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.

Amr H Sawalha
(405) 271-8478
825 Ne 10th St
Oklahoma City, OK
Specialty
Internal Medicine, Rheumatology

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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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Robert Lynn Mc Arthur, MD
(405) 579-1850
724 24th Ave NW Ste 210
Norman, OK
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1984
Hospital
Hospital: Norman Regional Hospital, Norman, Ok
Group Practice: McBride Clinic

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Linda Ann Zacharias
(405) 844-4978
1701 Renaissance Blvd
Edmond, OK
Specialty
Rheumatology

Data Provided by:
James McKay
(918) 748-8024
1430 Terrace Dr
Tulsa, OK
Specialty
Rheumatology

Data Provided by:
William Surbeck
(918) 748-7540
1919 S Wheeling Ave
Tulsa, OK
Specialty
Rheumatology

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Larry Grant Willis, MD
(405) 232-0341
1110 N Lee Ave
Oklahoma City, OK
Specialties
Internal Medicine, Rheumatology
Gender
Male
Languages
Spanish
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1974
Hospital
Hospital: Bone & Joint Hosp, Oklahoma City, Ok; Presbyterian Hospital, Oklahoma City, Ok; Veterans Affairs Med Ctr, Oklahoma City, Ok
Group Practice: Mc Bride Clinic Inc

Data Provided by:
James N Jarvis
(405) 271-7086
940 Ne 13th St
Oklahoma City, OK
Specialty
Rheumatology

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Dr.Craig Carson
(405) 844-4978
1701 Renaissance Blvd # 110
Edmond, OK
Gender
M
Education
Medical School: Univ Of Ut Sch Of Med
Year of Graduation: 1985
Speciality
Rheumatologist
General Information
Hospital: Edmond Med Ctr, Edmond, Ok
Accepting New Patients: Yes
RateMD Rating
4.2, out of 5 based on 14, reviews.

Data Provided by:
Douglas William White, MD
(918) 492-3636
5020 E 68th St
Tulsa, OK
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 2000

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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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