Joint Disorder Specialist Ponca City OK

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.

Yuri R Nakasato
(405) 271-3050
825 Ne 10th St
Oklahoma City, OK
Specialty
Internal Medicine, Rheumatology

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Leslie S Staudt
(405) 271-8478
825 Ne 10th St
Oklahoma City, OK
Specialty
Rheumatology

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Dr.ROBERT ARTHUR
(405) 230-9000
1110 N Lee
Oklahoma City, OK
Gender
M
Education
Medical School: Oh State Univ Coll Of Med
Year of Graduation: 1968
Speciality
Rheumatologist
General Information
Accepting New Patients: Yes
RateMD Rating
1.0, out of 5 based on 1, reviews.

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Frederick Delafield, MD
(405) 749-4290
4200 W Memorial Rd Ste 313
Oklahoma City, OK
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Univ Of South Fl Coll Of Med, Tampa Fl 33612
Graduation Year: 1980
Hospital
Hospital: Mercy Health Center, Oklahoma City, Ok

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Robert Eugene Arthur
(405) 230-9000
1110 N Lee Ave
Oklahoma City, OK
Specialty
Rheumatology

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Raul Jose A Romea, MD
(405) 737-6600
2801 Parklawn Dr Fl 5
Oklahoma City, OK
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Univ Of The Philippines, Coll Of Med, Manila, Philippines
Graduation Year: 1992
Hospital
Hospital: St Anthony Hospital, Oklahoma City, Ok
Group Practice: Orthopaedic & Reconstructive

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Sara Lee Newell, MD
(918) 497-3900
6160 S Yale Ave
Tulsa, OK
Specialties
Internal Medicine, Rheumatology
Gender
Female
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1975
Hospital
Hospital: St Francis Hospital, Tulsa, Ok; Southcrest Hospital, Tulsa, Ok
Group Practice: Springer Clinic

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Dr.Ellen Zanetakis
(918) 748-8024
1430 Terrace Drive
Tulsa, OK
Gender
F
Education
Medical School: Northeastern Oh Univs Coll Of Med
Year of Graduation: 1982
Speciality
Rheumatologist
General Information
Hospital: Hillcrest Med Ctr, Tulsa, Ok
Accepting New Patients: Yes
RateMD Rating
1.9, out of 5 based on 4, reviews.

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Alan Martin
(918) 748-7540
1919 S Wheeling Ave
Tulsa, OK
Specialty
Rheumatology

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William Martin Schnitz, MD
(405) 949-6481
5700 N Portland Ave # 210
Oklahoma City, OK
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1987
Hospital
Hospital: Integris Baptist Med Ctr, Oklahoma City, Ok
Group Practice: Internal Medicine

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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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