Joint Disorder Specialist Phoenix AZ

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.

Gary J Silverman DO
(480) 941-3991
3337 N Miller Rd
Scottsdale, AZ
Specialties
Rheumatology

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William Richard Finch
(602) 277-5551
650 E Indian School Rd
Phoenix, AZ
Specialty
Rheumatology

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Jeanne Attrep
(602) 277-5551
650 E Indian School Rd
Phoenix, AZ
Specialty
Rheumatology

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William Hugh Jackson, MD
(602) 274-6885
3008 N 3rd St
Phoenix, AZ
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Univ Of Co Sch Of Med, Denver Co 80262
Graduation Year: 1973
Hospital
Hospital: Good Samaritan Reg Med Ctr, Phoenix, Az
Group Practice: Emory Clinic

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Lisa Rose Weinrib, MD
(480) 596-1924
6036 N 19th Ave
Phoenix, AZ
Specialties
Internal Medicine, Rheumatology
Gender
Female
Education
Medical School: New York Med Coll, Valhalla Ny 10595
Graduation Year: 1981

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Paul F Howard, MD
(480) 609-4200
9097 E Desert Cove Ave
Scottsdale, AZ
Business
Arthritis Health
Specialties
Rheumatology

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Jeremy R Becker, MD
(505) 262-7161
444 W Osborn Rd Ste 200
Phoenix, AZ
Specialties
Orthopedics, Rheumatology
Gender
Male
Education
Medical School: Albany Med Coll, Albany Ny 12208
Graduation Year: 1980

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Michael James Fairfax, DO
(602) 234-3444
3330 N 2nd St Ste 601
Phoenix, AZ
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Kirksville Coll Of Osteo Med, Kirksville Mo 63501
Graduation Year: 1977

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Oscar Silberstein Gluck, MD
(602) 246-5260
6707 N 19th Ave Ste 201
Phoenix, AZ
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Univ Del Valle, Div Of Cien De La Salud, Cali, Colombia
Graduation Year: 1973

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Joseph Wynne Nolan
(602) 285-0017
5040 N 15th Ave
Phoenix, AZ
Specialty
Internal Medicine, 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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