11 doctors weighed in:
Will physical therapy to treat TMJ actually work when there is already bone necrosis?
11 doctors weighed in

Dr. Steven Bender
Dentistry
3 doctors agree
In brief: TMJ necrosis
It is not uncommon to see boney changes in the tmjs, even in people with no pain or dysfunction.
Im not clear on whay is meant by necrosis, but if the boney changes are what is commonly normal adaptive wear, then physical therapy modalities can be usefull for decreasing pain and increasing functional movements.

In brief: TMJ necrosis
It is not uncommon to see boney changes in the tmjs, even in people with no pain or dysfunction.
Im not clear on whay is meant by necrosis, but if the boney changes are what is commonly normal adaptive wear, then physical therapy modalities can be usefull for decreasing pain and increasing functional movements.
Dr. Steven Bender
Dr. Steven Bender
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Dr. Danny Proffitt
Family Medicine
3 doctors agree
In brief: Depends
What is the goal of the physical therapy.
Is it to replace a displaced cartladge? Is it to restore motion in the jaw (opening wider)? Is it to for pain relief? Other issues? If there is necrosis, there are major issues in the joint. You should see a reputable ent/oral surgeon/dentist/orthodontist who specializes in this area and if need be get several opinions. This is difficult!

In brief: Depends
What is the goal of the physical therapy.
Is it to replace a displaced cartladge? Is it to restore motion in the jaw (opening wider)? Is it to for pain relief? Other issues? If there is necrosis, there are major issues in the joint. You should see a reputable ent/oral surgeon/dentist/orthodontist who specializes in this area and if need be get several opinions. This is difficult!
Dr. Danny Proffitt
Dr. Danny Proffitt
Thank
Dr. Duane Keller
Dentistry
2 doctors agree
In brief: Seperate but related
A joint that has bone necrosis is in late stage joint derangement.
When the joint is dysfunction the muscles that move the joint are compromised. The physical therapy would address the muscle problem, but it will provide limited results if you do not address/correct the internal joint injury/damage.

In brief: Seperate but related
A joint that has bone necrosis is in late stage joint derangement.
When the joint is dysfunction the muscles that move the joint are compromised. The physical therapy would address the muscle problem, but it will provide limited results if you do not address/correct the internal joint injury/damage.
Dr. Duane Keller
Dr. Duane Keller
Thank
Dr. Louis Gallia
Surgery - Oral & Maxillofacial
1 doctor agrees
In brief: Not likley necrosis
Bone necrosis means dead bone.
Don't get dead bone in routine TMD, you get various stages of degenerative bone disease. Physical therapy often helpful, reversible treatment. Harmless. Most important see TMJ expert. Any dentist can be TMJ expert with proper training/experience. Most commonly, oral surgeons, prosthodontists, orofacial pain specialists. Ask your MD, your dentist and dental society.

In brief: Not likley necrosis
Bone necrosis means dead bone.
Don't get dead bone in routine TMD, you get various stages of degenerative bone disease. Physical therapy often helpful, reversible treatment. Harmless. Most important see TMJ expert. Any dentist can be TMJ expert with proper training/experience. Most commonly, oral surgeons, prosthodontists, orofacial pain specialists. Ask your MD, your dentist and dental society.
Dr. Louis Gallia
Dr. Louis Gallia
Thank
Dr. James Courey
Dentistry - Prosthodontics
1 doctor agrees
In brief: Helps With Pain
It is very important keep in mind that TMJ physical therapy was designed to reduce symptoms of tmj, physical therapy by itself cannot cure the TMJ problem. However, reversing necrosis is not likely.
Some include cervical mobilization exercises, TMJ mobility exercises, TMJ stability exercises, etc. On the whole, these exercises form a thorough program for people experiencing TMJ disorder pain.

In brief: Helps With Pain
It is very important keep in mind that TMJ physical therapy was designed to reduce symptoms of tmj, physical therapy by itself cannot cure the TMJ problem. However, reversing necrosis is not likely.
Some include cervical mobilization exercises, TMJ mobility exercises, TMJ stability exercises, etc. On the whole, these exercises form a thorough program for people experiencing TMJ disorder pain.
Dr. James Courey
Dr. James Courey
Thank
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