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TMJ Disorder -TemporoMandibular Joint Message Board
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Old 01-20-2004, 01:05 PM   #1
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delilah1963 HB User
Burning in joints, muscle spasms, normal MRI!

Hi gang,

I finally had the MRI of my TMJs done and rec'd the radiologist report today, showing no meniscal displacement, no evidence of TMJ dysfunction, symmetric tmj motion.

Wonderful news!!! But, why am I still hurting so much in my TMJs...they've been burning and I do get soft clicking, but mostly muscle spasms in my neck...traps, and sternocleidomastoid, masseters too.

I go to the TMJ specialist tomorrow to get his take on it. He will I'm sure still prescribe a splint, do I go with it? I've already had one (upper) that seemed to only make it worse. The new TMJ doc is suggesting a lower one. Do I take that chance?

This is ridiculous. I am not crazy, but I feel like it!!! How can I be so uncomfortable yet have normal function in my joints? It is not a letdown, but it does leave me still wondering what the heck is wrong with me.

If indeed my joint function is pretty good, I'm scared to death to mess with it. But what about this burning in the joints? What is that all about?

I do have neck issues too...arthritis, could that be causing it? My options there are a cervical epidural.

Any input is appreciated. My appt. w/new TMJ doc is tomorrow morning.

Much thanks for your continued support.

Delilah.

 
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Old 01-20-2004, 05:53 PM   #2
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Cymy Sue HB User
Re: Burning in joints, muscle spasms, normal MRI!

Delilah,

Occasionally, an MRI is misread. One of our members had this to happen recently. Hopefully this is not the case and I don't won't to worry you, but it does happen. If you aren't satisfied about this, I would have someone else look at it.

You can have horrific muscular problems without disc or joint problems. There is ususally a cause or irritant, but it could be somewhere else.

With the SCM's and the Traps involved along with the masseters, there may be a problem in these areas.

My TMJD symtoms have been completely under control for nearly a year. Almost no pain, spasms or anything. I still wear a splint and will most likely for a long time.

I had severe shoulder pain and muscle spasms due to a bone spur. In Sept., it was just shoulder and arm pain. As the months went by, the spasms increased and went down my side, across my chest and back and about a month before surgery to remove it, the spasms went up my neck and face. They were so bad, it pulled my bite off a little and I had some minor joint pain.

I would have been scared about this, but the progression was slow and I could tell the pulling was coming from my shoulder. Not a return of real TMJ problems.
As soon as I had surgery to remove the spur, it all stopped.

It's hard to understand how all of this can happen and if you don't have anything to relate the beginning of the pain and spasms to, it's confusing, but these symtoms can be muscular and the correct splint will help.

I was in an awful mess with muscular problems last year that I thought were primarily still caused by nerve damage, no disc and other surgery related problems. I was never told anything different.

It seems I had healed from the surgeries, the damaged nerves were not causing so much of the problems and I was mostly having muscular problems and had been for many years. There had been irritants along the way that I can pinpoint such as surgery and no disc, etc. But at this point, it was basically muscular.

The splint designed for me was a bottom fit to support my joints and passively reposition muscles. It worked very quickly and like a charm.

I had been seeing a Massage Therapist prior to getting the splint and a great deal of the muscles spasms below my face had been helped and were under control.

I have also read from many different sources that TMJ problems can be completely muscular. I don't understand because mine started many years ago with damaged joints and disc and I've reseached along those lines, but many Doctors agree with this. I have just realized in the last year how the muscles were causing so many problems, pain and symtoms.

I hope for you it is. Muscular problems in most cases can be treated very successfully with the appropriate splint. If you're not already, you may need Theraputic Massage or PT to help with the SCM's and Traps with someone qualified to work with you. I hope your appt. goes well and please update us on his opinion.

Cymy Sue

Last edited by Cymy Sue; 01-20-2004 at 05:55 PM.

 
Old 01-20-2004, 06:53 PM   #3
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CherylLynn24 HB User
Re: Burning in joints, muscle spasms, normal MRI!

Deliliah,

Like Cymy Sue said, if you aren't satisfied with the report from your MRI, have some/many look at it. My kid had an MRI of the joints done last April. The radiologist's report said 'within normal limits' as well as several dentists that we've seen since then. I recently have taken him to someone new and guess what? The MRI clearly shows a displaced disc on the right! This is after how many read it??? My advice......have many specialists read it.
Cheryl

 
Old 01-20-2004, 09:16 PM   #4
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TiffanyAnn HB User
Re: Burning in joints, muscle spasms, normal MRI!

Hi Deliliah:
You might have someone else, someone with TMJ expertise read the x-rays. When you have them done at like a hospital the radiologist reads them and they are not trained in the subtle area of the TMJs.

I had an upper splint, and it did not work at all. I have been in a lower splint for about 6 months or so and I am doing excellent. I am getting ready to move onto phase ll. You know, it's always a gamble when we seek treatment for TMJ since there are no real guidelines for treatment.
Tiffany

 
Old 01-21-2004, 01:09 AM   #5
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mdla HB User
Re: Burning in joints, muscle spasms, normal MRI!

I agree, my MRI was first reported on by the people at the hospital, they said there was nothing wrong but fluid in the joints. When I took the films to 2 surgeons, they both said the disks were displaced. The only bad thing is I never got that in writing cause the "official" report was the record from the MRI center at the hospital. No one understands the TMJs so I wouldn;t think they would either.
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