Injuries and Accidents - (TMJ) Temporomandibular Joint Syndrome

Temporomandibular Joint Syndrome

Temporomandibular Joint Syndrome (TM Syndrome)
If you place your fingers in front of either ear and wiggle your jaw, you'll feel an opening that changes shape. That is the temporomandibular joint (TMJ) where the temporal bone of the skull attaches to your jaw, or mandible. According to the American Dental Association, nearly 30 percent of Americans have TMJ problems, called TMJ Dysfunction or TMJ Syndrome.* Among the symptoms are severe headache; loss of hearing; tinnitus (ringing in the ears); shoulder, cheek, jaw or tooth pain; and nausea and dizziness.

Among the most common causes of TMJ Syndrome are vertebral subluxations in the neck or cervical spine, poorly fitting braces, poor dental work and trauma. A 1987 study reported that "[a] child may fall on its sacram (tailbone) and in time, through the adaptive body mechanisms, the pelvic imbalance will affect the mandible, head and neck."**
Spinal problems and TMJ Syndrome are often related. "Surgery should not be done until chiropractic and proper dental support is provided ... with the exception of a tumor, fracture or serious joint pathology.*** We work closely with several dental specialists in diagnosing and treating TMJ problems. Does your dentist refer to Chiropractic? Invite your dentist to discuss your case with us; you both may be glad you did!

* Carpal tunnel syndrome: Getting a handle on hand trauma. Occupational Hazards, 1987, pp. 42-45.
** Mendelsohn, R. Treating carpal tunnel syndrom. The People's Doctor, 8 (90, p. 7.
*** Smith, G. Personal communications, an. 16, 1991. Ciancaglini R, Testa M, Radaelli G. Association of neck pain with symptoms of TMJ in the general adult population. Scand. Jour. Rehab. Med., 1999; 31 :17-22.

Many Dentists co-ordinates Chiropractic care with Dental care.

If your problem turns out to have a dental component, we'd recommend having an examination done by a dentist who deals with TMJ dysfunction.  We know Dentists in the area with extensive backgrounds in the field of co-operating Chiropractic care with dental care for maximum results.  Almost all dental TMJ problems can be solved without surgery, according to several dentists I've worked with over the last 28 years! The use of a splint is often the preferred treatment.  While one can wear a splint on and off for the rest of one's life, some dentists incorporate a phase of corrective care in the treatment plan that will eliminate the need for any further splint (or nightguard) therapy.

Frequently, cervical involvement is present along with TMJ dysfunction. In these cases it is of utmost importance to coordinate treatment between the chiropractor and the dentist. Optimal stabilization of the TMJ will be achieved when this dual method of treatment is utilized. In fact, in some cases it is impossible to have successful results without having both treatments involved. X-ray evaluation of the structural and functional relationship between the cervical spine vertebrae is vital to properly diagnosing IF your neck is part of the TM disorder and symptoms.

Feel free to call our office where a consultation will include his methods as well as all other treatments for TMJ dysfunction, leaving the patient with the knowledge he or she will need to make an intelligent decision as to how to proceed with treatment.

CTS (Carpal Tunnel Syndrome)


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