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Obesity

Some people try to blame their pain on their obesity. In some cases this is true, but what I have seen in practice is that this is far less true than you would think. I recently had a lady patient who is over 400 lbs and she had low back pain that was excruciating especially when she worked since she was on her feet all day. She was worried that she would not be able to work and not be able to pay her rent and take care of herself. After a couple weeks of care, she was pain-free and has been pain-free for about 7 months without losing any weight.

Trigeminal Neuralgia

Trigeminal Neuralgia is a condition where there is excruciating shooting pain in someone’s face. This pain has many triggers and can be set off by even the smallest things such as a gentle brush against the face or jaw movement. If you have ever gotten something stuck in your eye you have experienced Trigeminal Nerve pain. The same nerve that causes all that hurting and scratching and intense irritation in your eye is the same nerve involved in Trigeminal Neuralgia.

Temporomandibular Dysfunction

TMJ is the Temporomandibular Joint itself, while TMD is Temporomandibular Dysfunction of the TMJ.

So first let’s look at the anatomy so that we can understand exactly what is going on and why it is happening. “Temporomandibular” means the place where the Temporal bone of the skull (where your temples are) and the Mandibular Bone (jaw) meet. Take a look at the picture below to see what this looks like.