Joint Disorder Specialist Montclair CA

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.

James H Meriwether Jr, MD
(919) 624-4503
1526 Tulane Rd
Claremont, CA
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Univ Of Pa Sch Of Med, Philadelphia Pa 19104
Graduation Year: 1960

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Martin Bernard Bauman, MD
(301) 816-6534
939 Deep Springs Dr
Claremont, CA
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Finch U Of Hs/Chicago Med Sch, North Chicago Il 60664
Graduation Year: 1962

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Thang Trung Le
(909) 982-0099
548 N 13th Ave
Upland, CA
Specialty
Rheumatology

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J Michael Finley, DO
(909) 469-5265
309 E 2nd St
Pomona, CA
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Chicago Coll Of Osteo Med, Midwestern Univ, Chicago Il 60615
Graduation Year: 1986

Data Provided by:
Brian Namhyung Huh, MD
Diamond Bar, CA
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Loma Linda Univ Sch Of Med, Loma Linda Ca 92350
Graduation Year: 1994

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Ungsana Ukarapong, MD
(909) 981-6966
630 N 13th Ave
Upland, CA
Specialties
Internal Medicine, Rheumatology
Gender
Female
Education
Medical School: Chulalongkorn Univ, Fac Of Med, Bangkok, Thailand
Graduation Year: 1969

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Eric Chengjer Lee, MD
(909) 982-0099
548 N 13th Ave Ste 204
Upland, CA
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Cornell Univ Med Coll, New York Ny 10021
Graduation Year: 1997

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Eugene P Boling, MD
(909) 982-1769
3521 Padua Ave
Claremont, CA
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Univ Of Ca, Los Angeles, Ucla Sch Of Med
Graduation Year: 1976

Data Provided by:
Babak Zamiri, MD
(336) 716-6856
1227 Paseo Los Gavilanes
San Dimas, CA
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Ross Univ, Sch Of Med & Vet Med, Roseau, Dominica
Graduation Year: 1998

Data Provided by:
Helen Mingfen Hsiao, MD
Diamond Bar, CA
Specialties
Internal Medicine, Rheumatology
Gender
Female
Education
Medical School: Univ Of Southern Ca Sch Of Med, Los Angeles Ca 90033
Graduation Year: 1996

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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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