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Medical Forum / General / Dentistry / December 2004Spasm of the jaw: please explain to a lay person
Last week my 12-year-old son was at lunch and was eating when a person near him told a joke. He laughed a lot while eating and felt some pain afterwards. Later he found he could not open his mouth as widely as before the incident. It's a few days later and the condition continues. By chance it was his dentist appointment yesterday and the dentist told him he has a "spasm" and has to do some exercises, mostly opening his mouth widely for 5 to 10 minutes each day. If it hasn't improved in a month, she will recommend a specialist. Would someone explain what a spasm means in this context, what the treatment might be, and any other items that would make this condition clearer? Thank you in advance. Howard Sage Does his jaw move to one side when he opens as wide as possible? To which side? Can he move his jaw from side to side easily and equally? If not, which side does not move as easily or as much?  SignatureRoy rem NADA to reply | Last week my 12-year-old son was at lunch and was eating when a person | near him told a joke. He laughed a lot while eating and felt some pain [quoted text clipped - 15 lines] | | Howard Sage >Last week my 12-year-old son was at lunch and was eating when a person >near him told a joke. He laughed a lot while eating and felt some pain [quoted text clipped - 15 lines] > >Howard Sage Probably a muscle spasm. have an NTI fabricated for him if it persists. If it goes away, forget about it. .. Stephen Mancuso, D.D.S. Troy, Michigan, USA Writing on a tablet PC,so forgive me if the PC misreads my poor handwriting. Sorry, but what is an NTI? Thanks in advance. Howard Sage 3sages@earthlink.net Hi again, He cannot move his jaw somewhat to the left. What would you suggest? Thank you. Howard OK, but still waiting for you to answer the other question before commenting: Does his jaw move a little to one side when he opens as wide as possible? Look at him straight on, and watch for a little shift just before he hits the widest point. If so,to which side? Plus, which side is the pain on? and where? is it in a specific spot or general area? SignatureRoy rem NADA to reply (side comment to Stove Pipe) Couldn't sleep last night, so I popped the Okeson video in right where you left off. He was describing a diagnosis for what this might be, in 5 distinct signs. Lets see if the others here remember it. 1 matches so far, another is possible ... 1. History - the patient can tell you exactly when the symptoms appeared. | Last week my 12-year-old son was at lunch and was eating when a person | near him told a joke. He laughed a lot while eating and felt some pain | afterwards. Later he found he could not open his mouth as widely as | before the incident. | Hi again, | | He cannot move his jaw somewhat to the left. What would you suggest? | Thank you. | | Howard > Hi again, > > He cannot move his jaw somewhat to the left. What would you suggest? > Thank you. > > Howard Is the limitation like a muscle cramp or more of a hard tissue sort of thing? If muscular, I would suggest doing what you would for any spasming muscle: s..l..o..w.. stretching of that muscle. I would do that in both directions (left and right), and do some slow forward movements as well: slowly jut the chin out as far as it will go with no pain. You can aslo put a bit if ice just in front of the ear on the affected side (where the pain is coming from): ten mins on, rest a while, 10 mins again, etc. Have him feel around his head and neck and shoulder muscles: is there any pain or areas that are tender to touch? If so, slow stretch of those muscles too. If no improvement, consider having him looked at by an Oral and Maxillofacial Surgeon with experience in oral-facial pain. There are some Physiotherapists who work in collaboration with the OMFS and they can help with better exercises. HTH SP SignatureNot a real Addy, yet >Hi again, > >He cannot move his jaw somewhat to the left. What would you suggest? >Thank you. > >Howard A left hook ? You know, boxing. -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE > Sorry, but what is an NTI? > Thanks in advance. The NTI is a dental device used to treat migraine and jaw related problems but can be used as a dignostic tool as well. You should visit the manufacturers patient related website at www.headacheprevention.com >> Sorry, but what is an NTI? >> Thanks in advance. > > The NTI is a dental device used to treat migraine and jaw related problems > but can be used as a dignostic tool as well. You should visit the > manufacturers patient related website at www.headacheprevention.com For some reason at the moment when you try and visit the site it gives an error. The powers-to-be are looking into the problem so it should be resolved soon. In the mean time you can also visit the doctor related site at www.nti-tss.com Sorry for any trouble. >Probably a muscle spasm. have an NTI fabricated for him if it >persists. If it goes away, forget about it. >.. >Stephen Mancuso, D.D.S. Fugeddaboudit ? -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE |
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