Submitted by cannolifan t3_11f5q70 in RhodeIsland

I am having problems with my jaw (it is locked and I cannot open my mouth) and it seems to be out of the realm of my dentist. Have any of you seen a care provider for TMJ or any type of jaw issues that you can recommend or not recommend?? Really really appreciate any help. Thanks!

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camartinart t1_jahwk10 wrote

I had a rough case of lockjaw in 2016 (one of my many weird body/health issues stemming from Lyme disease). I could barely open or close my mouth fully. I went to Elite Physical Therapy and had a few sessions where they taught me techniques that I can implement anytime I feel my jaw stiffening. Hasn’t happened again since, thankfully.

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Dragyn140 t1_jajw9vh wrote

Plus one for Elite PT in general. Worked with them on a shoulder injury a few years ago and hasn’t been a problem since.

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Ne0hlithic t1_jahvw3f wrote

My guess would be an ear, nose, and throat (ENT) doctor (otolaryngologist). But why not start with your primary care?

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rhino3841 t1_jahwebg wrote

I’d say skip primary care and go straight to the specialist if your insurance would cover it. You know it’s your jaw don’t need to go to primary care just for them to say yup your jaw’s messed up go see a specialist.

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radioflea t1_jai3jxx wrote

Agreed and I’m the meantime get checked at an urgent care if you need pain medication until you can get seen by a specialist.

I went to a chiropractor for TMJ 20 years ago and I found it to be very proactive and have had minimal issues since.

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petrichorblue1 t1_jaifw1u wrote

The urgent care can also refer you to a specialist

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[deleted] t1_jaim034 wrote

[deleted]

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petrichorblue1 t1_jaji5ib wrote

I went through urgent care to get a referral for both an MRI and to an orthopedic when I hurt my knee last year. Just beware that if your insurance requires referrals for specialists you will need to find a PCP

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narrat t1_jahwwli wrote

Someone I know who has this same problem said botox injections help. Almost immediate relief.

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JSchecter11 t1_jahy421 wrote

This is true. I have pretty bad TMJ and this was AMAZING. Almost 6 months nearly pain free. I could have conversations, I could chew food, it was brilliant. Unfortunately, my insurance won't cover it so I can't get the only treatment that actually helps aside from an eventual surgery that I will need.

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[deleted] t1_jahyh3n wrote

[deleted]

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JSchecter11 t1_jai0phq wrote

I haven't found anyone in RI, I've gotten treatments in Wellesley and North Attleboro. I posted another comment with a link for you.

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ohmygoyd t1_jaiijj5 wrote

They do it in RI - Dental Associates of RI in Johnston

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narrat t1_jai92dg wrote

The treatment was in New Jersey. Maybe your primary physician could help with info.

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daltoftheshans t1_jam5417 wrote

Picard dental in Woonsocket offers $50 lidocaine shots that last 48 hours to try (Botox has the same effect my dentist said) Plus they offer Botox for jaw pain!

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ohmygoyd t1_jaiifbc wrote

YMMV. I did a round to help my migraines, TMJ, and tension headaches and it didn't help at all.

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Puzzleheaded_Try1359 t1_jahywsi wrote

I had Botox injections in my jaw and it has helped tremendously. Dental associates of RI on Atwood ave did it for about 600$

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ninetyschic t1_jajuz59 wrote

Did insurance cover this or did you pay out of pocket?

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Puzzleheaded_Try1359 t1_jam829e wrote

Out of pocket. I have really good insurance but they still wouldn’t cover a dime. I’ve tried everything, night guards, PT, jaw exercises, nothing worked. The injections helped tremendously

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ninetyschic t1_jbmvert wrote

Thanks for responding. Insurance wouldn’t cover a custom mouth guard either so this isn’t surprising.

I’m going to an ENT at the end of the month and my pcp suggested asking them how to get Botox covered by insurance for headaches. Maybe it’s possible (doubt it)? If I find a way, I will follow up on this post.

Edit: for headaches caused by tmj

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TzarKazm t1_jaih0vl wrote

Symmetry dental in Swansea specializes in TMJ. the doctor actually is a researcher into TMJ and bite alignment.

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indigo_mermaid t1_jaijgxa wrote

They seem like an amazing provider! Unfortunately, they don’t take any insurance

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JSchecter11 t1_jahyrkj wrote

Look for a pain management physician. I saw one in North Attleboro and he was fantastic. I've also tried the craniofacial clinics around Boston, but none were that great tbh. The folks at Tufts just told me I was stressed and needed therapy to stop clenching my jaw- even though there is a clear deformity in my bone shape on x-rays...

Someone mentioned Botox below, and it definitely works wonders- but my insurance doesn't cover it (and I have really, really good coverage). You can also try a stem cell treatment as well, which also helped me for several months until it wore off (some patients get relief for 2+years from it though).

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DisasterNo1293 t1_jakkz2q wrote

Dr NAGER in Warwick (granted she is a dentist) helped me with TMJ and I would definitely recommend. She was super knowledgeable and thorough!

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perpetualgrad t1_jalum07 wrote

Dry needling fixed my TMJ in two sessions paired with physical therapy. I went to Elite Physical Therapy in Coventry.

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Jayd1823 t1_jai368h wrote

I would go to the hospital. They usually have everything and if not can point in right direction

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LinuxIsFree t1_jaihlne wrote

I read r/radiohead as the subreddit and was very confused for a moment.

These weird notifications from subs I have nothing to do with keep getting me. Got me in trouble with my girl when it suggested r/tinder and she thought it was a tinder notification, lol

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FoleyisGood t1_jahshpt wrote

I don't have a suggestion for a specialist but while you are looking maybe give acupuncture a try. This is completely anecdotal but last I definitely had success with it.

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Pdmnt t1_jahxey4 wrote

Yeah I broke my spine in four places in 2016 from a trapeze accident and the only thing that helped was when we saged our living room and drank probiotic tea

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