Joint Disorder Specialist West Linn OR

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 Kenneth Smith Jr, MD
(503) 239-7767
22851 Oregon City Loop
West Linn, OR
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1985

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David Lloyd Smith, MD
(503) 571-3170
9800 SE Sunnyside Rd
Clackamas, OR
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduation Year: 1975

Data Provided by:
Andre Barkhuizen, MD
(503) 494-8963
6640 SW Redwood Ln
Portland, OR
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Univ Of The Witwatersrand, Med Sch, Johannesburg, So Africa
Graduation Year: 1984

Data Provided by:
Anne Amelia Vetto, MD
(503) 248-3674
2611 SW Ravensview Dr
Portland, OR
Specialties
Internal Medicine, Rheumatology
Gender
Female
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1984

Data Provided by:
Atulya Achyut Deodhar, MD
(503) 494-8963
3181 Sw Sam Jackson Park Rdop09
Portland, OR
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Bj Med Coll, Univ Of Pune, Pune, Maharashtra, India
Graduation Year: 1987

Data Provided by:
Andre Barkhuizen
(503) 675-3000
17050 Pilkington Rd
Lake Oswego, OR
Specialty
Internal Medicine, Rheumatology

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Ian Currie Mac Millan, MD
(503) 682-2101
Wilsonville, OR
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Queens Univ, Fac Of Med, Kingston, Ont, Canada
Graduation Year: 1956
Hospital
Hospital: Kaiser Sunnyside Foundation Ho, Clackamas, Or

Data Provided by:
Elizabeth Ann Tindall, MD
(503) 620-2117
6640 SW Redwood Ln Ste 301
Portland, OR
Specialties
Internal Medicine, Rheumatology
Gender
Female
Education
Medical School: In Univ Sch Of Med, Indianapolis In 46202
Graduation Year: 1977
Hospital
Hospital: Adventist Med Ctr -Portland, Portland, Or; Providence St Vincent Med Ctr, Portland, Or
Group Practice: Portland Medical Assoc

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Dr.Robert Bennett
(503) 494-8963
3181 Southwest Sam Jackson Park Road
Portland, OR
Gender
M
Education
Medical School: Univ Of London
Year of Graduation: 1964
Speciality
Rheumatologist
General Information
Hospital: Oregon Health Sciences University
Accepting New Patients: Yes
RateMD Rating
4.0, out of 5 based on 3, reviews.

Data Provided by:
Emil John Bardana Jr, MD
(503) 494-8531
Mail Code OP34 3181 S W Sam Jackson Park Road
Portland, OR
Specialties
Allergy & Immunology, Rheumatology
Gender
Male
Languages
Italian
Education
Medical School: Mc Gill Univ, Fac Of Med, Montreal, Que, Canada
Graduation Year: 1961
Hospital
Hospital: Oregon Health & Science Univ H, Portland, Or; Providence St Vincent Med Ctr, Portland, Or
Group Practice: Allergy Clinic

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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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