Doctor insights on:
Tmj Discectomy Surgery
Expect problems: Removing the disc in your TMJ is not a good idea and should be avoided if possible. This procedure not only places the joint in a compromised position, but will increase the possibility of arthritis and degenerative changes. I would seek other opinions. You might look up dr. Larry wolford in dallas and get his opinion. I wold not recommend doing this to anyone. ...Read more
Discectomy is the a surgical procedure in which the ruptured portion of a ruptured spinal disc (the pad between two vertebrae) is removed. Disc tissue near the rupture may also be removed, but usually most of the disc is saved. If a spinal fusion is needed, a more ...Read more
A few ideas.: Depends on symptoms, and cause of symptoms. 3 signs of TMJ dysfunction: joint noises, joint pain & limited oral opening. Self treat with soft diet, jaw exercises, massage, heat/cold, OTC pain meds. A splint or physical therapy would be next. Occasionally muscle relaxants, biofeedback. Xrays are done for diagnosis. Surgery usually reserved for serious symptoms not responsive to other treatments. ...Read more
Arthroscopic: Surgery to TMJ is a last resort proceedure for treatment of TMJ disorder depending upon dignisis but all option should be tried first. It is done artiscopically where a small incision is made (two) so they can view the area and go in and correct, remove pieces, repair, disc or whatever is necessary. ...Read more
Fat graft TMJ: The dermis fat graft TMJ surgery is a safe and effective procedure in the management of TMJ ankylosis. There is not enough scientific data is available, but procedure prevents re-ankylosis especially in children. For more information discuss details with your surgeon before signing inform consent. It is off label option. Good luck. ...Read more
Is that ok if I hv same pain after my TMJ surgery. Nd how much time to need to recover it. Its been done 3 weeks ago bt still having headachs nd pain?
How painful is a diskectomy? What sort of pain can I expect when I wake up after a diskectomy? How long will the incision or surgery site be painful? .
It depends on the type of discectomy that is done.
1. Traditional disk surgery may have an incision up to 3 inches or more and be related to a lot of muscle traction, damage and pain requiring longer recovery period.
2. Minimally invasive surgery has an incision less then 1 inch but usually 16 to 18 mm in size and there is less skin, muscle and bone damage leading to a quicker recovery.
3. Endoscopic disk surgery has an incision less then 1 cm (0.39 inches) and usually has a very quick recovery from a few days to a few weeks.
Please see my health guide on lumbar disk herniations and endoscopic spine surgery. Good luck! ...Read more
Very few: The only time I would recommend open joint surgery is in cases (after all other more conservative approaches were tried) where there is severe restriction of opening or where the jaw joint has completely resorbed and is non- functional. Otherwise, as long as function is acceptable and a joint is present, I would continue to work with more non-invasive therapies. ...Read more
Not bad: Like any surgery, there is discomfort for several days aftwerward. The doctor should prescribe a pain medication and give you post op instructions to follow to keep you as comfortable as possible following the procedure. You should feel gradual improvement every day following the surgery, if not, see your doctor. ...Read more
Detailed Consult: You will need a comprehensive evaluation, preferably with an oral surgeon that will include a detailed clinical examination with appropriate imaging studies to determine what type of TMJ disorder you have. After evaluation of your clinical findings and imaging studies, your surgeon can advise you if TMJ surgery is indicated. ...Read more
Work with surgeon: Your insurance company may require your TMJ surgeon to get preauthorization for surgery and provide documents regarding your condition. Authorization does not mean 100% of all the costs associated with your surgery will be paid. Check your plan, call your insurance company. ...Read more
Need new ideas: Thirties male 2 years from disk surgery not any better. Disk might have been a "red herring". Up to 30% of people with chronic unilateral low back pain experience pain generation from sacroiliac joints. Find an osteopath who knows how to evaluate via physical examination and fluoroscopic guided diagnostic block of the sacroiliac joint. See boa. Com ; my essays on pain syndrome board at quora. Com. ...Read more
Last option: Tmj surgery should be the last option after all conservative procedures have been attempted. True, if there has been severe trauma, then some surgery cannot wait. A thorough history and exam, including x-rays, an mri, etc. May be needed to determine if surgery should be considered. ...Read more
New onset of pain after having a complication free diskectomy surgery 2 years ago. What shouold I be concerned about?
Open TMJ surgery can help reposition a disc displaced anteriourly without reduction? Will it last this procedure? Thank you very much
Maybe: Oms's have done TMJ surgery to reposition the disc for years with varying results. Most oms's agree that the indication for TMJ surgery is loss of function with or without pain. The key requrement being loss of function. ...Read more
It Depends: It depends on the type of arthroscopic surgery. Diagnostic arthroscopy where the joint is evaluated, flushed and manipulated costs around 2500-3500. Surgical arthroscopy where scar tissue removed, disc manipulated and/or sutured depending on the skill of the surgeon can cost up to 10000. ...Read more
Unclear: There are too many variables to answer that question. It depends on what type of splint you have (there are dozens of different types) & what type of TMJ surgery you're going to have. There's no "one size fits all" answer to this question. Only your surgeon (perhaps in consultation with your dentist) can answer that question for you specifically. You may need a different type of splint afterwards. ...Read more
Yes: Arthroscopic TMJ surgery has been around for decades in this country. Due to unique surgical skill set required to perform arthroscopic TMJ surgery, you may have to call around a few times before you find an oral and maxillofacial surgeon who can perform such cases. ...Read more
Varies: Each surgeon is different but overall between 30 min and 2 hours, depending on the experience of the surgeon. ...Read more
Some insurance companies have specific exclusions and/or limited benefits for TMJ treatment and/or surgery.
If you require TMJ surgery, your surgeon's office can contact your insurance company and submit supporting documentation for the surgery. Unfortunately, your insurance company has the final say, whether it is a covered benefit or not. ...Read more
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