Joint Disorder Specialist Dillon SC

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.

Georgia Roane
(843) 571-6067
14 Farmfield Ave
Charleston, SC
Specialty
Rheumatology

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Walter Morse Bonner
(843) 881-9971
890 Johnnie Dodds Blvd
Mt Pleasant, SC
Specialty
Rheumatology

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Dr.John T Hicks
(864) 953-8002
303 W Alexander Ave
Greenwood, SC
Gender
M
Education
Medical School: Columbia Univ Coll Of Physicians And Surgeons
Year of Graduation: 1972
Speciality
Rheumatologist
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

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Kathleen Patricia Flint, MD
(803) 779-0911
1711 Saint Julian Pl
Columbia, SC
Specialties
Internal Medicine, Rheumatology
Gender
Female
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1982

Data Provided by:
Dr.Kevin Tracy
(864) 582-7892
145B Dillon Dr
Spartanburg, SC
Gender
M
Education
Medical School: Va Commonwealth Univ, Med Coll Of Va Sch Of Med
Year of Graduation: 1981
Speciality
Rheumatologist
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 3, reviews.

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Dr.Alan Nussbaum
(843) 571-6067
14 Farmfield Ave # E
Charleston, SC
Gender
M
Education
Medical School: Harvard Med Sch
Year of Graduation: 1977
Speciality
Rheumatologist
General Information
Hospital: Bon Secours-St Francis Hosp, Charleston, Sc
Accepting New Patients: Yes
RateMD Rating
2.0, out of 5 based on 1, reviews.

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Edwin Allan Smith, MD
(843) 792-1414
171 Ashley Ave
Charleston, SC
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Univ Of Pittsburgh Sch Of Med, Pittsburgh Pa 15261
Graduation Year: 1979

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Melissa Joan Terchek
(843) 692-0968
8220 Nigels Dr
Myrtle Beach, SC
Specialty
Internal Medicine, Rheumatology

Data Provided by:
Dr.Kathleen Flint
(803) 779-0911
1711 Saint Julian Pl
Columbia, SC
Gender
F
Education
Medical School: Med Coll Of Ga Sch Of Med
Year of Graduation: 1982
Speciality
Rheumatologist
General Information
Accepting New Patients: Yes
RateMD Rating
3.5, out of 5 based on 2, reviews.

Data Provided by:
Gary E Fink
(843) 572-4840
2860 Tricom St
North Charleston, SC
Specialty
Rheumatology

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Muscular and Joint Disorders

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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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