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

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Edward Goldberger
(419) 473-9380
3922 Woodley Rd
Toledo, OH
Specialty
Internal Medicine, Rheumatology

Data Provided by:
Andrew Carlton Raynor
(330) 668-4045
471 N. Cleveland Massillon Rd.
Akron, OH
Specialty
Rheumatology

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Stanley Ballou
(216) 778-4765
2500 Metrohealth Dr
Cleveland, OH
Specialty
Rheumatology

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James Richard Goske, MD
(330) 668-4045
3975 Embassy Pkwy Ste 101
Akron, OH
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Oh State Univ Coll Of Med, Columbus Oh 43210
Graduation Year: 1974

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Fred Douglass Finkelman, MD
(513) 636-6656
3333 Burnet Ave
Cincinnati, OH
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Yale Univ Sch Of Med, New Haven Ct 06510
Graduation Year: 1971

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Gregory DeLorenzo
(513) 922-1200
2001 Anderson Ferry Rd
Cincinnati, OH
Specialty
Internal Medicine, Rheumatology

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Dr.Kevin V. Hackshaw
(614) 293-9028
480 W 9th Ave # S2056
Columbus, OH
Gender
M
Education
Medical School: Baylor Coll Of Med
Year of Graduation: 1983
Speciality
Rheumatologist
General Information
Accepting New Patients: Yes
RateMD Rating
3.9, out of 5 based on 7, reviews.

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Matthew Edward Morrow, MD
(419) 625-4900
703 Tyler St Ste 351
Sandusky, OH
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1990

Data Provided by:
Phyllis Lisa Iannuzzi, MD
(440) 248-5335
10828 Ravenna Rd
Twinsburg, OH
Specialties
Internal Medicine, Rheumatology
Gender
Female
Education
Medical School: Suny At Buffalo Sch Of Med & Biomedical Sci, Buffalo Ny 14214
Graduation Year: 1977

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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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