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TMJ Disorder -TemporoMandibular Joint Message Board


TMJ Disorder -TemporoMandibular Joint Board Index


hi christa79,

if your surgeon refers to it as a "scope" it is most probably an arthroscopy. the healing process involves the swelling going down in the joints that results from both the trauma of the surgery and the fluids injected into the upper and lower portions of the joint. are you having one side done or both? will your surgeon suture your disc(s) back into place? is he using a laser or a trocar to break up any adhesions in the joint? from posting questions to others who had this done (as i did) i feel the suturing of the disc (in my case) has lead to my decreased function and increased pain and the use of the laser (in my case) lead to the rapid development of scar tissue because of the heat of the laser. if you decide to get the surgery have intraoral photos of your occlusion taken and try to get models made of your teeth. your occlusion (your bite) may change after the surgery. if your bite is o.k. now and is not contributing to your tmjd, then you'd want to get your bite back if it is thrown off. i'd also advise that you scan these posts (this board) and write down questions/concerns for your surgeon to answer at your pre-op. good luck. all the best with your wedding.
hi va-gal,

regarding the disc(s) being sutured into place: by speaking with people on this board (especially rubato) and reading their histories and asking them detailed questions, i was able to make comparisons on what was done and why i was not healing. my surgeon sutured my disc into place. only after it was sutured did i realize how much the disc moves and how much it needs to move in order for there to be good mobility in the jaw. you know, when the jaw moves on some movements like wide yawns, and laterals it almost "unhinges" itself. this is normal. my disc being sutured on the right really leaves me with very little (hardly any) mobility. i have to force my jaw to move and i am either going to break the suture or i will tear the disc. it's one or the other. the suture is very, very strong. it will take alot of force to break it. the disc is very strong. it will take alot of stress to tear it. however, the disc still wants to move when i want to open my jaw. it wants to function normally and it can't because it is tied. i asked a doctor had my surgeon just moved it back over the condyle without suturing it into place, would it have stayed there. this doctor said no - the ligaments were probably too stretched out to hold the disc in place. i also think my surgeon placed my disc too far back posteriorly. he did this because he said he was trying to avoid having the disc slip out of place again. well, that's all well and good but #1 - the disc isn't where it was meant to be #2 - the disc is in a place arbitrarily chosen by the surgeon not anatomically ideal and #3 - it's just too far back, sutured and cannot move fluidly over the condyle. all this causes unbelievable tightness, stress, forceful pulling which leads to pain. funny, even with a perforated disc on the left, my left side still can move and the right wants to keep up with it but it literally cannot as the disc is held into place. va-gal, if you have not done so yet, please search this board using the key words like "sutured", "sutured into place", "disc", "discectomy"...and you will see other people who had total discectomies and/or whose discs were not sutured and they are doing far better than i am. the only reason i can see is that my disc was sutured. i sympathize with you. you have gone through alot after 4 surgeries. i know you tried your best to tame the beast but found it to be the boss. a word of advice re: malpractice - get all your ducks in a row, get every x-ray, photo, doctor's report, letter, test result, document, that pertains to you and your jaw. tmj malpractice cases are notoriously difficult and i wish you well. if i can help you or if you want to ask any other questions about the suture i have - pls. don't hesitate. you can always find out the manufacturer of the suture and ask them questions. i know i did.
Road8

I cannot believe your doctor tried to do arthroscopic surgery in his office. Does he have an elaborate surgical suite in his office area? Were you intubated? I would not have attempted that procedure in an office setting. I am glad he aborted the surgery and did it in the hospital the next time. This is such a small and delicate joint and requires incredible precision. I would think the patient really needs to be intubated and paralyzed so they do not make any sudden movements.

PWC - I have searched this forum for "suture" and have not come up with too much information other than your posts, which are really interesting. Your theory makes sense. I wonder if that is what is causing all the pain I am in since my arthroplasty and having my disc sutured in. I am not sure what type of suture was used, whether it was dissolving suture or permanent suture. I did some research online and many surgeons use the dissolving type sutures. I had an MRI and CAT scan done last October, several months after my arthroplasty but never did get to see the report from it. I did meet with the surgeon who requested them. There is a chunk of bone missing from my jaw bone since the surgery. I am not sure if it is the upper or lower bone. I do know during the arthroplasty that I had bone spurs smoothed out and the bones recontoured. So who knows what happened to make this occur. Possibly necrosis or a slip of the hand? I have no idea what the status of the disc is. I do want to request another MRI and CAT scan if my insurance will allow it. I feel things are going down hill.

Are you currently seeing a doc? if so what kind of doc are you seeing? Are you getting any pain meds? Are you still in a lot of pain? How long did you continue to see your surgeon post op? My surgeon dumped me post op about 4 months post op saying there was nothing else he could do for me. Nice, huh?

Va-gal
I just had my 2nd arthrosopy in 4 months because my disc somehow slipped out of place again. Not real sure how it happened. However, I only thought I was feeling better after the first one. This time, I must say I am feeling great compared to before. I had the surgery on a Thursday & was back in class on Monday. I am not having much pain at all. The worst part is liquids only for the first week after. Now I am eating solid foods, but no chewing. So, basically I just eat mash potatoes & stuff. I only had the right side done, so I am not sure how you will do having both done. Good luck with your surgery.
How are you doing now in terms of pain/function? I'm contemplating having the same surgery and am curious as to how you're doing several years after your surgery.
[QUOTE=road8]I just had my 2nd arthrosopy in 4 months because my disc somehow slipped out of place again. Not real sure how it happened. However, I only thought I was feeling better after the first one. This time, I must say I am feeling great compared to before. I had the surgery on a Thursday & was back in class on Monday. I am not having much pain at all. The worst part is liquids only for the first week after. Now I am eating solid foods, but no chewing. So, basically I just eat mash potatoes & stuff. I only had the right side done, so I am not sure how you will do having both done. Good luck with your surgery.[/QUOTE]


Hi...
I went for a consult for a surgery and the surgeon recommended I have my disks tied into place by tying them to the muscle. He told me that in arthroscopy, the disk can just move back to where it was out of place because there is notihing to hold it in place. My pain managment guy however said i should avoid this open joint surgery and just have the arthroscopic bec. there is no research to back up success of tying a disk anywhere. Im lost and dont know what to do.

Has anyone been to any highly recommended surgeons in California? Arizona or maybe Marland DC or Virginia





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