Monday, December 10, 2007

Jaws

I am just a bucket of ailments lately. This weekend I couldn't open my jaw (again) and it seriously cut down on my food intake. With my small bites, I felt full by the time I finished half a plate a food. (With my laziness to cook, I am truly withering away!) The big mystery is how I got to such a state. The quack dentist I go to kept asking me if I had recent wisdom teeth work done (yeah, like three years ago!). He prescribed a muscle relaxant and said he couldn't do much else. Another dentist at the office, who checked my nightguard for proper fit, wondered if maybe I clench my teeth and mentioned the possibility of TMJ*, which would require the help of a specialist. I then went to see the doctor and he said I had the classic signs of TMJ (pain at the joint, inability to open the mouth wide). He guessed that the cause was stress (very likely) and that sitting hunched over a desk/computer screen would cause my upper body to tense up, even my jaw to possibly clench (I noticed some signs of this when working on a project launch). He prescribed an anti-inflammatory and said sometimes physical therapy can help. So I asked my p/t about this -- all three of the staff said it sounds like TMJ (they were eavesdropping plus I am such a fascinating patient). The head p/t was most helpful of all. He said most cases you can take an over-the-counter anti-inflammatory (no need to spend $10 on prescription meds) and since the joint is so shallow, you can just rub an ice cube over the joint and the surrounding area, though ultrasound and shock therapy (which I get for my knee) may help too. He simply iced my jaw and it felt 100x better! Why couldn't the other medical professionals tell me something so simple like this?! The p/t's explanation was that in your jaw joint there is a disc that sometimes moves out of position when you bite on something hard or open your mouth really wide to eat something like an apple, or even to yawn. Bingo! The first time this happened, I was yawning like crazy. So he said to prevent yourself from yawning too wide, just touch your tongue to the top of your mouth (again, really simple and effective). Besides icing, avoiding chewy foods like bagels should help too. Worst case scenario: if I'm not able to open my mouth wide after a while, he could force it, which sounds awful and makes me feel like fingers down a chalkboard at the mere thought of that happening.

So, what have I learned through all this? I'm gonna try to stress less at work, avoid hard and chewy foods (I've always preferred soft foods like soup, yogurt and congee anyway), try to sit properly at my desk, and avoid dentists at all costs.

*TMJ: really TMJ dysfunction, as TMJ is the name of the joint

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