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TMJ or Temporomandibular joint disorder, Pain in the jaw

Category: TMJ Videos
829 22

Dr. Shawn Phelan, D.C.

22 Comments
Ahmed Bin.Nayae March 22, 2012 15:23:03

thanks a lot doctor, your info is great all the time, even after more than
one year am a person with TMJ found your helpful video

Shawn Phelan May 3, 2012 15:30:53

The onset of popping typically goes away on it’s own. However, the one
sided chewing served to inflame the internal elements of your right
temporo-mandibular joint. The popping is because of the effusion within the
joint. It is worse in the morning because you are clenching during the
night. Do not attempt exercises. You should consider seeing your primary
care doctor and ask they consider a course of prednisone (Medrol) and you
should ice the joint externally and consistently for 2 weeks.

Shawn Phelan May 4, 2012 15:16:53

Very good. If problems persist, let us know.

Shawn Phelan May 21, 2012 11:53:27

You may be developing Temporomandibular Joint Dysfunction (TMJD). The first
thing you should do is avoid all firm, chewy foods and eat nothing firmer
than a ripe banana for 2 weeks. Secondly, apply ice to the outside of the
jaw on the symptomatic side, 2-3 times per day for the same period of time.
You should also consider seeing either your dentist or primary care doctor.

Benita Singh June 7, 2012 1:45:50

my right jaw is numb and hurts when i open or chew, i have a huge singing
and acting performance tomorrow ! What should i do ?!

Shawn Phelan June 7, 2012 13:23:27

Yes it is. It appears that the inflammatory cycle is broken. Be careful
about taking large bites out of firm foods like apples or bagles and use
ice if symptoms retury.

Shawn Phelan June 7, 2012 13:26:17

In order to get through your performance, an over the counter
anti-inflammatory could be considered and an ice pack should be applied to
the jaw in the are of pain. Once per hour for 20 minutes. The numbness is a
concern and you should also see your primary care doctor to rule out
problems other than TMJD following your performance.

Shawn Phelan June 20, 2012 14:27:19

A couple of questions: is it the joint that feels raised, or that your
teeth on that side are landing early when you close your jaw — leaving the
other side separated? Also, does your jaw deviate to one side or the other
as you open? If you can answer those questions, I can give you a little
more direction.

Shawn Phelan June 21, 2012 22:35:57

Patients with your symptoms typically have detachment of the intercondylor
disc. Instead of the disc gliding back and forth, cushioning the TMJ joint,
it comes free of the condyle and wedged in the front part of the joint.
That is why you cannot open beyond two fingers and your jaw deviates. A 6
day Medrol Dose Pack (prednisone) prescribed by a primary care doctor, ice
over the TMJ and a massage therapist working with the jaw muscles can be
very, very helpful at this stage. We start there.

Shawn Phelan June 25, 2012 13:32:38

You’re welcome. Our patients that follow this pathway will also eat only
soft foods for 3-4 weeks during this process. The should notice a gradual
improvement in range of motion and a significant reduction in pain. The ice
should be applied for about a week after the symptoms seem to be resolved.
Please let us knot if the symtoms do not resolve.

Abu Abdillah July 5, 2012 3:13:08

hey my lower teeth is a little to the left from the center and causing a
gap in the side of my teeth. any help?

Shawn Phelan July 5, 2012 18:31:17

If the alignment you describe does not involve pain, is long-standing and
results in your teeth closing together in a different way on one side, you
should consult with an orthodontist.

Andrew Qualters July 26, 2012 10:44:22

Hey, wondering if you could help. I woke up a few days ago with a closed
jaw lock. The doctor I saw at the hospital was unable to fix it and after
seeing a specialist they said there was nothing they could physically do
and that it is a joint problem, that the disk is stuck too far up and that
with rest it should re-set itself. Is there anything else that can be done.
It is incredibly frustrating and I can not open my mouth anymore than about
a 1cm. It’s just on the right side. Thanks.

Shawn Phelan July 26, 2012 12:05:43

Aside from the displacement of the disc, the enemy is inflammation and
swelling within the joint. Initial care should be use of a cold pack, once
per hour for 20 minutes over symptomatic side and steroidal
anti-inflammatories is the most direct treatment. You should see your
primary care doctor and request a Medrol dose pack. The opening is likely
to return gradually. It is best to avoid hard, chewy foods until range of
motion is normal and pain free.

Osirisavath July 30, 2012 18:50:48

Hello , Dr , I want you to know that you are most excellent Dr, who really
explained to us very clearly and to make us to understand what cause this
pain . You are # 1 Teacher and Wonderfull Dr, that I’m so appreciated of
times and knowledge you share with buplic . Thanks a millions !

islamicangel95 October 28, 2012 0:43:20

Hi. Please can you help me! I have been having this problem for just under
a year now and i am 17 yrs old. My face is literally alwaysin pain and my
jaw is constantly clicking and feels tight. I constantly have earaches and
headaches and do not know what to do! Please help me!

koolcid2598 April 3, 2013 0:37:47

my right jaw always pops and clicks when i open and close my mouth but it
has no relevance to my teeth. Im 15 and this has been going on for about 6
months and my family said it will go away. it has deteriorated greatly
since it started for me but it flares up every now and then. Is there any
method I can use to help this? it doesnt hurt, but it does bother me
somewhat, just not in a painful way, how did this happen? can someone help
me out

hogueguy May 10, 2013 5:15:28

Very informative, and I like that you addressed the problem from every
angle. I’ve long suspected my pain was from my uneven bite. I guess I need
to see an orthodontist…alas.

Katherine M. Sadler September 11, 2014 8:51:56

You are able to get rid of tmj permanently in less than 1-2 months in a
natural way

MegaRichie10 April 19, 2015 14:06:36

i have a probleem where i can’t open my mouth wider then 3 fingers any
suggestions ???

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