Joint Disorder Specialist Liberal KS

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.

Steen E Mortensen
(316) 689-9188
3311 E Murdock St
Wichita, KS
Specialty
Internal Medicine, Rheumatology

Data Provided by:
Dr.Shadi Shahouri
(316) 612-4815
2450 North Woodlawn Boulevard
Wichita, KS
Gender
F
Speciality
Rheumatologist
General Information
Accepting New Patients: Yes
RateMD Rating
1.5, out of 5 based on 2, reviews.

Data Provided by:
David Allen Cooley, MD
(913) 661-9980
5701 W 119th St
Leawood, KS
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 1966

Data Provided by:
John Douglas Gardner, MD
(913) 354-9591
901 SW Garfield Ave
Topeka, KS
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1976

Data Provided by:
Dr.Christopher Koenig
(913) 661-9990
12330 Metcalf Ave # 570
Overland Park, KS
Gender
M
Education
Medical School: Baylor Coll Of Med
Year of Graduation: 1993
Speciality
Rheumatologist
General Information
Accepting New Patients: Yes
RateMD Rating
2.8, out of 5 based on 6, reviews.

Data Provided by:
Dr.Anne M. Regier
(816) 361-1910
5701 W 119th St # 209
Leawood, KS
Gender
F
Education
Medical School: Univ Of Southern Ca Sch Of Med
Year of Graduation: 1978
Speciality
Rheumatologist
General Information
Hospital: Baptist Lutheran Medical Center
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided by:
Raymond Clifford Lumb, MD
(785) 354-5365
901 SW Garfield Ave
Topeka, KS
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1968

Data Provided by:
Nancy Shields Nowlin, MD
(785) 840-2551
4609 Harvard Rd
Lawrence, KS
Specialties
Internal Medicine, Rheumatology
Gender
Female
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1974

Data Provided by:
Teresa Ann Reynolds, MD
(316) 689-9111
3311 E Murdock St
Wichita, KS
Specialties
Internal Medicine, Rheumatology
Gender
Female
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1981

Data Provided by:
Basit A Malik
(620) 663-8200
210 E 30th Ave
Hutchinson, KS
Specialty
Internal Medicine, 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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