TMJ Symptoms

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The many faces of TMJ

TMJ is often called THE GREAT IMPOSTER

tmj-symptoms-chicagoTMJ symptoms can be wide ranging, complex and difficult to understand.  Frequently patients go from doctor to doctor looking for answers to these problems only to be frustrated again and again.  This is why the name  The Great Imposter is so accurate.  Patients are treated for symptoms not underlying causes.

If you experiencing any of the following common symptoms:

  • facial pain and soreness
  • Tension headaches or tmj and/or muscle headaches
  • migraines and other vascular headaches
  • ear pain …otalgia
  • ear ringing
  • sinus pain or pressure
  • ear stuffiness or pressure
  • distorted hearing
  • eye pain
  • pain behind the eye..retro-orbital pain
  • eye sensitivity
  • neck pain
  • back pain
  • tender jaw muscles
  • muscle tightness
  • MPD or Myofascial Pain and Dysfunction
  • Fibromyalgia
  • Sleep Disordrs
  • Morning Headaches
  • muscle pain
  • pain when biting, chewing or yawning
  • difficulties closing and opening the mouth
  • popping or clicking sounds when opening the mouth
  • sensitive teeth
  • excessive tooth wear
  • numbness in the fingers, hands & arms

and you can’t seem  to find a way to resolve them, they could be caused by a dental problem known as Temporomandibular Joint Disorder or Dysfunction (TMD).

TMJ is often ignored by the medical community.

If you’ve sought medical treatment with no results, the next logical step to finding out what is at the root cause of your pain or discomfort is to seek a consultation with a dentist trained in physiologic dentistry.  Dr. Shapira has over 30 years experience in physiologic dentistry and pain treatment.

How could your TMJ be the cause of your unexplained chronic pain?

The Trigeminal Nerve Connection

Often, unresolved chronic pain or discomfort is associated with the temporomandibular (TMJ) joint. You use this important joint to eat, chew, talk or yawn. The successful working of these joints depends on the smooth interaction of ligaments, muscles, bones and discs that make up the TMJ.

The largest input to our brain is the Trigeminal nerve, it is amplified by the reticular activating system which gives it incredible influence on all head and neck pain or disorders. Differential diagnosis of orofacial pains is crucial in treating all TMJ patients.

Computers users are familiar with the phrase “Garbage in…Garbage out”   Our brain is our computer and if it is flooded with painful (Nociceptive) input from the Trigeminal Nerve the Garbage out is perceived as PAIN!

If there is any misalignment in your bite painful or uncomfortable symptoms can result, as:

  • the components of your TMJ encounter friction spots
  • the jaw muscles become overworked sometimes radiating pain to other body parts or
  • the underlying nerves become compressed sending pain signals to your brain.
  • Excessive muscle contraction increases friction in the TMJ’s

 

Balance your jaw and ease your TMJ symptoms

tmj-treatment3If your jaw disorder symptoms are caused by a misaligned bite, you have a good chance of easing or even eliminating them with TMJ dental treatment. A dentist trained in physiologic dentistry can diagnosis TMD to determine an effective course of treatment to realign your bite.

  1. The dentist will first check your medical history to ensure that there is nothing else that could be causing your unexplained symptoms.
  2. The next step is to assess the misalignment of your bite that can cause so many uncomfortable symptoms.  A complete examination includes muslce palpation and takes close to an hour or more
  3. If misalignment is detected, the dentist will measure your jaw function and relax your jaw muscles by massaging them with a TENS machine – an extremely low frequency electrical stimulator, which activates blood flow.  Physiologic Dentistry utilizes sophisticated diagnostics that track jaw movement and function and can evaluate muscle function and muscle symetrr
  4. When the tension in your muscles has been relieved, the best position for your bite will be found. This is then kept in the right place by positioning a non invasive orthotic device over your teeth. If successful, longer term stabilization can be achieved by dental restorations or othodontics.
  5. The first step is the Diagnostic Physiologic Orthotic.  The orthotic is an integral part of the diagnostic process.  It is our trial appliance that determines a three dimensional not stressed position of the mandible.  It is adjusted to reflect changes in posture that occur during treatment.  These changes are the result of healing and take time to occur and stabilize.
  6. Miraculous instant relief and slower relief are difernet versions of that healing process.  There are many factors that affect the pathways of healing.

Once your bite is in a healthier more comfortable position, you should find your pain fading away.  These results with the diagnostic orthotic are used as a blue print for long term treatment.

Eye Pain, Swelling and Twitching

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Has eye pain, swelling or twitching just become too much of a strain?

tmj-eye-painDo you sometimes feel a ‘stabbing’ sensation behind your eyes or do they swell up or twitch unexpectedly making it difficult to concentrate on everyday things? Have you tried everything to relieve these painful sensations and haven’t yet come up with a solution?

When you have ruled out organic causes of eye pain with your ophthalmologist it is likely your pain is related to jaw, muscle  and TMJ function.

These sorts of symptoms could be due to a dental problem related to your jaw and neck muscles and your temporomandibular joint (TMJ). These  are  the joints that act like a hinges on both sides of your face. These joints allow you to speak, chew and yawn, amongst other things.

Some problems with the joint can lead to referred pain behind the eyes and the eyebrow area via the Trigeminal Nerve.  The TMJoints  are some of the most complicated joints in your body.  Each TMJ joint is actually two joints in one, a ball and socket joint and a sliding joint.  The entire ball and socket portion can slide forward and back as well as side to side.

The nerve that just might be behind your eye pain

If your bite is not properly lined up, you have what is often called a ‘bad bite’. This can cause friction or uncoordinated motion in one or both of your  (TMJ) TMJoints.

If it stopped right there you would probably never know about it, but unfortunately a nerve runs right past the joints, called the trigeminal nerve.  The Trigeminal Nerve goes to the teeth, the jaw muscles, the jaw joints as well as to the sinuses especially directly behind the eye.  Retro-orbital or behind the eye pain is mediated by the Trigeminal Nerve. This nerve is responsible for passing the message about friction through to the brain and somehow the message is transferred right on through to the eyes as well. The result is that you feel pain behind the eyes and sometimes they cause swelling and twitching because of the pain.

The trigeminal nerve is a cranial nerve, or actually made up directly of brain cells. The impulses of the trigeminal nerve ultimate are more than 50% of all input to the brain after they are amplified in the reticular activating system.  This is similar to music coming out of an amplifier at a concert.  Good input can be amazing but bad input is intolerable noise.  In this example the bad input or noise is what patients percieve as pain. What we call eye pain is nociceptive input perceived as eye pain.  The pain is absolutely real but the cause is often different than expected.  This is called refered eye pain.  Pain that is perceived in the eye but is actually from elsewhere.

These eye pain symptoms are common in the disorder known as temporomandibular disorder or TMD.  Myofacial Pain and Dysfunction (MPD) refers to the pain coming from trigger points in the muscles.  90-95% of all pain is actually muscular in origin.  The muscles work overtime to protect us from problems.  When they are overworked we have myofascial pain and TMD, both repetitive strain disorders.  More commonly known repetive strain disorders include carpal tunnel and tennis elbow.

There are many other symptoms  of TMD and MPD as well so it’s not surprising that it’s hard to work out exactly what is behind all these varied pains and sensations.  Physiologic dentists are experts in understanding patterns of referred pain in the head and neck .

The ‘bad bite’ that causes the problem in the TMJ is actually a poor alignment of the upper and lower teeth. When they don’t match up properly it puts extra pressure on the jaw and the muscles are used incorrectly causing repetitive strain injuries  like a chain reaction.  These problems affect head position posture and the body as a whole. The bad bite affects the muscles and the TMJ (TMJoints) which triggers the trigeminal nerve causing referred pain that eventually makes your eyes hurt.

The swelling around the eyes and dark circles under the eyes are actually secondary results of unhealthy muscles blocking normal drainage creating venous back-ups.  The dark area under the eyes is due to blood that is not receiving enough oxygen.

Dental treatment may be pain resolution

By now you will be wondering if anything can be done to help relieve the symptoms of eye pain, swelling and twitching. Fortunately, we might be able to provide a solution through the use of a diagnostic physiologic orthotic placed in your mouth that realigns your bite and allows your healing.  The orthotic is used to eliminate the impediments to healing. Doctors who allow the body to heal understand the process of health far better than those who promise magic cures.

An ultra low frequency TENS machine (MYOMONITOR) is used to create minute electrical impulses to stimulate your jaw and neck muscles so they  relax and the jaw and TMJ joint takes up a better position. This makes it easier for a dentist who specializes in physiologic treatment of TMJ and other jaw disorders to pinpoint where your bite should be.  Once the bite is idealized postural changes occur in the neck and throughout the entire body.  The diagnostic orthotic is corrected to reflect these postural changes.

When your bite is kept in the correct place then your TMJoints and jaw muscles will not be triggering the trigeminal nerve and resultant  pain will not be referred to  your face and neck. Effective dental treatment may eliminate or improve your eye pain and allow you to reclaim your normal life.

It may be time to seek TMJ relief

tmj-reliefYou shouldn’t miss out on enjoying life because eye pain is distracting you and painkillers have become a way of life. As it is possible that your TMJ is causing your eye pain, then it may be time for you to take the next step.

A diagnosis of TMD will be required, and we will need to make a thorough examination and eliminate any other potential causes of your eye pain. From there, we can determine what the best step would be for you. TMJ relief may be possible if you have bad bite and it can be realigned successfully.