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Q: TMJ syndrome
asked by: DoctorQuestion on May 21st, 2008
I need to know which medical doctor I can see who can treat me so that it will be covered under my health insurance. I am in so much pain and very frustrated and need to get well soon - at least back to where I was prior to the injury one month ago. Please advise who I can see and what I can do. Thank you so much. I am really very desperate to get well. Thank you in advance for any help you can provide to me!


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Dr. Nikola Gjuzelov , MD
replied on May 23rd, 2008
TMJ Answer A4163
I have had TMJ for more than 13 years. I have had a lot of pain and problems from it and I also have fibromyalgia. One month ago I had a massage and he used very deep tissue massage on the knots in my shoulders as well as my neck and my TMJ area on my face! Since then I have had vertigo, dizziness, chronic facial and neck pain on the left side, swelling, headache, sore throat, pain behind eye, etc. I have been on a soft food diet for one month. I am not getting any better at all. When I open my mouth, the left jaw area pops out - you can actually see it and the area around my temple also pops out.











I went to a TMJ specialist dentist very far from me and very expensive and he wants an MRI of my neck and my TMJ area. He said that my disk is out of place and I may be a candidate for surgery but he won't know until later. I can't keep going that far away and paying that much money to him as I do not have dental insurance. I will be starting physical therapy again today. I have had it in the past and it helped but I have never been this bad and I am afraid of the ultrasound and massage she will do will send me over the edge in more pain. The dentist I saw would not specify what type of physical therapy I should have when I asked but told me to go. He told me he wants the MRI films sent to him not just the report. That means I would HAVE to go back to him and pay so much again and I just can't.











Unfortunately, there is no medical doctor that can treat your TMJ-syndrome. This condition can be treated only by a dental doctor. A medical doctor can only give you painkillers. It doesn’t seem likely to me that physical therapy (massage and ultrasound) worsened or will worsen your condition in the future. You may want to consult a physiotherapist until you get enough money for proper diagnostics and treatment.










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