A member asked:

Is it normal for doc to give aleve (naproxen) for tmj arthritis pain that's severe? my doc refused stronger mess even though i told him nsaids don't help.

10 doctors weighed in across 5 answers

Judgement call: Tmj arthritis is usually managed by nsaids. Narcotics are a judgement call of the doc due to the addictive nature of narcotics. Your doc may not be prescribing narcotic pain med because he/she may think that you have a potential to abuse. You may want to seek another opinion or see and oral surgeon or TMJ specialist for cortisone injections.

Answered 5/1/2019

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Dr. John Van der Werff answered

Specializes in Dentistry

Other options: There may be some other options. If there are no other options offered and they are not working i would suggest seeing a dentist who specializes in TMJ diagnosis and treatment. A local dentist can be found at www.Aaop.Org or www.Aacfp.Org.

Answered 3/21/2015

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Yes : Aleve (naproxen sodium) is a strong anti- inflammatory that can help are muscles in the area of tmj. You may need to see another doctor for a second opinion. Most young patients of mine with TMJ have a history of grinding or clenching teeth when sleeping! usually this corrected with a special night guard made by a dentist.

Answered 3/22/2015

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Dr. Jeffrey Bassman answered

Specializes in Dentistry

Get to the source: Meds often mask the true source of the problem or the trigger points that are causing your pain. Many of my new patients come into my office already heavily medicated (anti-depressants, pain meds, anti-anxiety, muscle relaxers;) with no real solution to solving their constant pain problems. You should have a thorough exam and evaluation.

Answered 3/22/2015

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Dr. Louis Gallia answered

Specializes in Surgery - Oral & Maxillofacial

Yes, but: Yes, but better to have your TMD managed by a TMJ specialist who can use a variety of treatment methods. Any dentist can be a TMJ expert with the proper training and experience. Most commonly, oral surgeons, prosthodontists, and orofacial pain specialists. Ask your MD, your dentist and your dental society for referrals.

Answered 10/10/2017

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