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Old 08-02-2011, 01:42 PM   #1
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stormchic HB User
Unhappy DR. said I need Athroscopy surgrey for TMJ.

Hi everyone, well today I went to my TMJ specialist, and first off let me tell you I am in PAIN! He gave me x-rays, and tried to have me open my mouth. I could only open a small bit. When I tried to open wider, my both sides of my jaws cracked, so loud that his assistant gave me the "oh poor you" look. He said he wouldn't put me through any more pain today, and he sent me home with inflammatory, and muscle relaxers. He said to take these for 2 wees, and stay on a soft diet. He wants to see me back in 2 weeks. Unless the pain doesn't ease then he said for me to come back next week. He is my surgeons assistant. He knows his stuff though! I had open bilateral joint repair back in 98. So, he and my surgeon ( who was in emergency surgery) will look over my old surgical records, and make a plan for me. He said for sure I need surgery...he spoke of arthroscopy surgery or maybe something more invasive. He said they may start out with arthroscopy, and see how it works for me. If I still have pain they may try something else. I can't sleep, and I'm completely miserable. I'm sorry I'm being a baby, but I have been dealing with this for years now. Anyone had this surgery...give me input and recovery time. Thanks in advance!

Last edited by stormchic; 08-02-2011 at 01:45 PM. Reason: forgot to add info.

 
Old 08-02-2011, 03:15 PM   #2
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Re: DR. said I need Athroscopy surgrey for TMJ.

Hi stormchic, good to hear from you. I am glad you had your appt and got some information. I have had two arthroscopies in the past and honestly neither helped. However, the one I most recently had was for diagnostic purposes, which may be what your surgeon wants to do it for. My surgeon recommended it at the time hoping it would help my pain, and to see exactly what was going on with the joint, to help him plan what more invasive surgery needed to be done. However, he was not even able to get in the joint because it had fused, so no hope with it helping my pain while I waited for the replacement!
The other arthroscopy I had was back in 2005. The tried to move my disc back into place but it only stayed for two weeks. . Sadly I haven't had success from an arthroscopy, but I am sure there are those that have!!
I remember the recovery being pretty short, I was back driving in a week and could eat pretty soft foods the next day. Maybe someone with success can give you more help?

 
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Old 08-03-2011, 08:19 AM   #3
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Re: DR. said I need Athroscopy surgrey for TMJ.

Quote:
Originally Posted by navymid View Post
Hi stormchic, good to hear from you. I am glad you had your appt and got some information. I have had two arthroscopies in the past and honestly neither helped. However, the one I most recently had was for diagnostic purposes, which may be what your surgeon wants to do it for. My surgeon recommended it at the time hoping it would help my pain, and to see exactly what was going on with the joint, to help him plan what more invasive surgery needed to be done. However, he was not even able to get in the joint because it had fused, so no hope with it helping my pain while I waited for the replacement!
The other arthroscopy I had was back in 2005. The tried to move my disc back into place but it only stayed for two weeks. . Sadly I haven't had success from an arthroscopy, but I am sure there are those that have!!
I remember the recovery being pretty short, I was back driving in a week and could eat pretty soft foods the next day. Maybe someone with success can give you more help?
Thank you, for your reply. I think he is just doing the athroscopy, to look and see what else he needs to do. Did you have swelling after this procedure, and about how long does it take? I get severely sick after having anesthesia, so I will have to talk to my dr. about this. Other surgeries I've had where suppose to be day surgeries, ended up 3 to 4 day inpatient stays. I get so sick I vomit for days...all kinds doesn't matter what. dr. told me my stomach is just weak to the anesthesia. It's nice to talk to someone who knows what I'm going through!

 
Old 08-03-2011, 08:55 AM   #4
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Re: DR. said I need Athroscopy surgrey for TMJ.

You may have stated this somewhere, but have you had a second opinion? Especially since you know how you react to anesthesia. Nobody likes to be sick to their stomach, but imagine how it might feel after having jaw surgery. Been there...no fun at all!

I had a bilateral TMJ replacement surgery last year. So, I totally understand how surgery can change you life for the better. However, TMJ surgery will often not help with pain. It is purely for function. My jaw was fusing shut due to autoimmune issues. To prevent a total fusion, I had the joints replaced. My opening now is between 18-20mm. Way more than before the surgery. However, pain is the same. Prior to surgery, I had many face to face opinions, and my records were sent to other locations as well. For me, the increased opening was the goal, and we achieved it.

Regardless of your decision, I truly hope you are able to relieve some of you pain. Being in pain is exhausting. Also, you need to realize message boards are not a good representation of those that suffer from TMJ. Generally people join message boards when they are frustrated. When their problems are solved, they move on.

Let us know what you decide. We'll support you

 
Old 08-03-2011, 09:17 AM   #5
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Re: DR. said I need Athroscopy surgrey for TMJ.

Quote:
Originally Posted by rocckyd View Post
You may have stated this somewhere, but have you had a second opinion? Especially since you know how you react to anesthesia. Nobody likes to be sick to their stomach, but imagine how it might feel after having jaw surgery. Been there...no fun at all!

I had a bilateral TMJ replacement surgery last year. So, I totally understand how surgery can change you life for the better. However, TMJ surgery will often not help with pain. It is purely for function. My jaw was fusing shut due to autoimmune issues. To prevent a total fusion, I had the joints replaced. My opening now is between 18-20mm. Way more than before the surgery. However, pain is the same. Prior to surgery, I had many face to face opinions, and my records were sent to other locations as well. For me, the increased opening was the goal, and we achieved it.

Regardless of your decision, I truly hope you are able to relieve some of you pain. Being in pain is exhausting. Also, you need to realize message boards are not a good representation of those that suffer from TMJ. Generally people join message boards when they are frustrated. When their problems are solved, they move on.

Let us know what you decide. We'll support you

I didn't post about my second opinion, but I actually went to see another dr. before I went back to my original surgeon. He told me I would need surgery as well. I do feel frustrated, and confused. when I go back to my dr. I will speak to him about my concerns with anesthesia. I got sick with my last jaw surgery in 98. Your right no fun at all!! I wish there was a quick cure for TMJ problems. I know I'm reaching for the moon on that one. lol Thanks for your reply....I really need a shoulder now.

Last edited by stormchic; 08-03-2011 at 09:19 AM.

 
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Old 08-03-2011, 09:29 AM   #6
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Re: DR. said I need Athroscopy surgrey for TMJ.

Oh, I forgot... I also want to say that I don't agree at all that the dr. should have given you an xray. Especially having you open you mouth to the degree it pops. Obviously I'm not a dr. I've been told TMJ issues are not seen on a regular xray. CT's and MRI's are two tests that would be much more beneficial. I'm sure he had his reasons, but I hate that you left an appointment in more pain. Kinda defeats the purpose!

 
Old 08-03-2011, 11:04 AM   #7
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Re: DR. said I need Athroscopy surgrey for TMJ.

Quote:
Originally Posted by rocckyd View Post
Oh, I forgot... I also want to say that I don't agree at all that the dr. should have given you an xray. Especially having you open you mouth to the degree it pops. Obviously I'm not a dr. I've been told TMJ issues are not seen on a regular xray. CT's and MRI's are two tests that would be much more beneficial. I'm sure he had his reasons, but I hate that you left an appointment in more pain. Kinda defeats the purpose!
I absolutely agree with this - you need at least a CT scan, and possibly an MRI to determine the state of the muscles. An MRI will tell you the status and location of the disk that is normally located between the fossa and the mandible. The surgeon (and second surgical opinion) both will need to look at these films before forming a surgical position (and if they don't - get thee to another doctor who DOES understand this.)

I've had 3 arthroplastic procedures done in the 80's (they didn't have arthoscopes for the TMJ then). My face was slightly swollen, and I had to go through PT to get my jaw to re-open. On the left side, the disk had displaced forward of the joint, fibrosed to the bone, and I was dislocating my joint to get me mouth open. I tried conservative measures 1st and went on a liquid diet instead of a soft food diet. The second one was my left side, which blew up almost 6 months after the right side. There, I had ruptured the disk. In both cases, the disks were replaced with silastic implants (bad idea - recalled from the FDA within 3 years of the left side surgery). The third arthroscopy went into both joints (MRI showed osteoarthritis bilateral), cleaned up the joints, removed the silastic implants (which had started to tear) and had a temporary implant placed. There was a fourth very minor surgery just to take out the temporary implant. This lasted me for 20 years! Now I am recovering from a bilateral total joint replacement with TMJ Concepts. Now the only pain that I have is from the masseter muscle - and I'm planning on gettting trigger point injections into the masseter to reduce the muscle spasms. I've just started on a soft food diet (still have to be careful with that) and am opening to 34 mm within 2 weeks of surgery! I don't regret any of these surgeries, and I've had very good oral surgeons along the way. If you've only seen a dentist who claims to be a TMJ specialist, and is not an oral surgeon - get to an oral surgeon! They've done the most work on TMJ surgeries, and can give you the best advice.

Hope this helps! Good luck with whatever the doctors decide to do.

Pam

 
Old 08-03-2011, 04:08 PM   #8
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Re: DR. said I need Athroscopy surgrey for TMJ.

If you want other opinions and since you live in Florida... You might try:
Dr. Luis G. Vega (Univ of FL Shands Jacksonville)
Dr. Melvin F. Dolwick (Univ of FL Shands Gainsville)

They are always highly recommended! Plus Dental School Doctors are very
up to date on the latest techniques.

Good Luck!

~~~
Tom

 
Old 08-04-2011, 02:37 PM   #9
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Re: DR. said I need Athroscopy surgrey for TMJ.

I def agree that you need a CT and or MRI before agreeing to any surgery. My dr did a CT scan first thing to see what problems were going on with the bones. As Tom mentioned, I go to Dr Vega and he is great, surely worth the drive from Homestead!

 
Old 08-05-2011, 12:35 AM   #10
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Re: DR. said I need Athroscopy surgrey for TMJ.

Good advice Pamo810.

 
Old 08-12-2011, 08:48 AM   #11
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Re: DR. said I need Athroscopy surgrey for TMJ.

My dr. is a oral maxiofacial surgeon. Yes, the x ray really was painful. I went back to see him this week, and he did ask me to have an MRI done. I was told to bring it to him the morning of surgery. Arthroscopic surgery is set for Aug. 22nd. My surgeon told me that I have bilateral articular disc disorder. I guess he figured that out.....ummm for feeling my jaws? Don't know! I live in South Fl. (Homestead) I have contacted a chief TMJ surgeon at the University of Miami, waiting to see if he will take my case....Thanks for all the replies.

 
Old 08-24-2011, 02:53 PM   #12
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Cool Re: DR. said I need Athroscopy surgrey for TMJ.

I had arthroscopy 3 years ago the swelling in the joint in my case helped a bit. As movement was restricted. Stitches were uncomfortable so be careful washing near them. The pain and brusing started to ease off after 7 -8 days. I used a facial steamer to help with pain when the stitches came out. I hope it all goes well!

 
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