeritus of psychiatry, behavioral sciences and oral medicine at the University of Washington Schools of Medicine and Dentistry

Assuming your dentist has already ruled out arthritis or a traumatic injury as the cause of your TMJD, yes, natural treatments will ease the pain without surgery or heavy drugs. TMJD (temporomandibular muscle and joint disorders) refers to problems with the chewing muscles (the masseter in your cheek and temporalis by your temple) or temporomandibular joint that cause persistent pain and even jaw lock. TMJD affects women much more than men (80 percent of people seeking treatment are female)—specifically women in their reproductive years (18 to 45). While no clear reason for this disparity exists, women appear to have less effective pain control during the low estrogen part of their cycle (right before and during menstruation), and the rapid fluctuations in estrogen throughout the reproductive years also seem to increase pain. This may partially explain why TMJD pain occurs much less frequently in postmenopausal women who are not on hormone replacement therapy—HRT has been linked to higher likelihood of jaw pain.

Unfortunately, despite decades of research, we still don’t know what causes TMJD. But strong evidence suggests excessive use of the jaw muscles (grinding or clenching the teeth and jaws, known as bruxis), trauma tothe joint from an accident, and, of course, stress all play a role. Stress causes widespread changes in your body—almost all of them negative—from increased muscle tension to neurological changes and even depression. Managing stress, dealing with bottled-up emotions, and a little TLC for your TMJ will help you alleviate, and possibly eliminate, your pain.

Getting to know your pain
Cognitive behavioral therapy (CBT) is particularly effective in treating chronic pain, anxiety, and depression. CBT helps you notice your body’s reaction to stress—how stress heightens pain and other symptoms (think tension in the body and jaw). It then offers simple techniques like guided imagery and relaxation exercises to reduce not only the experience of stress but also its impact on the body—increased muscle tension, heart rate, and blood pressure, all of which exacerbate pain everywhere in the body. It’s best to work with a trained CBT therapist, but start with this simple exercise:
Counter the tension in the jaw by licking your lips slightly and then swallowing. Allow the jaw to remain in the position it naturally takes immediately after swallowing—teeth slightly apart and lips lightly touching. This natural position leaves the big chewing muscles relaxed. Practice this for three to five minutes several times a day.
Monitor your pain. A couple of times a day, take a moment to rate your pain on a scale from zero to 10, and look for patterns over time. Is your pain worse in the mornings? Do certain emotions affect it? What seems to trigger or relieve the pain?

TLC...

Author: Sam Dworkin, dds, phd

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