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Old 06-28-2009, 04:05 PM   #1
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Muscle relaxers

Hi all--think I want to try a muscle relaxer --what is a good one that doesn't have a lot of weird side effects , and you can take in a really low dose? I do have a prescription for flexeril, but I haven't filled it yet. It's a low dose prescription.Has anyone tried it when spasms were really bad? Thanks----

 
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Old 06-28-2009, 04:17 PM   #2
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Re: Muscle relaxers

I am currently taking baclofen 5 mg 3x per day. It was actually given to me for migraines but then when I started with the TMJ, they decided to keep me on the baclofen along with an anti inflammatory drug. That with a heating pad as needed seems to be helping, although I have begun to use 10 mg of the baclofen when I go to bed and 5 when I get up in the morning.

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Old 06-28-2009, 07:35 PM   #3
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Re: Muscle relaxers

I take the baclofen as well - seems to have the least of adverse side-affects for me. I found the flexeril too strong and even cutting into qtrs it still managed to knock me out but the baclofen I can take during the day without too much worry. I am supposed to take 10mgs in the morning and then again at night but for the past few months I have been skipping it when I can and only taking it on really bad days or nights.

 
Old 06-29-2009, 03:33 PM   #4
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Re: Muscle relaxers

Everyone is different, but here's my "list". I take Flexeril on a daily basis. At this point (20+years muscle-oriented TMJ pain) I now take 10 mg 3 to 4 times a day. It was sedating at first, but not now. I also take 7.5 mg of mobic (NSAID) every day as well as 6 extra strength tylenols (spread thoughout the day - not at once!). When I am in more severe muscular pain, I take 10 mg of valium (not more than once a week; don't want to get a tolerance to that) and percoset. I am fortunate (if you can call if that!) that I have a doc who understands the need for pain meds. Be careful, but don't suffer needlessly - take what you need. Hope that helps

 
Old 06-29-2009, 09:13 PM   #5
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Re: Muscle relaxers

Flexeril works great for me. I take 10 mgs. at bedtime and sometimes the same dose in the am if I have a headache. It doesn't give me any side effects. Hope you find one that works great for you.

 
Old 06-30-2009, 08:43 AM   #6
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Re: Muscle relaxers

I've found Flexeril to be great. As for the side-effects, it obviously varies from person-to-person, but from my experience, it just takes some patience. The very first time I took Flexeril, I took 5 mg at night and woke up still really foggy and affected by it (which was weird for me, because I usually don't get those side-effects). Yet, the second night I took it, I had no side-effects. I can now easily take 10 mg during the day and get adequate muscle pain relief with absolutely no cognitive effects. I've also found that if I'm having a really bad muscle spasm, taking 5 mg of Flexeril with 5 mg of Valium (as opposed to 10 mg of Flexeril) can work better.

 
Old 06-30-2009, 10:12 AM   #7
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Re: Muscle relaxers

Quote:
Originally Posted by tmj225 View Post
I've found Flexeril to be great. As for the side-effects, it obviously varies from person-to-person, but from my experience, it just takes some patience. The very first time I took Flexeril, I took 5 mg at night and woke up still really foggy and affected by it (which was weird for me, because I usually don't get those side-effects). Yet, the second night I took it, I had no side-effects. I can now easily take 10 mg during the day and get adequate muscle pain relief with absolutely no cognitive effects. I've also found that if I'm having a really bad muscle spasm, taking 5 mg of Flexeril with 5 mg of Valium (as opposed to 10 mg of Flexeril) can work better.
Thanks for the info. I'm really sensitive to all drugs, I can barely tolerate x-tra strength tylenol. Gives me a bad stomach ache. So--I'm being cautious about what to take. By the way, since your discs were displaced during a wisdom tooth extraction, did you ever have a mri to make sure that was the diagnosis? and what therapy or treatment are you doing to try to recapture them? Mine being displaced were a combo. of bad ortho work, and a whiplash car accident. If we all could turn back the clock and know what we know now, I think many people would totally rethink getting braces for purely cosmetic reasons, and possible keeping our wisdom teeth if they weren't impacted or causing major problems. I had mine out before braces too. Who knows, maybe that set off my tmj too. Can I say, that I've had 2 kids (without drugs mind you,) and having them was a walk in the park compared to my tmj pain and many years of suffering from it. Tmj sucks!!

 
Old 06-30-2009, 01:08 PM   #8
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Re: Muscle relaxers

For some reason, I've had this natural tolerance to everything. The first time I took Vicodin after my wisdom teeth extraction, it did absolutely nothing (ironically, I refused to take it at first because I was afraid it would make me sick or really loopy!). When I had to be sedated for arthrocentisis, the surgeon said it should have taken 2 injections in the IV to knock me out, and it took 5! While it's nice that the meds don't make me "high," it also means that they don't work as well on the pain, so it's kind of a trade-off.

I'm sorry to hear about your troubles with wisdom teeth and orthodontics. All of my TMJ roots back to my wisdom teeth extraction (Jan. 2007). I had IV sedation so the surgeon was the one opening my jaw, and it is believed he opened it too wide, popping both discs out of place. To answer your questions: I have had multiple MRIs, CTs, and other films to confirm both discs were dislocated, without reduction. As for treatment, I started with splints, PT, muscle relaxants, and less-invasive procedures. Unfortunately, I've wound up needing 3 surgeries and 5 additional procedures under IV sedation (including arthrocentisis and a combination of joint lubricant and cortisone injections with manual manipulation; not so sure if those procedures really helped). My 1st surgery was bilateral arthroscopic surgery (both joints cleaned out and repaired, left disc was sutured into place-Nov. 2007). My left joint has always been worse, so my 2nd surgery was left open-jaw (mini-Mitek anchor screwed in to hold disc in place, abdominal fat graft put in as cushion-Oct. 2008). Because of non-stop jaw locking, I wound up needing the same surgery done on my right joint (April 2009). By that point, my bone degeneration on the left was so bad that my surgeon was saying I was a joint replacement patient, but because of my age, we had to hold off. Since the April surgery, my bone degeneration has slowed down, so we are no longer discussing a joint replacement for the time being. However, to prevent it, I'm going to need two vials of Botox every 2 1/2-3 months. Expensive, but worth it. What have you been doing treatment-wise?

 
Old 07-01-2009, 12:19 PM   #9
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Re: Muscle relaxers

Quote:
Originally Posted by tmj225 View Post
For some reason, I've had this natural tolerance to everything. The first time I took Vicodin after my wisdom teeth extraction, it did absolutely nothing (ironically, I refused to take it at first because I was afraid it would make me sick or really loopy!). When I had to be sedated for arthrocentisis, the surgeon said it should have taken 2 injections in the IV to knock me out, and it took 5! While it's nice that the meds don't make me "high," it also means that they don't work as well on the pain, so it's kind of a trade-off.

I'm sorry to hear about your troubles with wisdom teeth and orthodontics. All of my TMJ roots back to my wisdom teeth extraction (Jan. 2007). I had IV sedation so the surgeon was the one opening my jaw, and it is believed he opened it too wide, popping both discs out of place. To answer your questions: I have had multiple MRIs, CTs, and other films to confirm both discs were dislocated, without reduction. As for treatment, I started with splints, PT, muscle relaxants, and less-invasive procedures. Unfortunately, I've wound up needing 3 surgeries and 5 additional procedures under IV sedation (including arthrocentisis and a combination of joint lubricant and cortisone injections with manual manipulation; not so sure if those procedures really helped). My 1st surgery was bilateral arthroscopic surgery (both joints cleaned out and repaired, left disc was sutured into place-Nov. 2007). My left joint has always been worse, so my 2nd surgery was left open-jaw (mini-Mitek anchor screwed in to hold disc in place, abdominal fat graft put in as cushion-Oct. 2008). Because of non-stop jaw locking, I wound up needing the same surgery done on my right joint (April 2009). By that point, my bone degeneration on the left was so bad that my surgeon was saying I was a joint replacement patient, but because of my age, we had to hold off. Since the April surgery, my bone degeneration has slowed down, so we are no longer discussing a joint replacement for the time being. However, to prevent it, I'm going to need two vials of Botox every 2 1/2-3 months. Expensive, but worth it. What have you been doing treatment-wise?
Oh my gosh, I can't believe all the procedures you 've done. I'm sorry to hear that you had to go through all the pain. As for what I'm doing for treatment, I just started going to a specialist a couple weeks ago, and I'm pretty confident in his abilities. He is making me a repositioning splint, and I'm going to go through the whole phase 1, and phase 2 , but what phase 2 will be is kind of hard to say at this point. I'll keep you all posted, and let you know how it goes. Wish me luck.

 
Old 07-01-2009, 05:53 PM   #10
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Re: Muscle relaxers

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Originally Posted by jmitchell View Post
Oh my gosh, I can't believe all the procedures you 've done. I'm sorry to hear that you had to go through all the pain. As for what I'm doing for treatment, I just started going to a specialist a couple weeks ago, and I'm pretty confident in his abilities. He is making me a repositioning splint, and I'm going to go through the whole phase 1, and phase 2 , but what phase 2 will be is kind of hard to say at this point. I'll keep you all posted, and let you know how it goes. Wish me luck.
That's exactly where I started, with the splints and everything. My jaw was so messed up though that I really needed the surgeries to correct the joints/anchor the discs into place before the splints were really of much help to me. How bad has your pain been? Even my surgeon says it's more important to get rid of the pain than to get the jaw looking perfect on a CT, MRI, or etc. What exactly do you mean when you say you're going through two phases of treatment? Best of luck and definitely keep me posted!

 
Old 07-02-2009, 04:32 PM   #11
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Re: Muscle relaxers

[QUOTE=tmj225;4026964]That's exactly where I started, with the splints and everything. My jaw was so messed up though that I really needed the surgeries to correct the joints/anchor the discs into place before the splints were really of much help to me. How bad has your pain been? Even my surgeon says it's more important to get rid of the pain than to get the jaw looking perfect on a CT, MRI, or etc. What exactly do you mean when you say you're going through two phases of treatment? Best of luck and definitely keep me posted! [/QUOTE

Tmj treatment from specialists usually consists of phase 1 and 2 treatment. Phase 1 usually being a repositioning splint, that is very carefully made from the tests that the doctor performs to see exactly where your jaw will be placed. This is done so the condyles have a better position to function in, rather than grinding bone on bone in some instances. It also allows the tissues to heal in the new position. As far as the length of this phase, it can vary because no 2 tmj patients are really alike. The second phase usually consists of remaking a better bite after the new jaw position is made and you are out of pain. This may be done with braces, crowns, or some people opt to have a permanent removable or non removable splint or overlay,I guess the proper term would be...My current doctor is very against surgeries on the jaw joints, and he has helped many people avoid surgery doing this kind of therapy. I will also have to start physical therapy, chiropractic, and massage therapy soon. I have a long road ahead of me, but don't we all to get better? I know that there are many treatments for tmj, but I feel that I want to go this route. Along with the many treatment options, people must be very careful what doctor they start treatment with. Usually you can find a good one if they belong to these 3 associations, American Academy of Craniofacial pain--American Academy of Orofacial Pain, and the American Academy Association for Functional ORthodontics.

 
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