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



TMJ Disorder -TemporoMandibular Joint Message Board

  • sudden onset TMD/discectomy

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 05-15-2014, 02:46 AM   #1
    tmjq
    Newbie
    (female)
     
    tmjq's Avatar
     
    Join Date: May 2014
    Posts: 1
    tmjq HB User
    sudden onset TMD/discectomy

    Hi,

    I have only had TMD for 6 months and am interested to know if other people have had it come on suddenly as well.

    I am 25yo, over the course of a week my RT TMJ ached, swelled, and after 7 days was so out of alignment that I could not touch my teeth together and could only talk with a lisp. GP sent me for an OPG, put me on anti-inflammatories, anti-epileptics, blood tests came back negative for RF.

    Nothing helped, so a month later I was referred to a oral-maxillofacial specialist who diagnosed internal derrangement due to stress/bruxism so started on diazapam at night and got a splint made up. 2 months later there was no change, went back to the GP, got another OPG, went back to the specialist who referred me to a physiotherapist who specialises in TMJ disfunction. MIO was initially 28mm, after five physio sessions (1 a week) it varied from 26 to 22mm. Physio referred me to an oral-maxillofacial surgeon who performed arthroscopy, which found the joint was full of scar tissue.

    In the 6 weeks since I had that done MIO increased to 31 once when supine, each other session only got to 29.5mm. Sent back to the surgeon who referred me for an MRI, which showed the disc on the RT has degenerated, mild osteoarthritis, and the disc on the LT is also out of place. The RT disc was unsalvagable so now the surgeon has advised it needs to be removed and replaced with a graft, or I can get a new splint made up, which may prevent it from worsening, but wont improve the situation so I'd just have to live with it. Ironically he also said it definitely cant be due to bruxism but can't tell me what caused it.

    Starting weight was 56-58kg, now I'm down to 49kg due to liquid/puree diet (5'6"). There isnt much pain unless I use my jaw, but my teeth only make contact on the RT, and MIO is still between 26-29 depending on the day. The main issue I have isnt pain, but I cant talk without a lisp or my RT teeth clicking, or without it swelling up and moving out of alignment, which has meant I've had to change my job role as I used to be on the phone a lot at work and makes it difficult at uni as well. Physio advised not to bite or chew or grind as this will make things worse, but I think not using my teeth for anything for months now can't be a good thing either.

    I was wondering if anyone has had anything similar, as most of the information I've found seems to be focussed on pain management and crepitus, which aren't my main concern. Also is there anyone who has had a discectomy with a graft before?

    I appreciate any help anyone can give!

     
    Sponsors Lightbulb
       
    Old 05-17-2014, 05:50 AM   #2
    Canuck65
    Senior Veteran
    (female)
     
    Join Date: Mar 2013
    Location: Canada
    Posts: 572
    Canuck65 HB UserCanuck65 HB UserCanuck65 HB UserCanuck65 HB UserCanuck65 HB UserCanuck65 HB UserCanuck65 HB UserCanuck65 HB UserCanuck65 HB User
    Re: sudden onset TMD/discectomy

    Quote:
    Originally Posted by tmjq View Post
    Hi,

    I have only had TMD for 6 months and am interested to know if other people have had it come on suddenly as well.

    I am 25yo, over the course of a week my RT TMJ ached, swelled, and after 7 days was so out of alignment that I could not touch my teeth together and could only talk with a lisp. GP sent me for an OPG, put me on anti-inflammatories, anti-epileptics, blood tests came back negative for RF.

    Nothing helped, so a month later I was referred to a oral-maxillofacial specialist who diagnosed internal derrangement due to stress/bruxism so started on diazapam at night and got a splint made up. 2 months later there was no change, went back to the GP, got another OPG, went back to the specialist who referred me to a physiotherapist who specialises in TMJ disfunction. MIO was initially 28mm, after five physio sessions (1 a week) it varied from 26 to 22mm. Physio referred me to an oral-maxillofacial surgeon who performed arthroscopy, which found the joint was full of scar tissue.

    In the 6 weeks since I had that done MIO increased to 31 once when supine, each other session only got to 29.5mm. Sent back to the surgeon who referred me for an MRI, which showed the disc on the RT has degenerated, mild osteoarthritis, and the disc on the LT is also out of place. The RT disc was unsalvagable so now the surgeon has advised it needs to be removed and replaced with a graft, or I can get a new splint made up, which may prevent it from worsening, but wont improve the situation so I'd just have to live with it. Ironically he also said it definitely cant be due to bruxism but can't tell me what caused it.

    Starting weight was 56-58kg, now I'm down to 49kg due to liquid/puree diet (5'6"). There isnt much pain unless I use my jaw, but my teeth only make contact on the RT, and MIO is still between 26-29 depending on the day. The main issue I have isnt pain, but I cant talk without a lisp or my RT teeth clicking, or without it swelling up and moving out of alignment, which has meant I've had to change my job role as I used to be on the phone a lot at work and makes it difficult at uni as well. Physio advised not to bite or chew or grind as this will make things worse, but I think not using my teeth for anything for months now can't be a good thing either.

    I was wondering if anyone has had anything similar, as most of the information I've found seems to be focussed on pain management and crepitus, which aren't my main concern. Also is there anyone who has had a discectomy with a graft before?

    I appreciate any help anyone can give!
    Have you had CT scan of your joints? I wouldn't consider further surgery if you haven't. I would get a second opinion about surgery.

    If chewing is painful or difficult then stick to soft foods. Otherwise I would eat as normal. Do wear a flat plane splint at night? This can reduce the impact of clenching which is very hard on your joint. If not get one made.

    Sorry to hear that you are going through this.

     
    Closed Thread

    Tags
    disc degeneration, tmj arthroscopy, tmj disc, tmj surgery



    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 12:36 AM.





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