My wife is having tmj problem. 6 months back she was treated with arthrocentesis. she is having the same problem again. wht can be done?

TMJ : You still may have a closed lock joint. You need to see a dentist with special training in tmj, get an mri, get a diagnosis and start treatment from there. It most likely will involve splints to attempt to put jaw and discs back into their proper position if arthrocetesis was not effective.

TMJ problems: The TMJ is a complex joint. Depending on the diagnosis, often a "displaced disk", or osteoarthritis, conservative therapy (soft diet, nsaids, muscle relaxants, biofeedback, and physical therapy) is usually indicated. However, when it doesn't work, and depending on the nature and severity, arthrocent is reasonable. But the procedure may need (as in many orthopedic joint procedures) to be repeated.

See Surgeon: See the surgeon who did the arthrocentesis. Hopefully you are being also managed by a non-surgical TMJ expert. Sounds like a recurrence of the initial problem. Get a second surgical opinion.

Non-surgical see OFP: Orofacial pain patients can be treated with conservative, non-surgical and reversible procedures. Surgical treatment of the TMJ may be done, with variable success and not recommended. See OFP specialist,they are the experts in this field.

TMD remedies: The best way is to see a dentist who has extensive training and experience in treating patients with tmd who can evaluate her and suggest appropriate treatment. If you can't find such a dentist in your area- soft diet, warm compresses, no gum chewing, NSAID medications, reduce stress, relaxation techniques and see a dentist for other suggestions.

Evaluate her bite: My experience treating TMJ has been that this procedure works for awhile then needs repeating to flush the joint. You don't mention any possible bite issues but that is where i would start. Look for a dentist well versed in occlusion (bite issues) and schedule a complete exam. Good luck.

See surgeon: See the surgeon who did the procedure. Sometimes he can do things to get you back to your postop success.