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:
Michael Gregory Pordy
(513) 281-7600
4760 E Galbraith Rd
Cincinnati, OH
Specialty
Rheumatology

Data Provided by:
Michael W Lindamood
(419) 424-0380
200 W Pearl St
Findlay, OH
Specialty
Rheumatology

Data Provided by:
William Clement Wojno, MD
(216) 668-4045
3975 Embassy Pkwy Ste 101
Akron, OH
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduation Year: 1979

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Hermine Isabel Brunner
(419) 291-7861
2150 W Central Ave
Toledo, OH
Specialty
Rheumatology

Data Provided by:
North Coast Natural Health
(330) 460-5155
1814-B Pearl Road
Brunswick, OH
Services
Women's Health, Weight Management, Supplements, Stress Management, Rheumatology, Preventive Medicine, Pain Management, Orthomolecular Medicine, Nutrition, Naturopathy, Metabolic Medicine, Herbal Medicine, Healthy Aging, General Practice, Functional Medicine, Arthritis, Acupuncture
Membership Organizations
American Holistic Medical Association

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Abigail Russell Smukler
(419) 479-5860
4235 Secor Rd
Toledo, OH
Specialty
Rheumatology

Data Provided by:
Andrew Carlton Raynor, MD
(330) 668-4045
3975 Embassy Pkwy Ste 101
Akron, OH
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Med Coll Of Ohio, Toledo Oh 43699
Graduation Year: 1975

Data Provided by:
Augusto T Hsia
(800) 223-2273
9500 Euclid Ave
Cleveland, OH
Specialty
Internal Medicine, Rheumatology

Data Provided by:
Jeffrey A Biro
(800) 223-2273
9500 Euclid Ave
Cleveland, OH
Specialty
Rheumatology

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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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