It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....

Spinal Cord Disorders Message Board

  • Cervical Spine, TMJ - more tests or surgery?

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 03-10-2003, 10:44 PM   #1
    Junior Member
    odog's Avatar
    Join Date: Mar 2003
    Posts: 14
    odog HB User
    Post Cervical Spine, TMJ - more tests or surgery?


    I will try Physical thearpy. If it works great. If it doesn't what other tests or surgeries should I consider?

    The situation is as follows -
    7/2002 - TMJ symptoms - headache, jaw pain, teeth, neck (throat, front, back)
    8/2002 - X-ray confirms - degenerative joint disease
    osteoarthritis in back

    9/2002 - TMJ doc - Says have degenrative TMJ joints
    causing pain.

    10/2002 - Second opinion TMJ dentist that just specializes in TMJ diagnosis - say's no TMJ but tension and stress. Recommends - Cranio Sacral Therapy
    Decide to get MRI of TMJ.

    10/2002 - TMJ doc does MRI - Mandibular condyle remodeled so its pointed in apperance. Meniscal appartus mildly anteriorly subluexed. Eary reduction during anterior translation of the mandibular condyle.
    Recommends - Arthroscopic surgery on joint (medicate, clear out adhessions, etc.)

    12/2002 - Try a month of drugs (Anti-Inflamatory, muscle relaxers.) - Helps TMJ joint pain and some spasms.

    1/2003 - More anxiety neck throat issues (spasm, pain). Regular Dr. say's TMJ Dr. "Wants a new boat"
    Forget surgery. Regular Dr. talks like it might be cardic issue (Had a Thallium Stress test 4/2002, results normal and good. Tot. Chol. 179, HDL 47, Tri 127, LDL 106 Tot Chol/HDL - 3.8). I hope not cardic but had brother and dad who ate bad and smoked and had heart attacks 5-10 years younger than I am now. I don't smoke or eat bad). Have some acid reflux problems but relative minor. Regular Dr. gives me NitroGlycerin and Anti-Depressant (Remeron). Nitro pill helps spasm but cause TMJ joints to "burn - like fire" after taking a pill. Regular Dr. not sure why nitro burning. If I go back to Dr. might get sent to cardiologist for angiogram workup, but hard to believe it is plugged up artries.

    2/2003 - Neck/Throat pain still big issue. Go around holding neck all the time especially in stressful situations. Have a cervical spine x-ray. Result - C2,3 osteophyte sinus processes posteriorly. Disc degeneration with space narrowing C5,6,7. Disc vacuum phenomenon C6,7. Alignment of the cervical vertebrade is maintained. Mild bony foraminal narrowin on the left & right at C4,5,6,7. Conclusion: Disc degeneration at C4,5,6,7 with associated bony foraminal narrowing.

    3/2003 - Trying physical thearpy.

    TMJ joints areas ache when in direct cold weather or stressful situations along with spasm and pain in throat around carotid artery on right side especially.
    Back feels like I would like to make it pop in the mid back to relieve tension.

    Sponsors Lightbulb
    Old 03-11-2003, 07:27 AM   #2
    winged phantom
    Senior Veteran
    winged phantom's Avatar
    Join Date: Jul 2002
    Location: Central Florida
    Posts: 956
    winged phantom HB User

    I know nothing about the TMJ issues. But since the C-spine X-ray showed degenerative changes, be sure to get a C-spine (cervical-spine; neck) MRI. And don't you dare get your neck cracked or adjusted!

    As far as the esophageal spasms, try my posting under Digestive Disorders: [url=""][/url]

    Last year I was relying on nitro to help them, too, until I found a much better way. I hope this can help you, too. Or anyone else on the boards, for that matter!

    Good luck with the MRI. I hope it doesn't show too much wrong. But if it does, I'm right there with you: I'm getting a three level fusion at C4-5, 5-6, 6-7.

    • 12/29/89 C5-6 Microdiskectomy (no fusion)
    • 4/9/03 ACDF C4-7 with plating and donor bone

    Old 03-11-2003, 12:14 PM   #3
    Junior Member
    CoffeeGirl's Avatar
    Join Date: Feb 2003
    Posts: 32
    CoffeeGirl HB User

    Please please treat the TMJ conservatively. I KNOW it hurts... been there, done that and am still doing it... but the more time someone does something invasive into the TM area, the less likely things will improve and will often, in fact, worsen.

    I had the arthrocentesis. It did nothing. I've had the surgeries. It's not helped the pain. Now I have cervical spine problems after years and years of TMJD.

    If I could advise someone just "starting out" with TMJD, I'd say be conservative, avoid surgery if at all possible. There truly is not a lot of knowledge among MD's out there re: TMJD. Not much is known and so there is a log of hocus pocus and experiementation...much of it is well intentioned but the research isn't there to back much of it.

    I don't mean to be discouraging. For me, TMJD pain is a fact of life. The best thing I've done is gone to a pain clinic. I'm now taking Topamax for my jaw and neck.

    Email me if you want.

    Closed Thread

    Related Topics
    Thread Thread Starter Board Replies Last Post
    Cervical Spine Fusion linda1217 Spinal Cord Disorders 44 10-01-2010 09:56 AM
    Cervical spine advice requested DRAGON2009 Spinal Cord Disorders 2 10-17-2009 01:16 AM
    Head and Cervical/Thoracic Injury- MRI/CT Cervical/Thoracic- Is surgery needed? bgs Spinal Cord Disorders 0 08-22-2009 10:20 AM
    cervical spine deterioration trychocolate Spinal Cord Disorders 13 06-03-2009 11:12 PM
    Tremors & the Difference Between Brain/Cervical MRIs fancykat Multiple Sclerosis 7 12-04-2006 12:47 PM
    Cervical Stenosis, Spondylosis, Annular Tear and Scoliosis in Thoracic Spine KathyIL Spinal Cord Disorders 8 11-05-2006 06:49 PM
    Just been told I have cervical stenosis. I'm So Scared:( playmistyforme Spinal Cord Disorders 4 11-04-2006 05:16 PM
    Frustrated cervical & lumbar stenosis Pebble Beach Back Problems 0 10-12-2006 01:11 PM

    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    Posting Rules
    You may not post new threads
    You may not post replies
    You may not post attachments
    You may not edit your posts

    BB code is On
    Smilies are On
    [IMG] code is Off
    HTML code is Off
    Trackbacks are Off
    Pingbacks are Off
    Refbacks are Off

    Sign Up Today!

    Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

    I want my free account

    All times are GMT -7. The time now is 03:11 AM.

    © 2020 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!