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webo
New User, Becoming EHEALTHy
Joined: 08 Jan 2008 Posts: 22 Location: , Texas
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Soft Diet For Tmj?
Posted: 01-08-08 21:43pm
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My jaw is locked at 35-40mm. Although the
pain I'm experiencing isn't nearly what
others on this board are, ny oral surgeon
recommends a soft diet. The only real
suggestion he gave was to minimize salad
eating. I have eliminated carrots, apples,
gum. I have increased mashed potatoes ,
ice cream and soups. (I think the ice
cream aspect is the reason why I've gained
about 5 pounds.) Anybody have any
suggestions or any links for a good soft
diet?
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Tmddyan
Moderator
Joined: 13 Jun 2006 Posts: 4440 Location: post falls, id usa
Thanks: 102
Thanked:68
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Posted: 01-08-08 22:28pm
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I actually have a cook book that ive sent
out to some other people with this
question. if you want i can send it to you
or i can post them here. I think it would
be a good idea to share all our recepies.
ill get on that tomorrow--hopefully ill
remember to bring the book:P Your opening
is good. 35-40mm is normal--better than
most people. I open at 28 and with
exercises i can get to 38-40. i used to
open at 19 or less---i dont think you are
locked--you just have that ssensation. i
know that sounds confusing. pm me if you
need anything.---if you need a good doc. i
can also help with that.
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webo
New User, Becoming EHEALTHy
Joined: 08 Jan 2008 Posts: 22 Location: , Texas
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Posted: 01-08-08 22:55pm
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My opening was 56mm before the surgery and
probably more than that before my TMJ
problems. The right side of my jaw
clearly is much more restricted than
before. Can you explain what you mean?
When doctors tell you that you have
anteriorally displaced discs without
reduction, doesn't that mean your jaw is
locked?
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Tmddyan
Moderator
Joined: 13 Jun 2006 Posts: 4440 Location: post falls, id usa
Thanks: 102
Thanked:68
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Posted: 01-09-08 15:25pm
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no--it just means that your discs are in
front of the condyle. ar you doing your
roms? you need to keep doing it if you
dont well you will not get the best out of
your surgery. When did you have this
surgery and what was done?
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Tmddyan
Moderator
Joined: 13 Jun 2006 Posts: 4440 Location: post falls, id usa
Thanks: 102
Thanked:68
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Posted: 01-09-08 16:51pm
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I started a thread(its the top sticky) for
recepies. everyone feel free to share---i
made it a sticky so that it wouldnt get
burried
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onlysuperstition
New User, Becoming EHEALTHy
Joined: 09 Jan 2008 Posts: 2
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Posted: 01-09-08 17:15pm
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Is there a specific way to measure this?
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webo
New User, Becoming EHEALTHy
Joined: 08 Jan 2008 Posts: 22 Location: , Texas
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Posted: 01-10-08 21:59pm
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| Tmddyan
wrote: | | no--it just means that your
discs are in front of the condyle. ar you
doing your roms? you need to keep doing it
if you dont well you will not get the best
out of your surgery. When did you have
this surgery and what was
done? |
If your discs are preventing your jaw from
opening, then you are locked, correct? Or
if there are adhesives that are preventing
your jaw from opening, then you are
locked, correct? I'm not sure I know what
you mean when you say that I "just have
the sensation" that I am locked. Both of
my oral surgeons say I'm locked.
What are roms?
I had an arthrocentesis. That's what
caused my jaw to lock up. I was told that
it would only help my jaw or keep it the
same. The surgeon said that in over 100
that he has done, this is the only time
anyone's jaw has ever locked.
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Tmddyan
Moderator
Joined: 13 Jun 2006 Posts: 4440 Location: post falls, id usa
Thanks: 102
Thanked:68
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Posted: 01-11-08 14:06pm
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range of motion exercises. artho is not
really worth doing. MOst surgeons dont
look for the real cause. there were things
that were wrong that the other surgeons
missed(ive been to 3) that was causing the
sensation fo being locked.
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MaggieMay78
New User, Becoming EHEALTHy
Joined: 12 Nov 2007 Posts: 8
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Posted: 01-15-08 01:43am
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Webo--
I think what Dyan is trying to say is that
most of us wouldn't consider you to be
"locked." Maybe your oral surgeon is
using that term...but honestly, I think he
just means that you're "locked at 35mm."
Does that make sense?? In other words,
there is simply no way you can move past
35mm, because your dislocated discs
prevent you from doing so. (I'm just
using the 35mm as an example, I know you
might be able to open a little more on
good days.)
ANYWAY, my point is that most of us on
here don't consider 35mm to be a true
"closed lock." As Dyan pointed out, that
is the normal range for many people! And
most surgeons consider 35mm to be the
ideal opening after surgery, and is what
they aim for. I really really really hate
to sound like a know-it-all here...but
seriously, if you have such a good opening
right now, that is only one more GOOD
reason to back away from surgery!!!! Hang
in there, you'll get through this!!
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webo
New User, Becoming EHEALTHy
Joined: 08 Jan 2008 Posts: 22 Location: , Texas
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Posted: 01-15-08 09:23am
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| MaggieMay78
wrote: | Webo--
And most surgeons consider 35mm to be
the ideal opening after surgery, and is
what they aim for.
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Thanks for replying. I understand what
you're saying. I guess what I'm saying is
that 35mm was not the goal with this
"surgery," if you want to call it that (he
called it a "minor procedure"), and it was
a very unexpected result. It was an
absolute shock to me (and to him) that my
opening was reduced 21mm. I would have
NEVER even considered this procedure if I
knew there was even a chance this could
happen.
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MaggieMay78
New User, Becoming EHEALTHy
Joined: 12 Nov 2007 Posts: 8
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Posted: 01-15-08 10:39am
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Yes, I know many surgeons call
arthrocentesis a "minor procedure", and
that bothers me. It is less invasive than
arthroscopy and arthroplasty...but it's
STILL invasive. And you are not the first
person who has had undesirable results
from arthrocentesis, believe me on that
one. I really, really try to stay
unbiased when people post...but in your
case, I feel very strongly about this:
For now, stick to CONSERVATIVE treatments.
Your function is still pretty good. I
know you're not used to a smaller opening,
so it feels frustrating to you, but your
function truly could be a lot worse. If
you stick with conservative treatments,
and do your ROMs like Dyan suggested, then
there is a good chance that your opening
will increase more. It may not go back to
56mm (who knows for sure), but either way,
surgery is not the "cure-all" that some
people expect it to be. I don't want to
seem like I'm playing doctor or trying to
sound discouraging, but it just doesn't
seem that surgery would be justified in
your case. Also, you said your pain isn't
too severe, so try to manage it with a
soft diet and possibly medications, heat,
ice, relaxation, etc.
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webo
New User, Becoming EHEALTHy
Joined: 08 Jan 2008 Posts: 22 Location: , Texas
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Posted: 01-15-08 11:47am
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Maggie,
I think you are right. Conservative is
good right now.
Dyan mentioned the ROMs. How do I do
them?
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Tmddyan
Moderator
Joined: 13 Jun 2006 Posts: 4440 Location: post falls, id usa
Thanks: 102
Thanked:68
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Posted: 01-15-08 14:30pm
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You move your jaw in the natural way that
you would open it. up and down side to
side. you slide to the right as far as you
can--give a finger assist to push a little
further and hold for 5 seconds(do this
five times.) then go to the left and do
the same thing--then open as far as you
can--give a finger assist to open a little
further and hold for 5 seconds(do this 5
times.) use ice before and heat after--it
will make it easier and feel better:)
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webo
New User, Becoming EHEALTHy
Joined: 08 Jan 2008 Posts: 22 Location: , Texas
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Posted: 01-16-08 09:59am
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Is there any danger in doing these ROMs?
My first OS said that the discs could tear
away, leaving me with bone on bone --
which he said wasn't good. My second OS
disagreed with this. Confusing.
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Tmddyan
Moderator
Joined: 13 Jun 2006 Posts: 4440 Location: post falls, id usa
Thanks: 102
Thanked:68
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Posted: 01-16-08 14:12pm
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no there is no danger---beleive me i was
in the same shoes. if it hurts too bad and
you feel that you are in danger of doing
such stop and only go to the point that it
doesnt feel like that
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