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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 35756
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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I am having terrible pain, down my jaw, I wonder if it might

Customer Question

I am having terrible pain, down my jaw, I wonder if it might be TMG?
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 1 year ago.


I am Dr. Arun and will be helping you today.

I am sorry that your question was unanswered for long.

This can be TMJ syndrome. Temporomandibular joint syndrome, is the most common cause of facial pain after toothache. The other possibilities of the diagnosis are;

a) Sinusitis

b) Dental infection

c) Orofacial pain

d) Neuralgia

The temporal mandibular joint (TMJ) syndrome, if chronic and recurrent, is treated as following;

A. Medicines;

1) Tylenol; acetaminophen

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

3) Non-steroidal anti-inflammatory drugs

4) Benzodiazepines

5) Muscle relaxants

B. Psychological interventions; like anxiety or depression, if present will need management. TMJ syndrome many times has a close association. People may have a history of face trauma, poor dental care, and/or emotional stress, with TMJ syndrome.

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.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

Expert:  Dr. Arun Phophalia replied 1 year ago.

It is privilege assisting you.

Please let me know if you have further queries or unanswered questions.

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Thank you.

Wishing you all the very best in life.

Expert:  Dr. Arun Phophalia replied 1 year ago.

Thank you for the opportunity to answer completely your Question. Please make sure to rate me because that is how I am credited for my work.

Now, I will provide an Additional Service offer so that you have this option available on your question list to get a hold of me directly in the future.

This additional service offer can be used for

- if you would like to schedule a new, private email session or to ask me directly a new question. It's up to you.

Thank you.

Expert:  Dr. Arun Phophalia replied 1 year ago.

Hope you are doing good.

Please let me know if you have any follow up questions.


Expert:  Dr. Arun Phophalia replied 1 year ago.

Merry Christmas and a very Happy New Year 2016.