Tuesday, February 18, 2014

Do You Need Surgical Treatment With Your TMJ Symptoms?


TMJ stands for the temporomandibular joint. The joint can receive discomfort from a range of different ways and turn into inflammation around the area called temporomandibular joint. It is a unpleasant disorder that affects mainly the jaw, specifically the point between the mandible and the skull.

Since we need our jaw in some crucial functions, such as chewing our food, TMJ is necessary to treat correctly. Additionally, there are many other TMJ symptoms as well that can considerably influence for the quality of life. Some of the most common ones consist of headaches and pain in the face and neck.

TMJ treatments vary, depending on the every particular situation. Typically, at first a doctor or dentist will prescribe some pain killers in order to reduce the pain. Then they attempt to determine the best attainable treatment option for the situation. Their number one concern in figuring out the treatment is that nothing irreversible is done.

As long as they keep the temporomandibular joint able to move back to its original position they can work on it without too many problems. However, at times the condition is simply too severe and it will have to take a more permanent solution.

Even though surgical treatment should always be the last option, in some situations it is a necessity. However, prior to ending up to this choice physicians do everything they can to find some other solution.

The good news is, there has been great advancements in treating TMJ. That is why surgery is no longer needed as often as it used to be. There are lots of additional efficient treatments available today. Despite of that, the worst cases are still treated with the help of surgery.

There are several different types of surgery for TMJ treatment, but all of them can be potentially dangerous. Arthrocentesis is the baby of all the operations and is typically the first surgery to be done to try to stop the discomfort. It is relatively quick and involves doctors attempting to flush the joint back into the original position.

There are also more radical procedures. These include, removing inflamed tissue, re-positioning the disk next to the joint, as well as trying to relieve tension from the affected area.

If none of these operations will fix the issue then there is one more major thing that can be done. Operating specialists might try to do a temporomandibular joint replacement. This requires specialists to take out the joint. They often have to cut deep into the jaw in order to reach the area where the joint is located.

In conclusion, if you have TMJ disorder, keep in mind that there are many other possibilities over surgery to treat TMJ. The cure might be a lot easier than you think of.

Knowledge is the Key to Living With Arthritis Pain


Arthritis pain is hard to live with but knowledge is the key to obtaining pain relief for a better day to day life. Arthritis pain relief can be obtained in a variety of ways and arthritis treatment and symptom relief might include arthritis medication or a wide range of other options.

Joint supplements such as glucosamine are reported to affect knee arthritis pain positively and without side effects even so, there is still insufficient evidence of this as further research is necessary. If knee arthritis is your problem then Another, largely debated treatment is arthroscopy. Joint motion and function are good with this treatment because healthy parts of the knee are preserved. It's cheaper and less likely to cause complications than osteotomy, and recovery period is short.

Given the widespread belief that weather can have a big influence on arthritis pain, it's probably best to assume there is a lot about arthritis that we do not yet understand. If it is true that arthritis sufferers can predict the weather, it might be the only good thing about having arthritis. Although Studies that objectively measured inflammation found no associations with weather patterns.

Osteoarthritis, also called degenerative joint disease, not only reduces elasticity and lubrication in the joints, but weakens muscles and loosens ligaments. This degeneration of cartilage can occur in any joints, but is most common in the knees, hips, hands, neck and lower back. Osteoarthritis may develop after an injury such as bone fracture or a joint dislocation.

Chronic arthritis pain, such as that seen in people with osteoarthritis and rheumatoid arthritis, ranges from mild to severe and can last weeks, months, and years to a lifetime.

If you suffer from osteoarthritis, Acetaminophen (Tylenol) is recommended by the American College of Rheumatology as the first line of treatment. Taken in doses of up to 4 grams a day it can provide significant relief of arthritis pain without many of the side effects of some over-the-counter medications.

Forward Head Posture Correction


Forward head posture is a pathological structural abnormality in which the head is translated anterior in relation to the rest of the body. The normal static upright posture for the skull is where the center of mass of the skull [generally at the external auditory meatus] is aligned over the center of mass of the thorax [generally the midpoint of the shoulder].

There are many reasons why people develop forward head posture. The incidence of this problem has grown exponentially with the advent of the personal computer and video games. There is also a direct correlation between whiplash injuries (due to acceleration-deceleration trauma in an auto accident), and the incidence of forward head posture. There is no data to support whether it is more prevalent in males or females, or what age brackets are most affected.

Because of gravitational stress, it is important that there is normal alignment with regard to the skull on the thorax and the thorax on the pelvis. Research has shown for every one inch of anterior head translation, there is a doubling of gravitational compressive loading exerted on the muscles and joints of the cervical and thoracic spine. For example, if the head weighs 10 pounds, if there is a one inch anterior translation, the result is 20 pounds of gravitational stress being exerted on the body; two inches of anterior head posture = 30 pounds of gravitational stress. This accounts for why people who have forward head posture have chronic suboccipital pain, as well as pain in the traps, rhomboids, and other muscles which help to maintain the posture. These muscles are fatigued and end up developing spasms and trigger points. Additionally research has shown forward head posture is damaging to the joints (resulting in arthritis, degenerative joint disease and degenerative disc disease).

The normal anatomical configuration for the lateral (saggital) cervical spine is a lordosis (or forward curve). The ideal-normal curve is 42 degrees of a circle (as measured between C2 and C7). There is a strong relationship between forward head posture and the loss of a normal cervical curve (and/or a reversal of the normal cervical curve). In the most severe instances, there is a multiple harmonic configuration (where within the span of C2 to C7, there are multiple curves). This is pathological and unstable.

There is a legitimate and scientifically founded reason to rehabilitate the cervico-thoracic spine to correct structural abnormalities (such as forward head posture) even going beyond the resolution of pain. This runs contrary to the current medical model which is symptom specific only (in other words - you stop treating once the patient is asymptomatic). Structural correction of the spine is more akin to orthodontics for the teeth. The clinical goal is not the simple amelioration of pain, but rather the correction of abnormal and pathological posture (which will result in chronic and permanent damage to soft and hard spinal tissues).

People suffering with forward head posture have sought a variety of treatments including medicine, chiropractic care, massage therapy, physical therapy and acupuncture. I have found the most effective treatment plan must involve a combination of modalities which serve to restore motion, alignment and strength. The first issue that needs handled is the restoration of motion (to the joints and the muscles). The most effective way to accomplish this is via chiropractic adjustments, stretching (active assisted and proprioceptive neurofascilitation or "PNF" stretching). Additionally, a variety of muscle and soft tissue therapies (such as Nimmo Ischemic Compression, Active Release Technique, Graston and Kinesiotaping) all have proven to be useful for the restoration of normal motion.

Once the patient's full, pain-free range of motion has been restored, the alignment may be addressed. The most effective way of correcting the forward displacement is via two-way extension-compression traction. The two way traction exerts forces on the patient in two different vectors. One part exerts force on the patient's forehead, gently pulling the head posterior (backward). It moves the skull back over the center of mass of the shoulder. The second force is applied to the back of the patient's neck, gently pulling it anterior (forward) to restore the curve in the neck). Research has shown the most effective results occur when this traction is done for a minimum of seven minutes to a maximum of twenty minutes. After twenty minutes, no further clinical benefits are obtained. The traction can be thought of as a long-slow adjustment. The purpose of it is to structurally deform the ligaments which are responsible for maintaining the saggital (lateral) shape of the spine (most notably the anterior longitudinal ligament). It takes time to overcome the hysteresis and creep properties of the elastic cartilage. The patient is to traction their own neck at home every day (seven days per week, and doing multiple sessions per day).

While the alignment is being addressed via traction, there must also be restoration of the strength and stability of the cerviothoracic spine. This is accomplished via a variety of specific exercises. The exercises are designed to build endurance and strength in all planes of movement. The patient is to start the exercise campaign doing isometric contractions followed by gentle proprioceptive exercises (which stimulate the joint mechanoreceptors and assist in building stability). Stability and endurance must be developed before strength. After this, the patient needs to build strength through isokinetic exercises. The areas to be addressed include the neck, upper back, chest and shoulders. The patient needs to be evaluated for asymmetrical contractions, cross body patterns and abnormal firing patterns.

When the patient has full, pain-free range of motion, no anterior translation of the skull on the thorax, a 42 degree cervical lordosis and has excellent strength & stability they are then "normal" and to be discharged from care. Intermittent follow up examinations (wellness checkups) are advised to make sure there hasn't been any regression.

Best Mattresses For Joint and Back Issues?


Back pain is a common issue in the mattress world. For many years, mattress manufacturing companies have tried so hard to produce mattresses that can help alleviate these pains. In fact, in their list of features, there is surely one promise of "alleviating back pains".

But which mattress is really the right one that can provide this benefit? I have to say those firmer mattress take the cake. Sealy posturepedic, Bergad Isoform mattress, Englander mattress-these mattress brands provide a firm mattress.

Sealy Posturepedic TrueForm Mattress
This is the one made from visco elastic memory foam. Memory foams are better in the sense that this is exactly their purpose. They are manufactured with one intent and that is to alleviate back pains. Sealy carries the torch in the mattress industry due to their reputation and their seniority in this business.

Their TrueForm bed was purported to relieve back pains. The mattress has just the right support. It is not too firm which is a refreshing change out of all the ultra firm mattresses sold today.

Bergad Isoform Mattress
This one also uses memory foams but it has been incorporated with so much beneficial features. The mattress has semi-firm comfort. Actually, they offer it in various density levels so you can choose the best one for you. Many consumers said this is the mattress that has brought them comfortable sleep. No other mattress were able to do that to them.

What is better with this mattress is that it is breathable. There is a coolmax feature in this mattress unseen in other memory foams. It allows the mattress to effectively regulate its temperature. This way, it does not get too cold during winter.

Englander Mattress
This mattress brand is better known for their latex mattress line. Latex provides semi-firm comfort so there is a good amount of support to the upper back and a good amount of comfort to the lower back. This one provides that benefit and more.

Since it is latex, it is hypoallergenic. The mattress is also breathable. But on top of that, a remarkable benefit you will note is its bio-sustainability that makes it friendlier to nature.

These are the mattresses that are a cut above the rest. They do not only alleviate back issues and joint pains, they also provide a myriad of other health benefits. If you are on the lookout for a good mattress brand, try them and see a great difference.

Monday, February 17, 2014

TMJ Condition


TMJ syndrome often occurs in people who have had accidents or injuries involving their jaw, but many others have had no such incident. It is believed that grinding the teeth or clenching the jaw in response to stress may trigger the condition in many cases. Other possible causes include arthritis of the temporomandibular joint, facial bone defects, and misalignments of the jaw or of the bite.

The underlying cause of TMJ syndrome is not known. In most cases, the joint appears to be healthy, suggesting that it is the soft tissue around the joint rather than the joint itself that has the problem. However, some cases of TMJ syndrome may be caused by TMJ arthritis, TMJ dislocation, or other forms of true joint injury.

Treatment of TMJ includes stress management, avoidance of certain foods that trigger discomfort (such as gum or beef jerky), and anti-inflammatory medications. The older antidepressant drug amitriptyline, taken in low doses, 1 as well as the muscle relaxant cyclobenzaprine 2 may help as well.

Whatever the cause, TMJ pain can be constant and severe. Pain may not only be felt about the jaw and face, but may extend to the ears as well. Fortunately, the best way to relieve the pain is to cease the behavior that created it. Of course, this may not apply to TMJ pain associated with misalignment or injury to the jaw. However, even in those cases, there are still several self-care options.

Applying moist heat to the affected area is helpful for many people. Alternatively, holding an ice pack to the area may help to reduce inflammation. Consuming soft foods and avoiding stretching the mouth during flare-ups will permit the jaw to rest in its natural position. Relaxation techniques can also help to reduce TMJ pain associated with bruxism. A simple exercise along this line is to practice gently blowing air between slightly parted lips, being careful not to allow the upper and lower teeth to come together.

At times, taking over-the-counter non-steroidal anti-inflammatory drugs may be necessary to quickly reduce inflammation and pain. These non-prescription medications include aspirin, acetaminophen, ibuprofen, and naproxen. Tricyclic antidepressants, such as amitriptyline or nortriptyline, have also been used to successfully manage TMJ pain. However, these medications must be prescribed by a physician and may produce unwanted side effects, such as drowsiness.

In extreme cases, implant replacement of the joint(s) of the jaw may be warranted. However, be aware that experiencing pain alone is not usually a decisive factor for having this procedure done. In fact, it is usually reserved for those who have undergone extensive trauma or injury to the jaw.

It should also be noted that there is no regulatory authority or certification that governs the treatment of TMJ disorders. In short, this means that neither the American Dental Association (ADA) nor the American Medical Association (AMA) acknowledges the treatment of TMJ disorders as a specialty in either dentistry or medicine. Obviously, this can make locating a qualified practitioner difficult. However, the best course of action is to consult a dentist and discuss a referral to a practitioner experienced in musculoskeletal and myofascial disorders.

Top TMJ Exercises for Your Clicking Jaw


What is TMJ? TMJ stands for temporomandibular joint, a term that is often associated with the disorder called TMJD (or temporomandibular joint disorder). This involves problems related to the jaw such as clicking jaw, bruxism, and hearing loss.

To cure this disorder, therapists have developed different types of TMJ exercises. The working principle of these exercises is to strengthen the jaw muscle that's right in front of your jaw joint. Doing these exercises helps stabilize the disk that is causing the clicking or popping sound. Here are some of the most effective TMJ exercises that you can try if you have this disorder.

1. Jaw Retraction

This exercise helps to align your jaw muscles. It is best done in a mirror. Put the tip of your tongue on the roof of your tongue. Push your lower jaw forward, keeping your tongue on the roof and making sure that your jaw moves straight, forward, and back. Repeat at least ten times or as suggested by your doctor.

2. Toothpick method

Get two toothpicks. Put one in between your middle upper teeth and one in your middle lower teeth. These toothpicks will serve as your guide when you do open your mouth and move your jaw up and down. To perform this exercise, move your lower jaw sideways, then put them back exactly where the toothpick was first positioned. Do not move your upper jaw. When you're done with the horizontal movement, try the procedure vertically.

3. Opening and Closing

This is probably the easiest way to address your TMJ issues. To do this exercise, lie down on the bed with your face facing the bed. Put your fingers together in a webbed position, and put your chin in this "web." While tipping your head back, open your mouth and then bite while your chin is kept in the web.

4. Tongue Up, Open and Close Exercise

To complete this exercise, put your tongue up on the roof of your upper front teeth. Hold it in place while you open and close your mouth. To maximize the effectiveness of this exercise, maintain a good posture.

The exercises stated above are focused on the movement of the jaw to exercise and stabilize the jaw joint. But other therapists also emphasize the importance of exercising other parts of the body that has an effect on TMJ. For instance, there are exercises meant for the neck. So to know more about these exercises and what truly work for you, a quick visit to your therapist will give you the answers you need.

Yog Mudra For Arthritis


It has been found that with changes in diet and food, proper rest, regular Yog Mudras, lifestyle changes, loss excessive weight and we cure joint pain. yoga for arthritis improves the blood circulation in joints and helps in removing unwanted toxins and other waste products.This is totally wrong that arthritis patient should not do exercise or it would damage his joints. Now, even the western research has shown that exercise especially Yoga and various Yog Mudras can control Arthritis. Fact is if arthritis patient tries to move joints then pain increases so he does not move the joints and hence problem increases. As there is no movement, the situation becomes worse. So through the yoga for arthritis done slowly, controlled physical movement of joints are helpful for Arthritis patients.

Arthritis - 'arth' meaning joint, 'itis' meaning inflammation. The most depressing aspect of the disease is that it does not get easily cured through medicine when it is in chronic stages.

How to cure joint pain with different Yog Mudras -

Vayu Mudra: Fold the index finger on the pad of thumb and press the forefinger through thumb.

Vayu mudra help in controlling Joint Pain, Muscular Pain, any kind of Numbness, joint Swelling and even Kampan Bai.

Diet and Water:
Diet is the most important factor for the joint problem. Healthy diet and water will help to remove waste mater and toxins from the body. Vegetarian diet specially uncooked food, raw juice, sprouted grains and wheat grass juice is very benefical. The patient should take about 100 ml of wheat grass juice daily in the morning and slowly this quantity should be raised upto 300 ml.

Patient should totally avoid preserved cooked food. Always try to have fresh food.

Try to avoid rich Vath food like soybeans, Kadi, Arbi, Uradh dal, Rajama, lady finger, baigan, especially curd at night.
Boiled vegetables, green vegetables, rice cooked with cloves are good to eat.
Add ginger, methi dana in the diet.
Drinking plenty of Luke warm water helps remove toxins from the body.
Fasting once a week is also very helpful.

Body Cleansing Kriyas:
Yogic body cleaning processes known as Shatkarmas are extremely powerful in that they work on specific areas of the body that have the maximum impact upon our health. These detoxification techniques are a sort of cleansing that helps the body rid itself of toxins. When the different systems of the body have been purified, the overall result is that energy can flow through the body freely. One's capacity to work, think, digest, taste, feel, experience, etc., increases and greater awareness develops. Enema: Lukewarm enema with lemon juice should be given to the patient. Arthritis patients should take proper treatment under the guidance of an expert Naturopath, Magneto-therapist, Accupressure Therapist, or Acu-Puncture Therapist.

Yoga Asans
Simple Yogic basic kriyas like different kind of movement of joints and limps help in improving circulation of blood in these parts of body; Various other kind of Yogasan like: Vajrasan, Pawanmukatasan, Uttanpadasan, Surya Namasker, Sarapasan, bhuanj asan, padam asan, trikonasan, tarasan, kati chakra asan, Anulom Vilom Pranayam etc. are very helpful for Arthritis patients.

Massage:

Whole body massage with herbal oils having essential oil of Garlic, Arand, Methi are very helpful in curing joint pains. A light massage of medicated Ayurveda Mahanarayan Oil on the limbs and joints is also essential. Red charged oil should be applied over the joints and proper scientific massege should be done over the joints.
Excretory organs and the foreign matter: The foreign matter should be excreted out through the excretory organs properly (Skin, Lungs, Intestines and the Kidneys). Hot footbath,steam bath, sun bath hip bath and cooling wet sheek pack, etc. help a lot in excreting out the foreign matter.

Hot and cold fomentation: Hot and cold fomentation should be applied over the joints of the patient. Three minutes hot pack and 1 minute cold pack should be applied for about 12 months. The treatment should be started with hot pack and end with cold pack.

Chromotherapy plays a vital role in the treatment of arthritis. Some tips are given below:-
Green charged water: About 1-2 cups of green charged water should be given to the patient empty stomach three times daily. This helps in throwing out the toxic matter from the body.
Herbal Therapy: Ajwayan or methi dana or saunth or lahsun or bathwa or nirgundi, etc. are very useful in the treatment of arthritis. About 5 gms of methi dana soaked in water or saunth powder 2.5 gms with honey should be given to the patient.

Mud-therapy:
Mud therapy helps a lot in arthritis. It reduces pain, toxic matter and obesity.

Healthy Tips.
Try to avoid Pain Killers. Instead of painkillers use wax packs to control pain.
Try to control constipation use issabgol, Trifala, bail Powder.
Try to avoid stress, keep your self cool and away from jealousy for any one. Practise meditational techniques to divert your mind.