Discussions that mention nitroglycerin

Back Problems board


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.

QUESTION:

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