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Repeated Injections of Botox into the Masseter Muscle... A Longitudinal Study

The authors of this study examined mandibular bone before and after subjects received Botox injections into each masseter muscle. These volunteers were healthy adults (22-48 years old), both male and female, who wanted injections to slim their faces.

Washington Post Article on TMD

The Washington Post recently featured an article on Temporomandibular Disorders. Below is an excerpt from that article and a link to the full story.

Partnering to Improve Chronic Pain Care

The National Institutes of Health (NIH) held three meetings this summer with the goal of developing the first public-private partnership (PPP) to develop safe and effective treatments for chronic pain, as well as new treatments for opioid addiction and overdose.

TMJ Patient RoundTable Project: Status Update

The TMJ Association is acting as the catalyst to develop the TMJ Patient RoundTable, a broad initiative to advance the interests of patients with temporomandibular disorders (TMD). It encompasses collaborations with all stakeholders and

Educational Brochures on Chronic Overlapping Pain Conditions

This brochure addresses what are Chronic Overlapping Pain Conditions (COPCs), how COPCs are diagnosed, the complexity of the chronic pain experience, and how to work with your health care provider to develop a treatment plan. It is available by postal ma

Lyme disease & TMJ Misdiagnosis:

  • Nov 11, 2014

We received the following patient comment from Gillian in response to the article in our April TMJ News Bites, “Avoid a TMD Misdiagnosis, Watch Out for Lyme Disease”.

I was SO happy to see that your latest newsletter included information about Lyme disease and jaw symptoms.

I have been on antibiotics for nearly 11 months since I was diagnosed with late disseminated Lyme disease.   If you remember, I had had a filling done, after which I developed severe jaw pain, a locked jaw and neck and shoulder pain.  Several months later, I developed swollen joints in my fingers, toes and severe foot pain.  This was accompanied by chronic migraine headaches, muscle pain and severe fatigue. I was finally diagnosed with Lyme disease by my cardiologist, but by then I had already had it in my body for perhaps 10 years or more.

To cut a long story short, I am seeing amazing success with antibiotic treatment!  My jaw pain has been reduced by almost 70% and it keeps getting better.  I am able to eat most foods now and I can open my mouth again to three fingers!  My doctor has assured me that with continued treatment ALL of my pain in my body will go away!  However, this will be a long process to recovery, possibly up to three years of treatment, but recovery is possible.

What concerns me is the number of people who are living their lives with undiagnosed Lyme disease as I was who have no idea that their lives can be completely different.  Doctors are not educated about tick-borne disease, and I have had to become an expert, educating my doctors.  Doctors do not realize that Lyme disease can be transmitted into the body in just a few hours, not after 36 hours, and that this is a disease of active infection and periods of dormancy that can go on and off for years in the body before being diagnosed.  I was having up to 18 migraine headaches a month, and not a single doctor ever mentioned Lyme disease to me.  I saw 3 different neurologists for my migraines and not one of them mentioned to me that they could have been caused by an infectious disease.     After antibiotic therapy, my headaches have been reduced dramatically, to about 3 per month, and I know that with continued treatment they will go away.

My Lyme disease doctor sees many patients with jaw pain, and one of his patients had scheduled surgery before seeing him.  He was able to save her from unnecessary surgery and needless possible complications.  Many people get bitten by ticks and are not aware of it because they are so tiny, and they may not develop a rash or flu like symptoms.  Most doctors think that if you don't have symptoms immediately after a tick bite, you don't have the disease.  This is not true, and so Lyme disease continues to be under diagnosed and missed in so many people.  Plus, testing is incredibly inaccurate.

I feel so blessed to be one of the few people who finally found the real cause to my jaw pain.  My oral surgeon could not understand why my speech was affected and why my pain kept on spreading. He never brought up the possibility of Lyme disease.  After I was diagnosed, I wrote him a letter, but never heard back from him.  My dentist told me that I needed braces to cure my pain and that it was all due to a bad bite.  Fortunately, when I finally saw an orthodontist, he was educated about Lyme disease and told me that braces would not solve the problem.  He told me I needed to find a Lyme literate doctor.

Thank you for all the hard work that you are doing to bring awareness to this country.  If you think I could be helpful to your community based on my experience, please let me know.  If there is anyone who finds themselves in a similar experience to me, I would be happy to help them not only find the help they need, but the support and encouragement for their journey.

Sincerely
Gillian

TMJ Disorders

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