#tmj 10

[fantasmadaagnes]

#tmj #turma da mônica jovem #mônica #cascão #citação #tmj 10 #meme #memes #turma da mônica

[ink-asunder]

Trying to yawn with a TMJ flare:

[Id: pic of a scrungy cat. End id.]

#scrungy cat #tmj #love love lahve that my doctor is still forcing me to abstain from all my pain meds and fast in advance for an elective procedure #while i still ACTIVELY have covid and I've already lost 10 lbs in one week from the illness ☺️💅 #literally the last two weeks have been a series of calling 4 different doctors and theyre always like: #“you cant come in. you have covid. but wait its actually really dickish of you to try and change appointments after all we did for you. #so dont you DARE reschedule this appointment or else 🔫🔫“ #i stg i have never felt so held at gunpoint by a practitioner to both avoid all of my urgent medical needs but also do dedicated ELECTIVES. #fuck OFF?? just let me have a LIFE for 2 seconds you fucking bitch #🐅

[audiovisualrecall]

Constant pain only dulled for a whole day by daily taking full dosage of tylenol and also 1 advil even tho I'm not supposed to take NSAIDS

Miserable

#extraction is friday. home today then work tues-thurs #and thurs is inventory night :)))) #advil is bc in the 4pm-9pm time range the tylenol is not enough #like ive been staggering the doses bc max dosage is 6 pills #and also i want tp try not having to take the advil by overlapping differently but so far not working #earlier pill wears off at 5. took another at 2:30 thats good till 8:30 so in theory i should be ok rn bc i have 2 tylenol in my system #cant take another one until after 4:52 (took the prev dose at 10:52) and its 4:39 and ive been at 6-8 level pain since 4pm #ish. #have a few tricks that lessen the pain and should be helping like cold compress and tugging on my ear and holding my tongue against roof of #my mouth bc it helps for some reason. but all thats doing is stopping it from being a level 10 pain #between tmj pain and whatwvers up w my ear rn (may be related to tmj) and the pain in the gums around the tooth #and the pain from where she did the numbing injections. and both that and the gums are swollen/irritated #the pain bounces back and forth between the different spots and the gums/tooth area throba #throbs* occasionally. so I'm just. in a lot of pain #earlier in the day I'm fine with the one tylenol wearing off soon after i take a 2nd one #and I'm fact i went an hour between one wearing off while a 2nd was in my system before taking the 3rd instead of #what I'll be doing now which is taking another asap after the one wears off. 5pm or asap #last night had to take an advil #and this morning got up late and didnt take a tylenol till 7:30 after last one wore off at 3am #I'll have 1 extra pill tonight i can take either after 11:30pm or after 3am #Or if i can wait it out and take it ehem i get up for work #otherwise my 24 hrs resets at 7:30 tomorrow which means not taking a tylenol when i get up in the morning #reluctantly id take an advil tonight or in the morning i guess

[emometalhead]

I am once again asking if breaking my jaw could relieve TMJ pressure. This is getting ridiculous.

#only kind of joking #not kidding when I say if you try to give me pain management advice I will block you though #trust me if you can name it I've tried it #I haven't been able to eat all day. I'm in an overwhelming amount of pain because no painkillers I've taken recently have worked. #my patience is next to nothing rn #hate it here #have an appointment with my primary doctor to talk about my jaw on Friday but no doctors ever know anything about it so I'm not hopeful #literally open to seeing any type of doctor or specialist of whoever for literally any treatment except botox #no one in my area offers anything besides botox #there's no long term treatment for TMJ and every now and then I just need to have a breakdown over it #like I'm only 20 and I've already had pain for over 10 years and I'm going to be in at least this much pain for the rest of my life #*screams* #so yeah if I just snap my jaw maybe it will give some release. that's the point I'm at right now #tmj #ashley rambles #jaw

[galariangengar]

💭

#hhhhhh this is the second time that I received notifications from the school I applied to last year about them and got rejected from #of them not accepting my transcripts on my application and to send them pdfs HHHHH!!!!! #I just sent another email to their graduate office email with pdfs of my transcripts/ID number and a brief explanation #then I saw that like a week ago I received an email from them about one transcript from my main university #HHHH the anxiety is killing and and said anxiety is fucking up my jaw/TMJ and killing me even more!!! #it says it takes like 5-10 business days to process this and for them to say they got it #but HHHH if I don’t hear back from them that they got it and it’s resolved then I’m calling them at the end of the month #so far neither of the other 2 schools has had issues or emailed me about any issues…. fingers crossed though 🤞🏼🍀 #HHHHHH pray for me guys! I’m truly suffering and hate life and everything currently 🙃 #squid sister says stuff

[underneaththatblackblanket]

"The 200+ Symptoms of Fibromyalgia"

(Note: Some symptoms may overlap)

GENERAL

1. Activity level decreased to less than 50% of pre-illness activity level

2. Cold hands and feet (extremities)

3. Cough

4. Craving carbohydrates

5. Delayed reaction to physical activity or stressful events

6. Dryness of eyes and/or mouth

7. Edema (Oedema)

8. Family member(s) with Fibromyalgia

9. Fatigue, made worse by physical exertion or stress

10. Feeling cold often

11. Feeling hot often

12. Frequent sighing

13. Heart palpitations

14. Hoarseness

15. Hypoglycemia (blood sugar falls or low)

16. Increased thirst

17. Low blood pressure (below 110/70)

18. Low body temperature (below 97.6)

19. Low-grade fevers

20. Night sweats

21. Noisy joints – with or without pain

22. Poor circulation in hands/feet

23. Profuse sweating

24. Recurrent flu-like illness

25. Shortness of breath with little or no exertion

26. Severe nasal allergies (new or worsening allergies)

27. Sore throat

28. Subjective swelling of extremities – (feels swollen Bu can’t find anything)

29. Sweats

30. Symptoms worsened by air travel

31. Symptoms worsened by stress

32. Symptoms worsened by temperature changes

33. Tender or swollen lymph nodes, especially in neck and underarms

34. Tremor or trembling

35. Unexplained weight gain or loss

PAIN

36. Abdominal wall pain

37. Bad hip pain

38. Burning Nerve Pain

39. Chest pain

40. Collarbone pain

41. Diffuse swelling

42. Elbow pain

43. Exacerbated Plantar arch or heel pain

44. “Growing” pains that don’t go away once you are done growing

45. Headache – tension or migraine

46. Inflamed Rib Cartilage

47. Joint pain

48. Lumpy, tender breasts

49. Morning stiffness

50. Muscle pain - widespread

51. Muscle spasms

52. Muscle twitching

53. Muscle weakness

54. Pain that ranges from moderate to severe

55. Pain that moves around the body

56. Paralysis or severe weakness of an arm or leg

57. Restless Leg Syndrome

58. Rib Pain

59. Scalp Pain (like hair being pulled out)

60. Sciatica-like pain

61. Tender points or trigger points

62. TMJ syndrome

63. “Voodoo Doll” Poking Sensation in random places

NEUROLOGICAL

64. Blackouts

65. Brain fog

66. Carpal Tunnel

67. Feeling spaced out

68. Hallucinating smells

69. Inability to think clearly

70. Lightheadedness

71. Noise intolerance

72. Numbness or tingling sensations

73. Photophobia (sensitivity to light)

74. Seizures

75. Seizure-like episodes

76. Sensation that you might faint

77. Syncope (fainting)

78. Tinnitus (ringing in one or both ears)

79. Vertigo or dizziness

EQUILIBRIUM/PERCEPTION

80. Bumping into things

81. Clumsy Walking

82. Difficulty balancing

83. Difficulty judging distances (when driving, etc.)

84. Directional disorientation

85. Dropping things frequently

86. Feeling spatially disoriented

87. Frequent tripping or stumbling

88. Not seeing what you’re looking at

89. Poor balance and coordination

90. Staggering gait

SLEEP

91. Alertness/energy best late at night

92. Altered sleep/wake schedule

93. Awakening frequently

94. Difficulty falling asleep

95. Difficulty staying asleep

96. Excessive sleeping

97. Extreme alertness or energy levels late at night

98. Falling asleep at random and sometimes dangerous moments

99. Fatigue

100. Light or broken sleep pattern

101. Muscle spasms/twitches at night

102. Narcolepsy

103. Sleep disturbances

104. Sleep starts or falling sensations

105. Teeth grinding - "Bruxism"

106. Tossing and turning

107. Un-refreshing or non-restorative sleep

108. Vivid or disturbing dreams/nightmares

EYES/VISION

109. Blind spots in vision

110. Eye pain

111. Difficulty switching focus from one thing to another

112. Frequent changes in ability to see well

113. Night driving difficulty

114. Occasional Blurry vision

115. Poor night vision

116. Rapidly worsening vision

117. Vision changes

COGNITIVE

118. Becoming lost in familiar locations when driving

119. Confusion

120. Difficulty expressing ideas in words

121. Difficulty following conversation (especially if background noise present)

122. Difficulty following directions while driving

123. Difficulty following oral instructions

124. Difficulty following written instructions

125. Difficulty making decisions

126. Difficulty moving your mouth to speak

127. Difficulty paying attention

128. Difficulty putting ideas together to form a complete picture

129. Difficulty putting tasks or things in proper sequence

130. Difficulty recognizing faces

131. Difficulty speaking known words

132. Difficulty remembering names of objects

133. Difficulty remembering names of people

134. Difficulty understanding what you read

135. Difficulty with long-term memory

136. Difficulty with simple calculations

137. Difficulty with short-term memory

138. Easily distracted during a task

139. Dyslexia-type symptoms occasionally

140. Feeling too disoriented to drive

141. Forgetting how to do routine things

142. Impaired ability to concentrate

143. Inability to recognize familiar surroundings

144. Losing track in the middle of a task (remembering what to do next)

145. Losing your train of thought in the middle of a sentence

146. Loss of ability to distinguish some colors

147. Poor judgment

148. Short term memory impairment

149. Slowed speech

150. Staring into space trying to think

151. Stuttering; stammering

152. Switching left and right

153. Transposition (reversal) of numbers, words and/or letters when you speak

154. Transposition (reversal) of numbers, words and/or letters when you write

155. Trouble concentrating

156. Using the wrong word

157. Word-finding difficulty

EMOTIONAL

158. Abrupt and/or unpredictable mood swings

159. Anger outbursts

160. Anxiety or fear when there is no obvious cause

161. Attacks of uncontrollable rage

162. Decreased appetite

163. Depressed mood

164. Feeling helpless and/or hopeless

165. Fear of someone knocking on the door

166. Fear of telephone ringing

167. Feeling worthless

168. Frequent crying

169. Heightened awareness – of symptoms

170. Inability to enjoy previously enjoyed activities

171. Irrational fears

172. Irritability

173. Overreaction

174. Panic attacks

175. Personality changes –usually a worsening of pervious condition

176. Phobias

177. Suicide attempts

178. Suicidal thoughts

179. Tendency to cry easily

GASTROINTESTINAL

180. Abdominal cramps

181. Bloating

182. Decreased appetite

183. Food cravings

184. Frequent constipation

185. Frequent diarrhea

186. Gerd-like Symptoms

187. Heartburn

188. Increased appetite

189. Intestinal gas

190. Irritable bladder - "Angry Bladder Syndrome"

191. Irritable bowel syndrome - IBS-C, IBS-D

192. Nausea

193. Regurgitation

194. Stomachache

195. Vomiting

196. Weight gain - unexplained

197. Weight loss - unexplained

UROGENITAL

198. Decreased libido (sex drive)

199. Endometriosis

200. Frequent urination

201. Impotence

202. Menstrual problems

203. Painful urination or bladder pain - "Interstitial Cystitis"

204. Pelvic pain

205. Prostate pain

206. Worsening of (or severe) premenstrual syndrome (PMS or PMDD)

SENSITIVITIES

207. Alcohol intolerance

208. Allodynia (hypersensitive to touch)

209. Alteration of taste, smell, and/or hearing

210. Sensitivity to chemicals in cleaning products, perfumes, etc.

211. Sensitivities to foods

212. Sensitivity to light

213. Sensitivity to mold

214. Sensitivity to noise

215. Sensitivity to odors

216. Sensitivity to yeast (getting yeast infections frequently on skin, etc.)

217. Sensory overload

218. Sensitivity to pressure & humidity changes

219. Sensitivity to extreme temperature changes

220. Vulvodynia

SKIN

221. Able to “write” on skin with finger

222. Bruising easily

223. Bumps and lumps

224. Eczema or psoriasis

225. Hot/dry skin

226. Ingrown hairs

227. Itchy/Irritable skin

228. Mottled skin

229. Rashes or sores

230. Scarring easily

231. Sensitivity to the sun

232. Skin suddenly turns bright red

CARDIOVASCULAR (Heart)

233. “Click-murmur” sounds through stethoscope

234. Fluttery heartbeat

235. Heart palpitations

236. Irregular heartbeat

237. Loud pulse in ear

238. Pain that mimics heart attack - "Costochondritis"

239. Rapid heartbeat

HAIR/NAILS

240. Dull, listless hair

241. Heavy and splitting cuticles

242. Irritated nail beds

243. Nails that curve under

244. Pronounced nail ridges

245. Temporary hair loss

OTHER

246. Canker sores

247. Dental problems

248. Disk Degeneration

​249. Hemorrhoids

250. Nose bleeds

251. Periodontal (gum) disease

252. Need for early hysterectomy

#fibromyalgia #chronic pain #chronic illness #chronically ill #invisible illness #spoonie #pwd #disability #hidden disability #sharing is caring #disorder #neurological disorder #central nervous system #nervous system disorder #mental health #health #awareness

[sheryl-lee]

semi-hiatus due to major health issues

TLDR; i am on the path towards getting a very major surgery for a progressive disease i've unknowingly had since adolescence (condylar resorption) that causes irreversible bone loss and osteoarthritis in the jaw, as well as severe facial deformities. i'm going on semi-hiatus while i await next steps so i can eventually get surgery and recover, which will take about 1-2 years in total.

more info under the cut:

i recently learned i have condylar resorption (CR), a degenerative joint disease that results in gradual bone loss/destruction of the mandibular condyles, which are a part of the jaw's temporomandibular joints (TMJs). i also suspect i have a connective tissue disorder, hypermobile Ehlers-Danlos syndrome (hEDS), which is strongly linked to CR. both have gone undiagnosed since i first started having symptoms 10 years ago when i was 11 years old. CR has irregular periods of activity, remission/inactivity, and reactivity. its progression picks up from where it left off and cannot be stopped. my disease is currently at stage 4-5 out of 5. i am in constant unbearable pain and cannot function.

there are no words to describe just how debilitating CR is all day, every day. i cannot breathe, eat, talk, laugh, sleep, or exist without pain, instability, and discomfort. the disease and the joints affected by it are very complex and misunderstood by most doctors/surgeons, so getting a proper diagnosis is challenging. i've had to do so much research and self-advocacy to combat medical gaslighting. i've already lost years of my life to worsening pain/dysfunction and facial changes that went ignored.

the only guaranteed successful/stable option in my case is a bilateral total joint replacement (removing both TMJs and replacing them with metal prosthetics) along with upper jaw surgery. this is a majorly invasive procedure that is 7-9+ hours long with a 6-12 month recovery period. prior to surgery, i have to be back in braces for ~6 months; so the entire process from now to recovery is 1-2 years.

i'm going on a tentative semi-hiatus in the meanwhile. i will still regularly check my tracked tag (#usersameera), but won't post original gifsets as often. i might post personal updates from time to time. i really hope that in the near future i'll be pain-free, functional, and more present in my own life.

#pinning this! #sorry for the long post but i appreciate it if you took the time to read it <3 #sameera.txt

[sexhaver]

ive made this post multiple times before and will probably make it again but the worst part of getting medicated for ADHD is that the two main effects are:

mentally, you become God. everything is easy, easier than easy. things that were impossible unmedicated are insultingly trivial on 50mg Vyvanse XR. focus, executive function, sociability, memory - everything is cranked up to 11 and then has the knob ripped off. this isn't gradual, either; you can physically feel yourself go from a barely-conscious husk to the physical embodiment of efficiency over the course of 15 minutes while the THX noise plays nonstop and keeps ramping up the entire time.

physically, you break yourself in every way that matters. you grind your teeth to dust and develop TMJ until you forget there was a time when you didn't wake up every morning with a headache from clenching your jaw all night. you genuinely just forget to eat or drink for 6 hours at a time until your doctor-approved meth wears off and you can suddenly hear everything your body has been screaming, begging for you to do since breakfast. the comedown itself is hell incarnate, feeling like being dropped off a cliff onto spikes a mile below. this happens every afternoon for the rest of your life, and you know it's coming the whole time.

this leads to the following outcomes:

the first point is extremely visible to everyone in your life, often times even more so than it is to yourself.

not only does everyone else notice that you're suddenly acting differently, they like that version of you way more. i know this sounds like depressive thinking, but i have literally been told this exact line to my face multiple times. you become a less flaky friend to your peers and a more consistent worker to your boss/coworkers. by all externally visible measures, you become an objectively better person to be around.

the second point is invisible to everyone except you 99% of the time.

the other 1% of the time, they notice the side effects because the clock struck midnight 6pm and the carriage turned back into a pumpkin your meds suddenly wore off. as far as an external observer is concerned, you suddenly went from being bubbly and fun to hang out with to a hangry cranky drain on everyone's energy in 10 minutes flat.

living with these inescapable facts every single day for years on end naturally leads to the following conclusions:

"When I feel bad/stressed, everyone else likes me. When I feel good/relaxed, everyone else dislikes me."

"Feeling good is an indication that I am currently doing something wrong, or am forgetting to do something entirely. In either case, it means everyone else in my life dislikes me."

"Feeling bad is not just an indication that I am doing something right, it's a prerequisite. Unless I feel bad, nobody else in my life likes me."

"Nobody else cares how I feel, they never will, and anyone saying otherwise is a liar. Sure, people understand that they have to say they care about my feelings to avoid sounding like sociopaths, but the fact that those same people consistently like me better when I'm medicated and doing nice stuff for them (while screaming internally and grinding my teeth to dust) than when I'm unmedicated and relaxing proves that they're full of shit."

"Since I'm literally the only person who cares about my own happiness (see above), and everyone else on Earth is happier when I'm suffering, it's not just difficult for me to fight depression and assert my self-worth - it's actively harming everyone else around me."

eventually you learn to turn off your feelings for a while to get through especially bad patches, but the entire thought process never goes away and eventually starts impacting how you view other people. i don't have a hopeful note to end this post on.

[ihavemanychickens]

Call of duty chronic pain headcanons

Ghost

- this man was literally tortured and traumatized as a result of that, so he probably has fibromyalgia

- For those who don’t know what fibromyalgia feels like, it’s this feeling of tenderness all over your body, like when you get a bad sunburn (at least that is what it’s like for me)

- There’s a little to no treatment for it but ghost finds that hydrotherapy really helps

- He’ll switch between really hot and really cold showers depending on what he feels he needs

Price

- Although we don���t know his official age we do know he’s been in the military since he was 20 and is at least in his 30s or 40s. Meaning he’s been in the military for 10+ years.

- Do you know what being in the military for that long does to your body?

- He most certainly has some form of chronic pain, but this also means he’s had plenty of time to test out pain relief methods

- He’s tried it all: joint braces, magnesium and CBD lotions and oils, hot and cold compresses, yoga, etc.

- Sadly, he kind of forgets that he has pain relief options, so usually he just toughs it out

Gaz

- he probably holds a lot of tension in his shoulders, neck, and jaw

- So he most likely is prone to TMJ and tension headaches

- He’ll use those neck pillows that you can heat up or put in the freezer to cool down

- And when his jaw is hurting really bad, he’ll stick to soft foods and take an anti inflammatory

Soap

- injured his knee once, and it has never been the same since

- He’s got a drawer full of knee braces but he really only uses like three

- He probably has some with cool designs too

- But when the pain is really bad, he takes a pain reliever and alternates between hot and cold compresses

#cod mwii #simon riley #kyle gaz garrick #captain john price #john mactavish #cod headcanons #i posted something #the chicken bawks #🐔

[no-pretence-of-something]

Hi guys! I am so sorry for the long post. I have adhd and I know if I saw this I would skim past but if you have migraines or know lots about migraine treatment PLEASE READ I’m getting super desperate now. I’ve had chronic headaches for about 10 years and chronic migraines for about 7. For me this means I get at least 1 headache every single day (that will not respond to normal OtC painkillers except sometimes aspirin) and about 3-10 migraines in a fortnight (recently this has been closer to a migraine every day or every other day).

I’ve been prescribed:

Propranolol (as a preventative)

— something about relaxing blood vessels

Topamax

—theres apparently an idea of treating the migraines as mini seizures

Imigran/Relpax

—taken when I get a migraine (works about 80% of the time if I am also able to lie down in the dark and do nothing for a few hours after taking it. If not drops to working about 50% of the time)

The tests/treatments I’ve done to investigate the cause of the migraine (sometimes done as an aside to another issue):

Brain scan, eye test, hearing test, dentist(TMJ pain), chiro (got an upper back and neck scan), blood test (low iron but no change since taking iron) and other shit that I can’t remember. I’m also booked in for a neurologist but not till September.

I’m a musician (trumpet and composer) and I often have to miss rehearsals and starting to miss shows and I’m doing more musicals/productions and those kind of settings (noise, hours, focus, cramped) tend to trigger migraines and saying that it’s starting to bum me out is a bit of an understatement haha if anyone has any advice I’d love to hear it

Edit: (Additional Info)

Imma keep listing things I’ve done to try and improve my headaches/migraines with varying results

-drink more water (probs helped)

-drink electrolytes (too soon to tell/I might be placebo-ing myself into thinking it’s working)

-get those ice hat things (sometimes works but also only after I have a migraine)

-air purifier (who knows)

-meditation (helps me sleep?)

-put plants in my room (who knows in terms of air quality but the plants are nice)

-humidifier (sinuses are less dry?)

-sinus wash thing (who knows)

-somnilight migraine glasses and fl-41 glasses (seem to help a bit?)

-blue light glasses (who knows/maybe a placebo)

-weird pressure point things that go on the webbing bit in between my thumb and pointer (nope)

Edit 2:

-track barometric pressure (I’m in western australia and it’s not been the rainy season since I started tracking it so tbd)

-got a sleep mouthguard for TMJ pain (helped with jaw pain, less waking up with a headache)

-therapy (not specific to migraines but apparently counts as treatment?)

-dark chocolate (like I’m talkin 70%cocoa - or more honestly helps a lil if it’s a moderate headache - might be a placebo)

#personal #migraine #migraines #chronic pain #headaches #chronic migraine #pain management #musician problems #chronic headaches #tmj pain #therapy #spoonie #music student #music student problems #musician #musician tips

[fantasmadaagnes]

VOLTAAA PLMD eu amo seu blog serio!!!!! É tao dificl achar bons conteudos de tmj na internet mas o seu é perfeito aaaaa! Eu sempre amei fazer headcanons dos personagens na minha cabeca e os seus posts sobre sao maravilhosos, assim como tds os outros, serio stalkeei o seu perfil inteiro em 10 minutos aaaaa incrivel :)

Hehe, coitada da @kinnyassead, desculpa mesmo pela demora, juro que vou responder os pedidos que você me mandou.

E obrigada pela lealdade, caramba, uns dez minutos depois de eu anunciar o meu retorno você já veio comentar <3

Como pedido de perdão fica com esse meme antigo aí:

#tmj #turma da mônica jovem #msp #asks #meme #não imaginam o prazer que é estar de volta

[succubusmunson]

not gagging is my secret weapon because my mouth can only open so far because of my tmj, BUT I know how to cover my teeth so they don't scrap- enough about me

I am gonna share the tip. So we can all be downbad sluts together. I stand in solidarity with my "I want to be used" chicks (couldn't be me because if your dick is in my mouth baby I am IN CONTROL). Now, this tip may not work for everyone, but it works for me and every friend I've told it to (aka only 3 people cause I only have 3 friends lmao). Now once you got a d or a strap in your mouth, you get used to it after a bit. But the initial and first few minutes is what im talking about

So you may want to test it now. I like to see what I can handle just to get an idea and prove it works. I am a weak bitch. I gag instantly if something goes back there. Instantly.

The trick is to pinch in between your thumb and index finger, I usually do my left hand. If you make an L and go right where the lines would join, not the bone but that soft skin in between your thumb and index finger. Pinch there for 10 seconds. It works both hands for me, only the left for one of my friends, idk the rest. I usually sit like im folding my hands together with pleading eyes so it looks like I'm all submissive and shit and it hides me doing this. Thats it. Pinch for 10 seconds then get to going. The lasting varies depending on how long you hold. You don't have to hide it if you don't want to, but its my secret weapon im not doing it in front of the men.

I just tested it again before I sent this, and it worked for me. And it works for my 3 friends. Maybe its just a placebo and I am hyping this up too much, idk, but it works for me and my friends so you best believe I am using it

i’m putting this in my notes for later!!!

i know some people love when others gag for them and that i can do 100%

#bee’s anons

[tcfkag]

TL;DR - chronic illness and dental anxiety

There is nothing like finally overcoming your inertia, partially due to ADHD and partially due to anxiety (with a healthy side dish of PTSD), to find a new dentist (one that offers sedation dentistry in particular) AND make an appointment AND show up to the appointment.... Only to find out that the x-rays show there are so many issues with your teeth, including a back molar that needs to be extracted (I knew it had cracked or broken at some point in the past, though I'm not sure when, I had at least hoped it was salvageable, and somewhere between 5-10 cavities, such that they didn't even bother doing the basic cleaning because I am going to have to come back to get these procedures done under sedation so they recommended just getting the normal maintenance stuff while I'm "under". Plus, depending on the price and whether insurance will cover some of the cost, the dentist recommended getting Botox injections to help relax my jaw since I have pretty bad TMJ which can trigger migraines. I hadn't known Botox could be effective for TMJ (though I had heard about its use for migraine patients) but if it works, they might get a new Botox customer out of the deal. So now I have to go back for in-erpson appointments at LEAST two more times: once to meet with the nurse/practice manager to go over the planned procedure, get written consent, and also review the estimated cost that won't be covered by my dental insurance, particularly the sedation. Only after THAT meeting can I schedule the appointment. Oh, and the dentist wants to get in touch with my PCP and GI beforehand to confirm there are no contradictions for sedation, so who knows how long that will take. Between a rough year health-wise (physically and mentally), having a two-year-old, moving to a new house, etc etc, I knew my dental hygiene hadn't been exactly A+ levels, but I have to get one molar pulled entirely (I knew it was broken but didn't realize how bad it was), get something like a half-dozen cavities filled, and get the normal cleaning, fluoride treatment, and hopefully treatment for my jaw so that all of the time. Hopefully, spending this much time in the chair doesn't trigger a migraine. Other fun observations from the new dentist: given my immunosuppression and tendency towards gum inflammation, he suggests I use medicated toothpaste from this point on but he also said he saw signs that one of my new medications (or maybe just age) was giving me dry mouth, which encourages the environment that causes things like cavities and gum disease, so I also need a new mouth wash for that too. None of this is ideal, but there is really something about having a bad dentist's appointment that really makes you feel like you're failing at adulthood.

#chronic illness #spoonies #One more reason to hate Crohn's #And one more reason to like the trend towards sedation dentistry #Oh and of course today the edema in my legs and feet and somewhat my hands and wrists decided to recur #Even though as recently as Monday or Tuesday it had finally started to improve

[sniper-rates-things]

rate sniper tf2 teeth?

My own teeth? Well…I’d like to say 10/10 but…I had some cavities recently, also I get TMJ. So it’s more like a 7/10 unfortunately but they look nice

#tf2 #tf2 sniper #rating #anon

[mcatmemoranda]

I have a pt who has apparent status migrainosus. But it's been resistant to sumatriptan. She said she had some relief with IV meds in the ED (I believe she got depakote or valproate). I wonder if it might actually be 2/2 temporomandibular joint arthritis, which she was diagnosed with a month ago. That's what my preceptor mentioned. So I looked up TMD on UpToDate:

Pathogenesis – Several factors can contribute to the development of temporomandibular disorder (TMD) symptoms, including temporomandibular joint (TMJ) trauma, poor head and cervical posture, differences in pain threshold and processing, and psychological factors such as depression and anxiety.

●Clinical manifestations – Symptoms of TMD most commonly include facial pain: a dull, unilateral facial ache that is constant but waxes and wanes in intensity and is typically aggravated by jaw motion. Other common symptoms include earache, headache (typically frontal or temporal and often radiating to the jaw), and jaw and TMJ dysfunction (eg, decreased mandibular range of motion, clicking with jaw movement, intermittent jaw locking).

●Evaluation and diagnosis – The diagnosis of TMD is based primarily upon the history, including the patient's constellation of symptoms, and compatible physical examination findings. For patients with more severe symptoms and those with persistent symptoms, we obtain imaging to rule out local pathology in the teeth and jaw bones; a panoramic radiograph or cone beam computed tomography (CBCT) are both reasonable choices. We advise against the routine use of a standard radiograph of the TMJ, as this study does not provide valuable information regarding dentition and mandibular alignment and symmetry.

●Initial management with patient education and self-care measures – For all patients with TMD, we suggest initial management with education and self-care measures (Grade 2C). This includes education regarding the natural history of TMD and counseling on optimal head posture, jaw exercises (picture 2 and picture 3*), and proper sleep hygiene, as well as avoidance of triggers (eg, oral behaviors such as nail biting, pen chewing) if these factors contribute to symptoms. There are limited high-quality data supporting the use of self-care and education in the treatment of TMD; however, given the lack of harm and the potential benefit, these interventions are appropriate for all patients.

*Isometric jaw exercises are particularly useful for patients with temporomandibular joint dysfunction syndrome. These exercises are performed by applying resistance with an open or loosely fisted hand. In the isometric jaw opening exercise, the patient begins with her mouth open about an inch. The resistance and muscle contraction are held for 5 to 10 seconds before relaxing. This is repeated five times per session. Exercises can be performed with moderate resistance applied several sessions per day, or with maximum resistance one session per day.

*The isometric jaw forward thrust exercise is performed by pushing the jaw forward against the hand, holding and then relaxing. This is repeated five times per session.

•Physical therapy for musculoskeletal causes – For patients with a prominent musculoskeletal component or cervical or shoulder symptoms, we refer for physical therapy evaluation and treatment.

•Oclusal (bite) splints as adjunctive therapy – For some patients with TMD, particularly those with prominent musculoskeletal symptoms or evidence of bruxism, occlusal splints fitted by a dental clinician can be used as an adjunctive therapy along with other TMD treatments such as physical therapy.

•Biobehavioral management for comorbid psychological conditions – For patients with comorbid depression, anxiety, and stress disorders, biobehavioral management is used as adjunctive therapy in TMD treatment.

●Adjunctive pharmacotherapy for persistent symptoms – For patients with persistent symptoms despite education and self-care, we use adjunctive pharmacotherapy concurrently with other treatments.

•For such patients, we suggest using a nonsteroidal antiinflammatory drug (NSAID) as first-line pharmacologic therapy rather than other medications (Grade 2C). We generally treat patients with a 10- to 14-day course of a long-acting NSAID (eg, naproxen 250 to 500 mg orally twice daily).

•For patients with tenderness of the muscles of mastication, we suggest treatment with a skeletal muscle relaxant in addition to the NSAID (Grade 2C). For most patients, we prescribe the muscle relaxant for 10 to 14 days only. However, some patients with persistent muscular pain may benefit from an additional week of treatment.

•For patients with persistent TMD symptoms that warrant continued adjunctive pharmacotherapy after two weeks of NSAID treatment (or three weeks for those patients taking additional skeletal muscle relaxants), we suggest treatment with a tricyclic antidepressant (TCA) rather than other therapies (Grade 2C).

●Interventional management for severe or refractory symptoms – For patients with TMD symptoms refractory to noninvasive management, referral to an oral and maxillofacial surgeon with experience in managing TMD is warranted. Treatment options for these patients include trigger point muscle injections, botulinum toxin injections, and intraarticular injections.

●Surgical referral for refractory symptoms despite nonsurgical interventions – For some patients, such as those who have structural anatomic pathology on imaging and persistent jaw locking severe enough to interfere with activities of daily living despite three to six months of nonsurgical management, we suggest surgical intervention rather than no surgery (Grade 2C). Although the specific surgery offered will depend upon the intraarticular disorder, such patients are unlikely to achieve adequate symptom control without surgical intervention.

#TMJ #temporomandibular joint #TMD

[vulpixelates]

good news: finally don't want to pull my hair out every single second i'm drawing

bad news: looking down at my tablet is making my stupid tmj neck stiffness act up so i can only draw in like 10 minute increments or i'll be doomed to lying flat on my back and staring at the ceiling for a week once more 🙃✌

#DAMN YOU BODILY LIMITATIONS. where is my robobussy #*dykeposting #*artventures