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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31330
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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For Dr. Phophalia: Hi doctor. I have a history of TMJ, was

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For Dr. Phophalia: Hi doctor. I have a history of TMJ, was diagnoised in december. I think im having a flare up again cause im experience similar pain in my ride side of face (ear pain, cheek and jaw kinda tender, neck and shoulder pain). Im concerned with one thing, i have a swollen gland i think right were my jaw curves up into my ear. Its in my neck, but in the corner. Could that be from the TMJ flare up?
Hello and welcome, Mike

Yes, your symptoms can be due to TMJ. The other causes can be;

1) Unaccustomed activity like long hours on TV / computer / lap top.
2) Neck muscle strain.
3) Anxiety
4) Sinusitis
5) Migraine
6) Dental infection

Following would be the treatment protocol for TMJ;


A. Medicines;


1) Tylenol; acetaminophen

2) Anxiety reducing medicines; called as anxiolytics, will need prescription for it.

3) Non-steroidal anti-inflammatory drugs

4) Benzodiazepines

5) Muscle relaxants


B. Psychological interventions


1) Cognitive behavior therapy (CBT)

2) Relaxation techniques

3) Stress management


C. Alternative therapies


1) Acupressure

2) Acupuncture

3) Massage

4) Hypnosis


D. Physical therapy modalities


1) Transcutaneous electrical stimulation

2) Iontophoresis

3) Phonophoresis

4) Biofeedback

5) Superficial and deep heat

6) Therapeutic exercise; like Lateral jaw movement, Protrusive jaw movement, Tongue-up exercise, Resisted opening, Resisted closing.


It is privilege assisting you.

Customer: replied 3 years ago.

Thank you doctor. I have been trying very hard to stay off the internet and reading things. I think i recalled telling you about how i had lost 15 pounds after cutting back on fried foods and carbs. I recently started eating fried foods again over the last 12 days or so in an attempt to put some weight back on. Im 5'9, 161...use to be 176. Im not gaining any weight however. Concerning?

I would not be concerned at all.

Hey Mike, please do not worry. There is nothing serious going on. Otherwise I would have told you.
Dr. Arun Phophalia and 2 other Health Specialists are ready to help you
Customer: replied 3 years ago.

Thank you again Dr.

You are most welcome, Mike.

Wishing you all the very best.