ANYONE SUFFER FROM TMJ ??

jdash
jdash Member Posts: 754
edited June 2014 in Life After Breast Cancer
ANYONE SUFFER FROM TMJ ??

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  • jdash
    jdash Member Posts: 754
    edited May 2008

    i got thru bc and now i have had such jaw pain  its going on many months and becoming a focal point of my day   ugh! bc was enough

    anyone have any jaw problems and what did you do about it

    also now seem to have slight case of bells palsy after a cold

    anyone have experience with that   ughhhh  when does one catch a break and just feel great again

  • Bliz
    Bliz Member Posts: 507
    edited May 2008

    I was diagnosed with TMJ over 20 years ago.  It came back with  a vengeance last Fall after the BC and treatment.  We are very fortunate to have a TMJ clinic here.  They used heat and electric stimulation plus inside and outside the mouth PT. 

    It is very effective and you can do a lot of it yourself.  The PT treatment involves grasping the cheek and muscle between your thumb and forefinger and gently, to not so gently, pressing to release the muscle.  I can try to give you more info if you want. 

    I also am very careful with chewing tough objects, the way I hold my head and jaw and sleep patterns.  Have been taking Zyflamend for inflammation also.  It is a natural anti- inflammatory you can get at a health food store or on line. 

  • LizM
    LizM Member Posts: 963
    edited May 2008

    I have TMJ as well.  I had it before bc but seems to be worse after treatment and while on anti-estrogen therapy.  I don't have a lot of jaw pain but I grind my teeth and experience neck pain/stiffness on the side of the my neck.  I'm not sure if the neck issues are from my TMJ or from tight pectoral muscles from my tissue expanders/implants and radiation.  I think I have two forces working against my neck.  Anyway,  I wear a night guard and do some mouth exercises.  I have also complicated the problem by loosing my two molars on the affected side which causes me to chew on my other side and creates an imbalance.  I don't know if we have a TMJ clinic in the area, I will have to look into it.

  • Paulette531
    Paulette531 Member Posts: 738
    edited May 2008

    I got a serious case of Bells Palsey a couple of days after my first round of Taxol...it was miserable. When I went to see my Onc, she sent me right on to the neurologist. I went back to my onc after a brain mri and I was NOT in a good mood and she says, "well you can wear a patch over your left eye, it would look kinda' sexy", I just looked at her and said "that's all I need now, I'm bald, I've gained 30 pounds and you suggest a patch over my eye, are you out of your effin mind?". I guess with my saggy drooling mouth and saggy eye and baldness and weight gain I was in a crappy mood! Fast forward, I still have problems with my left eye and my mouth is still somewhat numb on the left side and it has been for four years now since the Bells Palsey.

  • ravdeb
    ravdeb Member Posts: 3,116
    edited May 2008

    I have TMJ. I always had a clicking sound when I opened my mouth but since chemo my jaw is worse, muscles are often tight and sometimes the jaw goes out of place and I have to push it back in place. My dentist definitely believes that the chemo caused it to be worse. Chemo has also ruined my teeth and I'm now having a root canal and two back molars taken out. My insurance is covering ALL of this work because it was cancer/chemo related and I get free dental treatments for this. That's the only bright side. I'm hoping that with the two teeth pulled in the back (my teeth are not aligned correctly) that the TMJ will improve. My dentist said there is only a slight chance of this but that my TMJ is not THAT bad and to just be careful how I bite into things. He didn't think anything would help it.

    I have headaches and neckaches that he said MAY be caused by the TMJ. He's not sure. but I did MRI's and CT's and there are no mets so...that is a good thing.

  • TenderIsOurMight
    TenderIsOurMight Member Posts: 4,493
    edited May 2008



    Yes, I'm afraid that now TMJ is on my side effect list too, which I attribute, like deb, to a combination chemo and hormonals.



    Clearly, the chemotherapy had the effect of making the spaces between my teeth wider. It happened at the same time, and never has "gone back". Teeth sit fluidly in the jaw to allow this. It is difficult because of the need for constant flossing (which btw is good for my gums).



    Then, later came the TMJ. My entire left jaw pops in and out of the socket, and at times the pain lasts hours, accompanied by same sided ear pain. Uggh. So I've cut out any hard foods, have worked not to overextend the joint, do self message and heat on the joint, take ibuprofen for the headache. Had a bone scan which was negative for mets. I've heard a night guard may help.



    TMJ, never having had it before, is very painful. I definitely have a better understanding of it.



    I wonder too if the aromatase inhibitors (arimidex, aromasin, letrozole) are being reported as involving the TMJ joint. They affect my finger joints, and it was after their involvement the TMJ started.



    Tender

  • jdash
    jdash Member Posts: 754
    edited May 2008

    bliz  would love to hear more   -  i think its getting worse

    it all started when i had a few teeth bonded in the front bottom

    i felt like that threw off my whole bite - when back to my dentist months later and had him file the teeth down-  he treats me like i am crazy -  its gotten worse and i know i obssess about it and was always feeling me teeth with my tounge which just makes it worse

    i tried to explain it like it felt like my tounge didnt really fit comfortably in my mouth and i think i have caused all this joint pain by focusing on it - i am getting really worried that its related to someone else - then i get this smile thats a bit crooked to top it off which got me more worried! oh and did i mention the mri they gave me with the bone scan which came back clear (from the neck /jaw pain i was complaining about)  they saw a few nodules on my thyroid that of course they biopsied even though they felt it was just normal nodules ( i am waiting for the test results UGH! )

    RAV -  i would love to see a tmj specialist and have my insurance pay for it from the cancerv - how did you get them to do that   i am sooo interested   i need to get relief and fast.........

    how do i go about that - 

    paulette  - you made me smile (my crooked smile when i read your post! )  thank god this happened when i had my hair back! : )

    thanks for all your responses

    julia

    dont they know after bc we want to be left alone and feeling fine??

  • collector
    collector Member Posts: 193
    edited May 2008

    Well, this is certainly a se I had not heard mentioned before.  I have TMJ and have dealt with it for over 20 years.  I went to a facial pain clinic to get it diagnosed and to get help dealing with it.  I was fitted with a bite plate to wear at night which helped a lot until my beloved dogs ate it!  It would have cost too much to have it remade so I did without it and would just take tylenol or advil when it got really bad.  Doctor also advised me not to chew gum, not to eat apples whole, or even corn directly from the cob.  Also told me to avoid thick sandwiches especially ones made with bagels.  All of those things can be eaten if they are broken down so as not to stress the jaw.  I generally take an advil before having dental work done and often need to take more later.  I was so glad the anesthesia team asked me about my jaw just prior to wheeling me in for my lumpectomy.  They decided to use a different apparatus for the breathing tube than they would have used otherwise.  I know that helped to reduce the ache in my jaw following surgery.  i'd be interested in hearing more about any connections between TMJ and chemo.  I will start chemo sometime around Memorial Day but the protocol is still up in the air.

  • LisaSDCA
    LisaSDCA Member Posts: 2,230
    edited May 2008

    I have had TMJ problems off and on for 20 years, but it had been about 15 years since the symptoms have been so bed that I have to hold my palm against the side of my face to keep the condyle from slipping out of alignment when I chew. Frown I guess I had not realized that chemo or other bc tx. would be contributing. Certainly my bilat. MX and recon. has changed my posture and tweaks my upper back and shoulders on a regular basis - don't know why I didn't connect this to my current TMJ pain.

    There have been posts here mentioning all the best advice - no gum-chewing, no whole apples, no large sandwiches or corn-on-the-cob or similar which might hyperextend the joint (yes, even oral sex is contraindicated during a flare, but usually pain will remind you of this!). In some cases, the hormonal milieu can be contributory in that it affects the resilience of connective tissue and the way the joint functions is by a small 'disc' helping the condyle to slip in and out of a fossa. 

    IME, both personally and clinically, anti-inflammatories, a night-guard to separate the teeth (and thus relieve strain on the ligaments, articular cartilage and delicate musculature of the area), and avoidance of activities such as those described above can help get through an acute phase. But TMJ disorder is often chronic, with flares and remissions. Certainly, Julia, one of the most common causes of a flare would be anything that causes even the most minute tweaking of your normal occlusion or bite. Don't let your DDS treat you like you are crazy - it is his responsibility to make his restorations fit to perfection. Or you should walk!

    Here's a good site about anatomy and diagnosis. Often time is the best treatment, though.

    http://www.pipererc.com/tmj-diagnosis.asp

    Lisa

  • Erica3681
    Erica3681 Member Posts: 1,916
    edited May 2008

    Another TMJ sufferer here. I may hold the record for length of time. It started when I was 20 and now I'm 59! Mouth guards have never helped me (I don't clench my teeth), but I am careful about not eating big sandwiches and I rarely chew gum. 

    I didn't have chemo but noticed recently that my TMJ seemed worse, then realized I'd been wearing my bigger, heavier breast forms a lot (I had a bilateral mastectomy, no recon). They looked good, but after a few hours my shoulders and my neck were starting to ache, and my TMJ was kicking in! So bc can aggravate TMJ in all kinds of ways! Bigger boobs were definitely not worth the pain. I'm looking into new, extremely lightweight forms or maybe contact forms, where the weight isn't on my shoulders. If those don't work, it's a 34A for me!

    Bliz, what is Zyflamend? Does it work just like Advil? Advil and Tylenol do nothing for the jaw pain I experience from TMJ--it's like a bad toothache or a migraine. The only medication that ever helped me is valium, which is a muscle relaxant (as well as anti-anxiety drug). But that's not something I would take regularly, as it causes dependence and also after a while I would get de-sensitized and need every-increasing doses. I would love to find something non-addictive that would help when the pain is bad.

    One thing I've learned. Be careful who you let treat you. Don't let anyone start filing your teeth or adjusting your bite unless you're sure they're really qualified and experts in TMJ. 

    Barbara 

  • Bliz
    Bliz Member Posts: 507
    edited May 2008

    Idash,

    There have been a lot of great suggestions here.  Some that I had actually forgotten because they are a part of my regular routine. Like being careful eating hard objects, opening too wide etc. 

    The TMJ clinic here has been a god send.  GP signs the PT order and off I go.  For me I think it was just the stress of everything related to the BC diagnosis, that kicked off the TMJ again. 

    Zyflamend was recommended by Dr. Christine Horner in her book on BC.  They have it at your basic organic grocery store, but it is less expensive on line. It is a natural blend of turmeric, ginger, green tea and a lot of other helpful ingredients that are often mentioned on the alternative page here.

    I used to take alleve so much it was irritating my stomach.  I don't take much alleve any more; which is huge. 

    I have also used heating pads for years.  Even wrap one around my head at night while watching TV if the TMJ is really flared.  I tried the night guard but not so much luck with that.  Hope this helped.

  • jdash
    jdash Member Posts: 754
    edited May 2008

    lisa unfortunately the dentist i went to is my best friends "Husband"

    he would never admit to throwing off my bite so  i have given up going back to him and going to find someone else but its so hard to find someone you can trust and now i realize just how important it is as to what we do to our teeth and bite since i am seeing the results now! i thik i will try and find a specialist in tmj   i am hoping thats all it is! i did get an mri and bone scan because i was afraid it was cancer related- those came back normal

    except if you consider 3 disc problems!  its always something

    that could be throwing everything off too

  • jdash
    jdash Member Posts: 754
    edited May 2008

    also i now have to carry a heavy laptop everyday back and forth

    i am in sales and so of course i needed a laptop but i also had a desktop in the office-  they told me you can only have a laptop  (not both)  so i travel with this heavy laptop    i am considering getting a note from my doctors explaining my history and that carrying a heavy laptop is not allowed !  what do you think???  i know also its so bad for risk of lymphadema   or maybe i should just get a rolling case and at least get them to reimburse me for that

    i take a train in everyday

  • jdash
    jdash Member Posts: 754
    edited May 2008

    would love to hear more about the exercises to relieve the TMJ !!!

  • Bliz
    Bliz Member Posts: 507
    edited May 2008

    Regarding the TMJ exercises, I would imagine everyone would be slightly different, yet slightly the same, in what works.  Sometimes I spend as much as an hour at night, while watching TV, working on head, neck, inner and out mouth and shoulders.

    I use almond with lavender oil on my shoulders and neck so I can get in there with my fingers and hands and try to unknot that area.  Massage of varying intensities seems to work.  I usually start with the shoulders and neck with a combo of pressure and strokes.

    Once you start doing it you will feel where you get the most tense.  Sometimes I will just hold and pinch an area tightly until it starts to relax.  You are trying to break up the tension pattern.

    I will massage the back of my head where it meets the skull and also do pressure and stroking on the temple area, hairline, up and down the outer jaw, under the jaw, etc.

    For the inside and outside the mouth part, I try to grab with my forefinger or middle finger, on the outside and thumb on the inside of my mouth.  Try to get back as far as I can to the mandible, (?) muscle.  It is usually fairly thick.  If you can work on that for a little while with a tight pressure it may even hurt, but eventually it will release. 

    I also try different areas of the cheek as you come forward toward the middle of your mouth.  You will probably find the tight spots once you get into it.  Hope this helps.

  • ravdeb
    ravdeb Member Posts: 3,116
    edited May 2008

    Just wanted to add that I live in Israel and our insurance is different. My dentist is head of the dental office and is part of our "HMO". He basically wrote a letter to the head doctor of the "HMO" and said that I had chemotherapy and these are my problems.

    He told me not to open my mouth too wide or bite into anything too hard. I get headaches but am otherwise not in a lot of pain. My mouth/jaw area feels tight and weird all the time, though and I feel like I need to be tense in order to be sure that my jaw doesn't snap out of place. I hate that feeling and am afraid I could have trouble one day popping it back into place!

  • snowyday
    snowyday Member Posts: 1,478
    edited May 2008

    I was diagnosed with TMJ when I was 26 years old, back then I had the chance to fix it but was a single mom and the only place in Ontario back then that fixed it was Newliskard.  I couldn't afford to go there and I couldn't leave my children plus they told me that I'd have to wear a mouth wire for quite a long time and it all scared me. So I've lived with popping ears whenever I swallow or yawn, the only thing that still scares me about it is...and the Dentist warned me that my jaw could freeze open when I yawned, and for years I did the old church yawn, you know the one where you look really stupid and try yawn with your mouth not opening.  I yawn now like everyone and haven't thought about it in a long time. But you know maybe I don't need an MRI maybe my headaches are from TMJ.  Anyone else out there a grinder as well. Some morning I wakeup and my mouth, jaw, and teeth hurt from grinding. I used a mouth guard but ground through it and almost choked on it so I don't use that anymore.  Oh the joys of life.

  • snowyday
    snowyday Member Posts: 1,478
    edited May 2008
  • djd
    djd Member Posts: 866
    edited May 2008

    I haven't read all the responses, so sorry if I am repeating what others have already said.  I have fairly severe TMJ, my right side "clicks" when I lower my jaw, and my left side "clicks" a little less audibly on closing.  About ten years ago I was on a stressful project, working long, stressful, hours every day.  One morning I woke up and my jaw simply didn't work and I had a huge knot on the side of my face!

    I went to the dentist and went through several years of dental work to prevent me from grinding my teeth, which was absolutely aggravating the TMJ, and started using a guard to keep me from grinding when I am stressed out.

    I still have the clicking, but the pain is under control.  When I feel TMJ pain in my jaw, it is a signal to me that I am stressed and I need to manage that stress.

    I also know a guy who had surgery for his TMJ and I am going to be in contact with him to find out if it was successful.  He still has his jaw wired shut, so he doesn't know if it worked yet.  If it did, I might go for it just so that I wouldn't be able to eat solid food for 6 weeks (crash diet!)

    editing to add:  I think AGING and hormones (or lack thereof) have a lot to do with the increase in symptoms from TMJ

  • jdash
    jdash Member Posts: 754
    edited May 2008

    djd  hahaha   i love the crash diet idea!  i am hoping all this is is TMJ

    i have never been so uncomfortable before ever!  actually it has not been clicking at all that i know of but it feels all the time like its out of wack- sometimes the bite feels so off and it is a dull aching pain

    when i open my mouth it feels better  !  i know its mostly stress related but i cant take the discomfort i feel every day !  a dbl mast with expanders was less annoying !!!!

    i have been so busy at work i havent gotten to a dentist yet or doctor -though i started with my oncologist and he gave me bone scan and mri and told me all was fine and he thinks i should get a dental scan  he dosent think its cancer related at all but of course we all worry about every pain being cancer

    i have to do something   cant live on advil  during the day and wine at night ;)

  • Sierra
    Sierra Member Posts: 1,638
    edited May 2008





    About 4 yrs ago

    I had TMJ



    had so much work done on my teeth

    or maybe it was longer



    as I had root canals in the front teeth

    teeth filed down for crowns

    then lost my teeth

    a plate to be made



    and I tell you.. it was not nice

    the dentists did not seem to say much

    sent me down to a specialist

    but I did not want that mouthguard



    finally after work stopped

    my mouth got better but u

    see the stress of it all

    holding open your mouth & then the

    worry re the bill



    was enough for me



    Best to you



    I have lost my teeth in the front..mainly

    on one side.. due to chemo



    what can you do..

    best we can



    Best to all..hang on to the ones

    remaining



    and .. Enjoy





    Sierra :)

  • ilovetytrev
    ilovetytrev Member Posts: 5
    edited April 2009

    I am on my third round of chemo, my jaw started clicking and some discomfort for about a week now.  I guess this is one of many wonderful side effects we may get.  Of course every pain you get, a panic starts thinking its cancer.  I wonder if this thought ever disappears over time. 

  • Member_of_the_Club
    Member_of_the_Club Member Posts: 3,646
    edited April 2009

    I have had a really bad case of TMJ for years.  Several times the jaw has popped out of thesocket, which is very painful.

    One simple thing to do is use a heating pad on the jaw, ten minutes each side, every night.  It loosens things up.  Second, you don' need an expert if you have a good dentist and it sure sounds like you don't.  Find another dentist.  Get fitted for a nightguard -- thats a must. 

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