Tmd! Omg

Discussion in 'Trumpet Discussion' started by Blind Bruce, Sep 21, 2009.

  1. Blind Bruce

    Blind Bruce Pianissimo User

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    Bad news here.:cool:
    My dentist concluded that I have temporomandibular disorder (TMD) It is a very painful jaw muscle tear. No trumpet playing and soft food for at least a week. Dentist said it may be caused by returning to the trumpet after so long a layoff. Since that is the only thing that has changed in my life in years, I hope it is resolveable.
    Anybody else ever heard of this?:-?
     
  2. rowuk

    rowuk Moderator Staff Member

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  3. vntgbrslvr

    vntgbrslvr Piano User

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    Waukesha, Wisconsin
    When doing research this is called TMJ. My uncle is a dentist that has studied this issue for several decades.

    I would get a second opinion by someone that is a specialist in this area. Tooth structure, and a variety of other issues can cause TMJ.

    My personal (unprofessional) opinion is that this syndrom seems as if it has become a catch all for a variety of jaw, neck and spinal pains much like Attention Deficit (ADS or ADA) has for school children.
     
  4. Vulgano Brother

    Vulgano Brother Moderator Staff Member

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    See if you can get some Oxycodone or Oxycontin from your dentist, sell it on the street, and pay for a second opinion!
     
  5. TrumpetMD

    TrumpetMD Fortissimo User

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    Hi Bruce,

    Sorry to hear about the TMJD. TMJD is really more of a syndrome than one specific disease. For example, it can be caused by neuromuscular dysfunction or a problem with the joint itself. It can be a local phenomenon or part of a systemic condition. If you want a second opinion, you could visit your regualr physician (a General Internist). He/she can give you a second opinion, and depending on the etiology and need for additional expertise, can refer you to a neurologist, rhematologist, dentist, or otolaryngologist, if necessary.

    Edit: I want to add that TMJD is often self-limiting, and should resolve with rest and ibuprofen. Chronic TMJD and TMJD that is secondary to another medical condition usually requires referral and a multidisciplinary approach to manage (but this is less common than the self-limiting version).
     
    Last edited: Sep 21, 2009
  6. TotalEclipse

    TotalEclipse Piano User

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    Are you sure you are playing the right way???
    You are sposed to blow through the mp .......not chew on it.
     
  7. heulwen

    heulwen New Friend

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    Apr 20, 2009
    Ipswich, UK
    Hola. I have had jaw problems and pain due to bruxism (grinding my teeth in my sleep) for 5 or more years and it was the reason I had my two year rest from playing. When it is bad, trumpet playing is absolute agony but it doesnt make it any worse than it was and it certaintly doesn't set it off in the first place. I wear a night guard now and instead of taking ibuprofen tablets use an iboprofen gel which I rub into my jaw as it targets that area more specifically.

    I had physiotherapy for it many years ago where they also gave me ultrasound treatment but this was at the point where I was unable to speak as I was in so much pain and I couldnt eat any solid food.

    Get a second opinion and try and find out what could be causing it - i.e. maybe you are grinding your teeth or have developed a funny chewing habit when you eat - as I would doubt that severe pain could come from the trumpet playing alone.

    btw - I am completely unaware of when I am grinding my teeth, I only find out when my partner elbows me in the ribs and tells me to stop it!
     
  8. unkleschilke

    unkleschilke New Friend

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    Jul 14, 2009
    Indiana
    I had weak jaw muscles in college and wore a divot in my jaw joint's cartlidge. My jaw would pop when I chewed, or wiggled it. It would hurt too.

    It hurt all up into my ears and temples sometimes.

    Now that I am not playing nearly as hard or often, it seems to not be there.

    Now my front teeth move. I guess because I'm older and its time for them to fall out?:-?

    I would take tylonel for the pain every now and then, but tried to take it easy and not jam my mouthpiece up my nose when I played.

    Take a break, heal, and it will come back.
     
  9. Bear

    Bear Forte User

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    Apr 30, 2004
    USA
    Friend,
    If I can come back from a broken neck, punctured lung, and smashed jaw (car wreck.. and those were the light injuries, HAHA) you can overcome this TMJ/D. I have faith in ya, take it slow and practice correctly!
     

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