R/O TMJ : YES: TMJ can be very difficult to treat and overlap several specialists. I hav had the best results with ENT and oral surgery. . It can start with a poor bite due to genetics/after trauma/Bruxism secondary to stress. A good nite guard is essential. topical Voltaren (diclofenac) gel and a low dose muscle relaxant(skelaxin/FLEXERIL ) /BOTOX/LIDOCAINE injections can help. Prednisone with quick taper may help.
Answered 9/28/2015
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