Disc Displacement Without Reduction - Priya Mistry, DDS (the TMJ doc)

[@jakec5618]

You're naturally gifted at explaining things. It's all "clicking" now lol. Making sense. No one really explained this to me before. It can get pretty complex and confusing when as lay people we try to look this stuff up. Honestly, your videos are tremendously helpful. I highly recommend your channel to others. I have learned more in the time watching your videos than in the years dealing with TMJD issues.

[@theTMJdoc]

Thank you so much for your kind words! Please be sure to check out my TikTok and Instagram as well :) @the_tmj_doc

[@droidean]

I nearly came to tears watching this honestly. Being able to hear a medical professional actually understand and articulate my symptoms brought up some bubbling emotions. The chronic severe pain of my right lateral pterygoid is quite debilitating. So nice to see someone UNDERSTAND!

[@theTMJdoc]

Sorry you're going through this!

[@mhmdhmd5388]

As a physiotherapist ..it considers one of the simplest videos illustrating TMJ derangement 👏

[@theTMJdoc]

Thank you 🙏🏼

[@michelle696]

Thank you Dr. Mistry! I have DDWoR and had been in pain for more than 1 year now. I had seen TMJ dentist and got a mouth splint to wear at night but that's about it. And I also saw ENT doctor who did MRI to diagnose me with DDWoR. I even went to see a pain specialist doctor. But your video finally made me understand what's going on with me. Thank you, beautiful doctor, perfect lecture!

[@theTMJdoc]

Glad you found it helpful! Sorry you’re going through this!!

[@ayeitsnouraofficial]

thank you for explaining this, this is exactly what I've been trying to tell my doctors. I'm 21 years old, developed TMJ/TMD symptoms 2 years ago progressively got worse, seen so many doctors , wear a mouthguard, physical therapy (3 different PT's), even arthrocentesis. I have left TMJ displacement with reduction and right TMJ displacement without reduction. The most painful thing I've gone through, affected my career/singing and painful clicking / muscles. The right unlocked once randomly and felt so much relief like blood rushing, then it got stuck again for 6 months. I even gone to orofacial clinic at ucla, but all they say is that the pseudodisc will form overtime and we have to manage symptoms for now. However it's been 2 years and the mouthguard / PT is not helping at all. Restriced motion, it got a little better since I've been doing PT twice a week for almost 2 months now, and PT tells me it's getting better but I allways tell him just because I can open a little wider does not mean its better since its SEVERLY painful to be opening wide let alone do my jaw stretches. Even the clicking hurts. It's honestly the worst thing I've ever gone through and waiting to see what my doctors are planning to do, if anyone has any advice please let me know! I just wanna get back to the old me/happy/painfree/positive me !

[@theTMJdoc]

sorry you're going through this!

[@farzanaijaz6806]

A

[@AshleyMarie1992]

I have the exact same thing. Nobody seems to know what they are doing. How are u doing now? I’m about ready to just have surgery I’m so tired of this

[@ashleerenee9314]

i got diagnosed w tmj over 2 years ago during covid. (fall 2020) i did virtual school so i rested my hand on my left jaw everyday. my jaw started locking one night and i was scared bc i didn’t know what it was. i got diagnosed with tmj. the locking stop and it turned into clicking. in april of 2021 i went to a physical therapist once a week for about a month or two but had to stop because it was $100 a visit and it was getting to be to much. fast forward to this year. the end of February i finally got Invisalign. it’s only made things worse. It’s made the pain worse and I clench every second of everyday. During august of this year I went back to physical therapy because the pain got even worse and i went for like 1-2 months again but had to stop because it wasn’t helping and it was too much money once again. because i put my hand on my jaw , it shifted my jaw causing asymmetry. that’s caused me to be super insecure so i isolate myself. i don’t go out, haven’t hung out with a friend in about a year in a half (not exaggerating) i’m severely depressed because i isolate myself and i have so much pain. everytime i smile, laugh, cry, eat, etc it just hurts. i don’t know what to do anymore i hate living like this

[@Beamlight7]

​@@ashleerenee9314 oh dear, that's really bad. I hope and pray you find relief and a solution soon 🙏

[@bobbisemore6060]

I have been suffering for years. The pain is excruciating and now my left ear feels clogged. My neck, face, shoulders are all affected. My cousin used to make fun of me because my face would go into spasms and they laughed at the “funny faces” I would make. LOL! That’s stood out to me for years. I recently relocated to Olympia, Washington & dentist has referred me to Seattle (state insurance) to see a TMJ/D specialist. Been waiting for the phone call for two weeks now. Watching my phone like a crazy person, don’t want to miss their call, is what I was informed. UGH! Thank you so much for your video. As I watched this, tears streaming down my face. You are a healer! ❤

[@youmarc11]

Just did one of your techniques. It actually released my jaw. At least for now. Thank you.

[@theTMJdoc]

You’re welcome!

[@ChristyCharalambous]

Great explanation. Thank you!! I've been suffering from tmj since Dec 2021. Got my MRI results yesterday. Hope it will be fixed. Worst pain ever. I cant even talk for more than 10min. I've terrible headache, muscle spasms, earache..and limited range of motion. I got tmj pain after face yoga. I''ve started grinding my teeth since then.

[@theTMJdoc]

Sorry to hear this!!

[@francoislouw6764]

Very well explained indeed! I am also treating TMD (as a Pain Physician) and will be referring patients to these helpful videos. Thanks again.

[@theTMJdoc]

Thank you for your kind words!! :)

[@cpodgorelec]

OMGOSH! fancy getting good information from the other side of the world. I have been going around in circles with Dr’s and a dentist that have seem to undermine (unintentionally) the pain and dysfunction of my face neck and shoulders including taking myself to the Emergency Ward at the hospital. Now! I will be about to talk shop with my dentist and get him to view your channel. I think it going to be a bit embarrassing for the Health Partners Dentist later this week. He has already told me that my x-ray showed some deteriorating in the jaw but just sent me away with a night guard without a good case plan in place . Bravo. ✨Australia

[@theTMJdoc]

Sorry to hear you're going through this. I hope you get relief soon! Thank you for your kind words about my videos :)

[@n0o0z]

AMAZING VIDEO thank you so much! you explains it so much better than our professors in dental school!

[@theTMJdoc]

You’re welcome!

[@inayzhawallace4727]

Thank you so much for this video! In Feb 2023, I was studying in the early morning (I'm a medical student), and I yawned, and my jaw on the left popped. Ever since I have done some PT, I saw an OMF surgeon, dentist, etc, and no one really seemed to understand. I have all the symptoms of Disc displacement without reduction, minus the "severe" pain. Also, my jaw deviates to the unaffected side (I'm not sure if this is because of the disc location). Overall thank you for this video.

[@theTMJdoc]

Oh no! Sorry to hear this! An MRI of the jaw joints (no contrast and in open mouth and closed mouth position) will tell you the position and condition of the disc.

[@veronicashah7649]

Thankyou so much for this explanation. I really hard a hard time to understand tmj as I’m studying for license exam. But your explanation is phenomenal.

[@theTMJdoc]

Thank you for your kind words 😊🙏🏼

[@fatimahali7432]

Finally understood it...thanks for the best explanation ever ✨✨✨♥️♥️♥️

[@theTMJdoc]

You’re welcome!!

[@haiderali-yr3ey]

This the best vedio I have ever seen absolutely magical ❤

[@theTMJdoc]

Thanks!!

[@rknoxmusic]

Priya thankyou for explaining this! I have been diagnosed with disc displacement without reduction recently after 2 years of not knowing I had a joint abnormality. I was given the impression my condition was purely myofascial and that it would get better with conservative treatments. That doesn't seem to be the case as I have tried physio, acupuncture and meds. Nothing has worked. I hope to find relief soon. I'm seeing a surgeon for an arthroscopy and consulting an orghodontist about my underbite so fingers crossed they can help.

[@rknoxmusic]

Merry Christmas by the way 🎄

[@theTMJdoc]

Best of luck to you!

[@theTMJdoc]

Merry Christmas to you too!

[@jlmoi1246]

Your videos are great! Thank you very much for sharing your knowledge with us! As most people that have subscribed to your channel, I suffer from TMJ. I experienced this sort of dislocation a few years ago, and I still remember the pain that I felt. At the time, I also got nervous on account of the fact that I could not eat properly. Fortunately, however, things have got much better since then (partly because my life has become less stressful and I have also been doing the "massaging" exercises that you mentioned in previous videos).

[@theTMJdoc]

Thank you for your kind words! I'm glad you're feeling better!

[@cindiobryan5832]

You are extremely helpful. I cannot find anyone- dental or medical in my area to help me. Displaced w/o reduction since July 2022.

[@theTMJdoc]

Sorry to hear that! Where do you live?

[@ErickGarcia-cj2uf]

What are your symptoms?

[@Controvi]

THis was VERY good info. Have been having my jow popping for a year or 10 now and it started locking up about 5 years ago. After a lot of stuff trying to find out what happened and going through therapy, it didn't solve anything. What would mostly happen and still happens if I am not careful to this day is when I apply to much pressure or bite to much on something that force my jaw to go left or right. So what i would usually feel when it starts is a tension and fatigue of mostly one side of the jaw. Eventually it can, but often won't, move to both sides. Then if I don't watch out it will eventually lock and it can take a day to 5 days to solve itself. It only hurst when it is locked and it pops open again. and when I then keep opening and closing with pops. I don't suffer any symptoms like headaches or muscle pain at all. What I found was the issue for me, was a pillow I slept on. I was a big stomach sleeper and I generally like harder pillows. When trying to find out why it was happening to me I tried sleeping on my sides and after that and watching out where my jaw was when sleeping, the locking and popping get WAAAAAY less. just when I am not feeling well it might happen but hasn't locked since. So anyone who suffers this, check how you sleep and if it forces your jaw to one side of your head. That seemed to have caused it or enhanced the issue for me. But great video and finally understand WHAT exactly happens.

[@theTMJdoc]

Thank you for you kind words and for sharing your experience!! 😊🙏🏼. I can totally see how sleeping position/pressure on the jaw can affect tmjd. Please be sure to subscribe!

[@noelavalos2558]

How are you now ?? Has you’re tmj got worse

[@Controvi]

@@noelavalos2558 no not at all. It is even more of the same. whenever I sleep on by stomach or just rest my head on my jaw (like laying with your face into the pillow and looking straight ) for extended periods, I do get issues. Every now and then when I force the jaw to much with some foods it might also start locking up. But overall as long as I don't force my jaw to much there is no issues. Haven't had my jaw lock up in years, just the occasional pops and clicks but nothing else. Sometimes its a bit worse then other times but I would say it may happen generally once or twice in 3 or 4 months periods so nothing really to worry myself over :)

[@noelavalos2558]

@@Controvi I just started having clicking last summer no pain still but tmj doc told me I have a slipped disk my question is can I live a normal life if I get on a soft diet with food and try to not open wide ?? I honestly don’t look forward to 30 years from now and night guard is expensive for me but scared it might not help out smh have you tried things to help you ? Pt ? Scm excercise

[@Controvi]

​@@noelavalos2558 I can imagine being scared for that. For me, I went to a physician who massaged the jam when it was stuck. But after it not working at all I quit and tried finding out for myself what was going on. I was reminded that after moving to a new house i got a new bed with a new pillow. I also sometimes have the habit of biting my nails. (i know i shouldn't XD ) What I did to test things was lay differently in bed. Normally I would sleep on my stomach but now I would sleep on my side. At first it didn't help until I noticed that my jaw was pushed to the left or right when laying on the respective sides. So what I did was move my hand underneath my pillow and cause a small opening to appear under my jaw. NOW, I need to tell you this, I am a steady sleeper. I can fall asleep on my right side and wake up there as well. I can literally stay in one position all night. I am lucky to be able to do that so I don't really have any issues anymore. Just sometimes when my mustache gets to long I tent to fiddle with the hears hanging over my lip. This puts strain on my jaw again and I would sometimes get the popping again. But that is the only thing I did. Like I said, It's not that I don't have any issues anymore but by just sleeping on the sides and with my skill of staying in one position, it helped my not locking up my jaw in years now. Just the occasional popping/cracking. Sorry I don't heave any other practical options for you to test out. I just count my self lucky in some regards to be able to not get myself in the situation to lock my jaw anymore. On the topic of food, I still eat everything I normally do. Even though I'm now on Intermitted fasting which amounts to generally a 4/20 schedule (not by choice but accident XD), I everything hard is still eaten. I have no issue doing that.

[@soft_threads]

I have been having a severe TMJ issues since 10+years now and my surgeon told me that I need a total jaw joint replacement surgery for both the sides to fix my jaw joints as they are completely flattened and it is very painful for me to even chew the soft foods at times and now it has even become hard for me to breath while I am sleeping so my surgeon got my sleep study test done for that and also he has taken all the measurements for the the new custom made titanium joints

[@theTMJdoc]

Wow! I’m sorry to hear this! I hope the surgery goes well!

[@vireshaa5105]

Hi medm I'm TMJ pain ur phone number give me

[@theTMJdoc]

@@vireshaa5105 I don’t give out my phone number

[@francesbale1409]

its so frustrating how hard this is to treat in the UK - the dr says its the dentist, the dentist takes 2 years to accept an emergency referral. Im paying so much money for a private neuromuscular dentist, ive had a tanner splint made been using for 18 months, it does help but i need it adjusting every 8 weeks which is the longest i can go. I dont understand why we dont have scans done on our TMJ's like an xray or c-t-scan or MRI just to see how that joint is functioning. They say its all muscular but that wouldnt come out of nowhere. I have hypermobility to top it off. the pain is literally ruining my life. :( i can open my mouth around 5cm without pain.:(

[@theTMJdoc]

Sorry to hear this!!

[@krisfreeman3264]

Excellent video to help those understand this difficult condition.

[@theTMJdoc]

Thank you Kris 🙏🏼

[@willy5456]

I’ve had a history of clicking/popping and have had only 1 locked episode a few years ago that’l lasted for about two weeks, in which I rested the jaw completely until it resolved on its own. About 2 months ago, the clicking/popping returned and I thought it may have had to do with sleeping with earplugs in, since it started shortly after I began doing that. More recently, after about a couple weeks of having a clicking jaw, I had another locked episode. It’s been about a month and hasn’t healed. My range of opening motion has improved, but I feel I may have simply just pushed the condyle to force this increase. I feel a grinding sensation on my left side when I move the jaw, and feel pain in the area. When I open my mouth, it appears I have a deviated opening pattern favoring the non-affected side, and my bite does feel “off.” No more popping/clicking but occasionally I feel ringing in my left ear near the TMJ. Seems like I’ve got disc displacement without reduction exactly as you spoke about in the video. Do you think it is a possibility that I could have pushed the condyle to increase my range of motion through straining the locked jaw to open? If so, has this made my situation worse? I am a college-age male and will seek treatment with my dentist in the coming months. Thank you for being so informative!

[@theTMJdoc]

Im sorry but there’s no way I can answer this without follow up questions and discussion. If you’d like you can set up an online consultation with me using this link 😊🙏🏼 tmjdentaldoc.janeapp.com/#/staff_member/1/treatment/8

[@vimalpethani3999]

Thanks for sharing.. nice explanation

[@theTMJdoc]

Glad you liked it!!

[@genevieverinehart6878]

Thank you the video was most helpful but what do I do? It’s a 4 month wait for a maxillofacial surgeon and more time for further help.

[@theTMJdoc]

Sorry but I don't know how to help unless you come see me.

[@zenafied]

Hi Priya, my TMD dentist said my disk was stuck behind. He said he wants to try the appliance therapy but is also worried it might make things worse since its been locked closed for over ten years…. Not sure if I should try it or not. I’m having a lot of dental issues and sleep apnea, but pain isn’t really a symptom for me

[@theTMJdoc]

I’m glad you’re not having pain! Best of luck to you.

[@tinii6323]

I have this and believe my hormones ( time of the month) make it worse. Is it possible that an MRI may miss this or not pick this up ( recent MRI says my joint is normal) also my jaw deviates in a zig zag shape when opening and closing and clicks too… im sure this varies as it locks and then unlocks by itself. Ehen the disc hets displaced my bite feels off and this affects my speech as my mouth cannot fully open.

[@theTMJdoc]

An MRI is simply a reflection of how your jaw was when the MRI was taken. So if you had a normal range of motion and no clicking/popping when the MRI was taken, then it will likely show that there is not an issue.

[@harshhilarity]

My jaw was locked for the past 10 days. My jaw opening was restricted to 2 fingers. I was diagnosed with anterior disc displacement without reduction. Last night I tried some exercise which I saw on KZbin and today when I woke up my jaw was unlocked. I can now open my mouth 4 fingers wide. I visited my dentist but they did nothing. What should I do now in order to prevent this from happening again in future.

[@theTMJdoc]

A good TMJ orthotic will help to prevent this from happening again. This can be made by a skilled and experienced TMJ dentist.

[@jlo0110]

What exercises helped you? 🙏 I’m so desperate 😢

[@harshhilarity]

@@jlo0110 do it before going to sleep…. sleep on your side and keep the affected side upwards

[@harshhilarity]

@@jlo0110 channel name: orthotropics, video title: how to fix locked jaw…. the one in which he uses pencils

[@jlo0110]

@@harshhilarity thank you!!!

[@alfredofelipe-fuentes4187]

Hello, Dr. I have a left disc luxation and I would appreciate it if you could tell me if arthroscopy can reposition the disc. Thank you very much for her videos and I send you a cordial greeting. Alfredo Felipe Fuentes, from Austin, Texas

[@theTMJdoc]

Hi there! I don't typically recommend arthroscopy as I have a 90% success rate treating this conservatively at my office.

[@xolove1428]

Hi Dra. I had my impacted wisdom tooth removed last week through general anesthesia. I thought the pain was because of the Tooth near the sinus area. However, I still have this pain whenever I swallo my saliva. My Jaw moves to the left. So I really think its because I have this TMJD.😢 How can I get rid about this pain.

[@annarusso7278]

Can you do a video on when surgery is needed? I had posterior disc displacement at the time I had lower jaw surgery and they recommended putting it back. I had very little pain and it had been back there for over 10 years. :/ now my joint is restricted with so much scar tissue I don’t want to live 😔 I’m so confused why a doctor would do this to me

[@theTMJdoc]

Sorry to hear this.

[@krtdk]

hey! How are you doing? Have you tryed seeing a tmj specialist?

[@water4112]

Hello, my mouth will not open all the way and since yesterday morning this has been happening, usually it goes away but my jaw has locked and I can only fit two fingers in my mouth, what can I do? I think I might have tmj and I’m currently using Invisalign. I don’t feel pain unless I use my jaw, idk what to do, can I massage it back into place, I’ve tried but it hasn’t work ?

[@theTMJdoc]

I’m sorry but there’s no way I can answer this without follow up questions and discussion. If you’d like you can set up an online consultation with me using this link 😊🙏🏼 tmjdentaldoc.janeapp.com/#/staff_member/1/treatment/8

[@Sunshine-vz2on]

This happened to me in 2019. It was for 3+ months it was terrifying. I had manual recapture done by Cranio facial pain clinic in MN

[@theTMJdoc]

Which office was this? Do you mind sharing?

[@aayayordi760]

@@theTMJdoc dr. Do you recommend hand manipulation or manual recapture in cases of displacement without reduction?

[@theTMJdoc]

@@aayayordi760 yes definitely!!

[@aayayordi760]

@@theTMJdoc dr. I have had an arthrocentesis procedure, followed with light hand manipulation. Both sides are still locked. Both discs are disc placed. What else do you recommend?

[@theTMJdoc]

@@aayayordi760 I don’t feel comfortable making recommendations over the internet and without examining you in person. Sorry

[@alfredofelipe-fuentes4187]

Hí, Dra. I speak spanish, but I try english here. Question: do you practic artroscopy Sergury for dislocation disc?? Thankyou for your good vídeos. Alfredo Felipe Fuentes from Austin, Texas

[@theTMJdoc]

Hi there! No, I do not do arthroscopy.

[@alfredofelipe-fuentes4187]

Thank you, Dr. for your response. But I have another question: Do you know if arthroscopy can resolve disc dislocation? Greetings, Alfredo Felipe Fuentes, from Austin, Texas @@theTMJdoc

[@Peacefulbeing9]

Hi Dr. I have all the symptoms in ur video with locked jaw (deviation, spams, restricted mouth opening) . As you said you had 90% success rate with ur treatment. May I know will you check MRI at the end of treatment (locked) that discs are back to its original position or will you confirm through based on patients symptoms from beginning to end of treatment like good range of motion is achieved/pain level is less or null/biting is on etc. Or both.

[@theTMJdoc]

We confirm with patients symptoms and range of motion 😊

[@Peacefulbeing9]

@@theTMJdoc ok. Thank you dr

[@lorerodri1]

Thanks Doc for sharing this video. please beside MRI, what others images option I have to diagnose my disc displacement ?

[@theTMJdoc]

Only an MRI can diagnose this but often times it’s obvious what is happening based on a thorough exam, history, and range of motion measurements.

[@lorerodri1]

@@theTMJdoc I think so, is it important to know how far exactly the disc has moved? Maybe that's why they ask for a MRI.

[@AshleyMarie1992]

@@theTMJdoc can’t a cbct scan show the joints ? That what I’m scheduled to get

[@Sofia-ub9bh]

Hi Priya, thanks for the explanation. I've got disc displacement without reduction on the left side. I'm wondering if I can use the tens unit on it. Thanks dor your help

[@theTMJdoc]

Yes, you can but the TENS alone likely will not reduce the disc. Have you seen a TMJ dentist?

[@Sofia-ub9bh]

@@theTMJdoc thanks for your answer Priya. Yes, I'm already working with a TMJ dentist but I just need something when the pain hits hard. Thanks again for your help and information

[@abhinav4112]

Can the disc displace sideways ? I dont have clicking noise when opening or closing normally but i am able to make cracking noise when i want only in my right jaw

[@theTMJdoc]

Yes it can!

[@abhinav4112]

@@theTMJdoc can you please tell me if this condition can reduce jaw growth during teenage?

[@annakachur8352]

Thank you! I had a history of popping jaw and teeth grinding. Now, I went to the dentist to get a filling, and immediately after I felt that my bite was off and I started grinding severely. After a few days, I went back to the dentist, to check if maybe a filling was too high. We came to the conclusion that it was the TMJ. She advised me to wait a few more days. It's been 2 days now that I have had trouble talking and chewing. What should I do? How severe are these symptoms and should I go to a hospital with them?

[@theTMJdoc]

Hi! Sorry to hear you're going through this. I'd recommend seeing your dentist again or seeing a TMJ Dentist or TMJ physical therapist. I cannot tell you how severe things are without examining you in person.

[@Beamlight7]

How r u now

[@GalacticalAmbassador]

Any changes to the teeth can result in changes in the bite which will also affect the TMJ joint. I had TMJ immediately after an extraction.

[@jewels4774]

Could you please do some videos about how patients react and adjust to their orthotic? What does the appointment to get an orthotic look like? Etc…

[@theTMJdoc]

Yes I can!

[@autumn5827]

i've had clicking and popping for years only on my left side, and it's progressed to displacement without reduction (left side only) about 4 or 5 times before fixing itself within a few hours. the only interesting thing is i feel 0 pain in displacement without reduction, whereas all the information i'm receiving is telling me i should be in severe pain. any idea why this could be?

[@theTMJdoc]

Yes I have seen 1-2 patients who experience absolutely zero pain with this condition! I don’t have an answer as to why!

[@mamatapandey6073]

what did you do

[@corinnestackpole3421]

I have disc displacement without reduction. I got an ARA appliance in October 2023. My range of motion increased from 20-28, then to 32 max with months of PT. However it seems Im at a standstill with progress. Have you seen this typically and is there anything I can do to further increase my ROM?

[@theTMJdoc]

Im sorry but there’s no way I can answer this without follow up questions and discussion. If you’d like you can set up an online consultation with me using this link 😊🙏🏼 tmjdentaldoc.janeapp.com/#/staff_member/1/treatment/8

[@chloeb6355]

My jaw has been completely locked for over a year now it’s gotten so bad i can only open 1 finger width! i was supposed to get arthrocentesis yesterday and chickened out bc i’ve heard mixed things has anyone had any success?

[@Jess70-2]

Hi, thank you for explaining this. How can you tell for sure if your disk displaced and is with or without reduction? In my case, I can’t open my mouth more than 2 fingers wide but there is no clicking as I talk. However, when I yawn I do have the clicking. I really appreciate your thoughts!

[@theTMJdoc]

Only an MRI of the jaw joints can tell you for sure .

[@Jess70-2]

@@theTMJdoc I understand. I will have to get that done, thank you. I would have visited you for treatment already if I lived nearby. Do you recommend anyone in New York? And is there a way for me to have an online consultation with your practice after an MRI?

[@theTMJdoc]

@@Jess70-2 yes you can book an online appointment on my office website :) www.tmjdentaldoc.com

[@_30days.june29]

Please mam make a video how we can manage this condition. I had jaw clicking for a month and now it is not clicking and mouth is opening only 15mm. My doc has suggested wiring and locking jaw for a month.

[@theTMJdoc]

This is how I treat this with a 90% success rate: kzbin.info/www/bejne/foPRmayiodWdd8Usi=A6C3zwdoHqe1ZcqN

[@kimchee-ys8qw]

hi Dr have u heard of Alf appliance to help with this condition?

[@theTMJdoc]

No, I have not.

[@trashythetrashcan9741]

my jaw is stuck open and i can’t close it and very rarely do i hear popping and clicking but i’m in excruciating debilitating pain every single day and it’s the most horrific pain and i have two dislocated discs that don’t realign in either mouth closed or open position

[@theTMJdoc]

Oh no sorry to hear this! Have you seen a tmj dentist or a tmj physical therapist?

[@HelloWorldETX]

How do you definitively know if locked jaw it is this problem with the joint or if it is muscular like a spasm of some sort?

[@theTMJdoc]

An MRI can typically show if it's a problem within the joint.

[@NyamNyamNyam]

Hi Doc, can you do video about jaw locking when you can't move jaw side to side?

[@theTMJdoc]

The TMJs are not built for much lateral movement. When locked, that lateral movement becomes even more limited.

[@georgeosborn421]

My jaw pops but has no pain and goes to one side on opening

[@theTMJdoc]

Sorry to hear that!

[@nadiadelreal3791]

Thank you so much doc Priya...do you have any recommendations of a TMJ doctor with similar methods as yourself in Los Angeles? I have had a really hard time finding one that had a similar approach.

[@theTMJdoc]

I'm sorry but I only know a few people in the nation with similar methods. I don't know anyone in LA.

[@rknoxmusic]

Hey Priya, I have a question for you if you don't mind answering. Is it common knowledge that clicking/popping is indicative of disc displacement with reduction in the medical community?

[@theTMJdoc]

No it’s not!

[@ErickGarcia-cj2uf]

@@theTMJdocSo clicking or popping doesn’t necessarily mean that the disk is displaced? Could it be muscle related than cause clicking?

[@crystal.g]

Hello Doc! I’m 15 and my jaw has been recently locking and worrying me. Apologies for the long comment in advance. Two months ago, my jaw locked out of the blue (no popping/click beforehand) and I forced it open. I did it to get it back in function immediately, as I was scared, but I know (now) that was a wrong move. One month ago, my jaw locked again. The next week, again and then continuous locking and unlocking for about three days after. The week after my jaw had unlocked, it began clicking. To get to the bottom of it, I saw a professional. I don’t think he was exactly a TMJ specialist, but he’s a dentist who works with wisdom teeth and has knowledge on TMJ. He said I was just growing and that there was no wear and tear on my bones. Two weeks passed without clicking, etc. and today it’s locked again. I understand you can’t give me a reason why, since we’re on the internet. So, my question is: should I revisit to get some more help/another evaluation (and maybe a mouth guard?) or let it be?

[@theTMJdoc]

If you're jaw has been locking frequently, it's best to get it checked and treated. Having said that, it can be incredibly difficult to find a skilled and experienced practitioner. Where do you live?

[@crystal.g]

@@theTMJdoc I live in Southern California/LA County. I’m sure someone’s a specialist. Is it even possible though that my problems lie with jaw growth?

[@rajeevmaandi6496]

Hi there I am facing the same issue from the right side of my joint but where to find out how to treat it Edit:-- this video is really helpful

[@theTMJdoc]

Thank you!

[@rknoxmusic]

Hi Priya, I had an MRI done and have been diagnosed with ddwor and have an appointment booked for arthroscopy in late February. How concerned should I be about worsening of my condition whilst I wait for treatment?

[@theTMJdoc]

I’m sorry but there’s no way I can answer this over the internet and without examining you.. Sorry

[@rknoxmusic]

@theTMJdoc thanks for the reply ... no worries

[@samcarter9111]

How to solve this? My Jaw is locked and don't find any solution.

[@CindaMurphyRealEstate]

I’m confused. It was locking and getting worse and worse. Then while at the doc, he said me being able to open wide while locked was a bad sign. After I left that day (a week ago) my jaw pretty much stopped locking. BUT, now my bite is really off. NO LOCKING OR POPPING but my jaw feels “off” on that side and my teeth don’t match up. What does this mean???? Is the disc Permanently stuck in the wrong spot???

[@theTMJdoc]

That usually means the disc is displaced without reduction.

[@ErickGarcia-cj2uf]

Hello I developed locked jaw and can open my mouth 2 fingers wide but I don’t have clicking or popping doing it. I only have minor clicking on one side when chewing without pain.Just muscle tightness and pressure around the maseter and jawline, minor tinnitus in my left ear, sinus pressure. Could it a displaced disk or just muscle related? I’m very anxious

[@theTMJdoc]

It could be either!

[@Victorialikesfries]

Is there any way to fix it at home without visiting a doctor?

[@theTMJdoc]

Not that I know of!

[@ericafitzgerald]

Is there a way to check the location of the disc from imaging at your office? I am living in Portland, Oregon.

[@theTMJdoc]

No. Only an MRI can show the position of the disc :)

[@ericafitzgerald]

@@theTMJdoc Thanks so much for answering and I really appreciate all of the videos you post

[@RishabhJain-wu8om]

Hi dr, I don’t know whether I have disk without or with reduction. I barely hear clicks when I open my mouth and I Could open my mouth wide open without any pain. However, I did get a slight open bite due to my tmj. And the one symptom I have is have trouble talking because my muscles get tired. Also when I move my mouth from side to side, my right side is more restricted than my left. How would I prevent this speaking issue?

[@theTMJdoc]

I’m sorry but I can’t answer such a specific question over the internet and without examining you in person.

[@krtdk]

I have almost exactly the same case. If you hear the clicking and your mouth opens, don't worry there's no lock, it's disc displacement with reduction. The restriction on the one side is normal, it means just one TMJ is dysfunctioning. My disc is displaced on the right side, so the movement is restricted on the left, bc you need the opposide TMJ to work. I also got an open bite, my jaw just randomly moved some mm forward, and my teeth now don't fit properly. My TMJ specialist told me that this could be due to hyperplasia of the coronoid process (I think that's how it's called), and it may need a small surgery to make the teeth fit toghether. We found it my doing an MRI. I also have the muscular issue, it's connected to the TMJ issue, right now I'm wearing a custom made mouth orthotic, doing TENS and custmized "exercises" to replace the disc. Hope I helped, please get this treated ASAP!

[@yass5082]

Dear doctor I have a TMJ dislocation with reduction causing severe pain nothing helped so far. Is surgery discopexy and articluar eminence augmentation safer or arthroscopy? Thank you.

[@theTMJdoc]

I don't do any surgery and I don't feel comfortable advising you on this. Sorry and best of luck to you!

[@rahuldravid8723]

You are the very very best mam

[@theTMJdoc]

Thank you for your kind words!

[@rahuldravid8723]

@@theTMJdoc you're very welcome

[@harsh461]

I have 34mm mouth Opening but mri showed no disc displacement. How it can be possible mam?

[@theTMJdoc]

It can be possible with muscle spasm and dysfunction.

[@harsh461]

@@theTMJdoc Okay mam. Another small question, Can muscular tmj have all the symptoms like joint tmj? I have headache, ear pain ,jaw pain, jaw alignment and dizziness. Can this be possible or there is some other issue?

[@theTMJdoc]

@@harsh461 yes it can be possible :)

[@r.g.36]

How common is disk displacement without reduction case? Is it ALWAYS painful like at all times? Does face develop asymmetry? Is muscle tension a symptomatic too for this condition?

[@theTMJdoc]

I really couldn't tell you how common it is in general. It's common at my TMJD only practice. the face can develop asymmetry. It's not always painful at all times. and yes muscle tension is part of this

[@r.g.36]

@@theTMJdoc thank you.🖤

[@Hmbeeg]

My noise is a sandpaper sound in my ear. It’s constant when I chew or talk. Anyone else have this??

[@theTMJdoc]

This is likely crepitus. Check out this video: kzbin.info/www/bejne/bYjRi4psmM6fh7s

[@aarifmonke]

i have habit of clenching...when i open my mouth fully my left tmj opens first and then my right tmj opens what should i do ?

[@theTMJdoc]

I cannot give you advice for your specific condition over the internet and without examining you.

[@facts1x1]

It's the first time in my life my jaw is locked For more than 2 weeks ..i have no pain but I can't open my mouth fully face muscles are tight and my teeth Alignment changed slightly to right ..bite off how can i fix it my jaw is opening slightly to the right not really much and slightly to left sometimes i never had any history of popping and i don't have popping sound even now it happened suddenly when i woke up and wasn't able to open i feeo like it's jus a beginning of a problem and it's small right now so i wanna fix it now i don't wanna make it worse

[@theTMJdoc]

Can you come see me?

[@facts1x1]

@@theTMJdoc i can't ...i am not in usa ...Can you guide me ? Should i try opening my jaw Using some method or should i leave it there so that disc will naturally shift back to its place ?? Should i only focus on relaxing muscles ?? Because i am really scared of those methods to unlock jaw in which they use a pen and push down on jaw i feel that's not safe it might make my ligaments or structures loose if i,"ll try those i waiting for my disc to come back to its place Naturally ...

[@afratulhoqproma2786]

Hi doc! I had this popping prob for like 3/2yrs eventually I developed deviated mouth opening and some discomfort near my TMJ area.Then I eid an MRI which shows disc displacement without reduction on left tmj..its yet not painful but condyle has been decayed to pencil like sharpness..what will be a permanent cure for this?

[@theTMJdoc]

You can watch this video to see how I treat DDWOR. This is the only way I know how: kzbin.info/www/bejne/foPRmayiodWdd8U

[@Dina-kw1le]

How do you treat with reduction and both joints

[@theTMJdoc]

Please watch this video: kzbin.info/www/bejne/n3eQnpykZtZlaq8

[@farhaelshazly8553]

Hello doctor, I have a TMJ disorder and I got an MRI done for both the left and right side of my jaw. I’m a bit confused after watching the video and reading my report. I get the “clicking” on the left side of my jaw but I’ve never complained about my right side. After I got my MRI report back it said that I have an anterior disc displacement with reduction on my left side and anterior disc displacement without reduction on my right. I’ve never felt any clicking or pain on the right side and it’s only been about a year and half since I started noticing clicking on the left. How is it possible for me to have an issue in my right and the opposite in my left? Can I even treat both issues at the same time?

[@theTMJdoc]

I’m sorry but there’s no way I can answer this without follow up questions and discussion. If you’d like you can set up an online consultation with me using this link 😊🙏🏼 tmjdentaldoc.janeapp.com/#/staff_member/1/treatment/8

[@yass5082]

Can disk subluxation be treated with manual maneuver to get it back in place? Thank you.

[@theTMJdoc]

Typically no. Please watch this video: kzbin.info/www/bejne/foPRmayiodWdd8U

[@AshleyMarie1992]

I was told that once the disc is out of place without reduction it usually is permanent and can never go back into place. Is this true? 😞 I feel so hopeless now..

[@theTMJdoc]

No that’s not true. It can go back in place. It’s much more easy to get it back in place within the first 6 months of the disc getting out of alignment but still doable after.

[@AshleyMarie1992]

@@theTMJdoc okay, that makes me feel better. Thank u for replying. I wished I live closer to u but I’m in KY unfortunately

[@sindu9810]

Hi Dr Priya, I have tmj disc displacement without reduction from last 2 months. Can it be cured. I am very anxious. Please guide me.

[@theTMJdoc]

This is the most difficult tmjd condition to treat. I have a 90% success rate with treating this at my office with the process I describe in this video. Please watch it. How I Unlock the Locked Jaw: Jaw Locked Closed! - Priya Mistry, DDS (the TMJ doc) #tmd #tmj #lockjaw kzbin.info/www/bejne/foPRmayiodWdd8U

[@pk-wi4mg]

What are your symptoms pls share

[@Lisamarie_anderson]

How do you fix lock jaw 😭 I have tmd before surgery (teeth removal) and now I can barely open my mouth a few mm and that’s almost a month after surgery My physio couldn’t help because I can’t open my jaw enough for him to insert his finger in my mouth

[@Lisamarie_anderson]

I have no pooping or clicking or barely 😭 I don’t know what to do. The surgeon have rejected me

[@theTMJdoc]

I'm sorry you're going through this! Unfortunately I don't know of any home remedy. This video shows how I treat this condition: kzbin.info/www/bejne/foPRmayiodWdd8U

[@novanders4630]

Hello! Can you please help me with a decision to be made? Just yesterday I was at the clinic as my disc was out of place without reduction (I have a history of clicking noises and am now 23years old). The doctor put my disc back in place and a short while there was no more the severe pain I had. But once driving back home, the pain got horrendous and it's now the next day. The pain got far less but my jaw on this side still hurts medium pain and it feels so unstable. Does that mean, my disc is again out of it's place or is it the healing process? Do I need to get back to the clinic to get it back into place, if it's out again? I don't know what to do as I've got quite some month of jaw problems behind me, where one month ago my jaw bone on the very same side had been slightly out of it's place... Please, could you help me? I'm absolutely clueless what to do.... Thank you! (I'm in Europe)

[@theTMJdoc]

I'm sorry but I can't easily answer your questions without some follow up questions of my own. If you'd like you can email [e-mail] to set up a Zoom meeting with me :)

[@Kirasanban]

It might be worth talking with your doctor about prolotherapy or platelet rich plasma injections for the TMJ ligaments. I have a connective tissue disorder that causes my ligaments to get easily injured and weak. When that happens my muscles take on the excess burden. But muscles get fatigued and spasm. The spasm pulls my bones out of place. Similarly, the muscles attached to the TMJ discs can spasm and pull the disc with them when they contract. Simple things to try are lightly massaging inside your mouth with your fingers, pressing a warm compress to your face, and holding warm water in your mouth. This could help relax your muscles. I’ve found PRP injections helpful because my muscles won’t relax until my ligament injuries are addressed. I’m not a doctor and none of this should be taken as medical advice. Just something that might be worth exploring with your care team.

[@zakvince7425]

Hi Priya. I have had jaw problems ever since I was young and I used to get a lot of pain. The last couple years the pain has basically gone away, but I believe this is because it has actually gotten worse and I am passed the pain stage. I am now 18 and I have difficulty controlling the right side of my Jaw when talking, eating, etc. When I put my fingers on the condyle(bone that moves down when you open your jaw I believe) the right side is almost non existent. You can feel it move slightly, but it's nothing like the left side where you really feel the knob. Is this tmj without reduction or could it be a partial jaw dislocation that I have been living with for a few years? The second option doesent seem likely to me, but I don't have any other explanation as to why the actual bone/condyle isn't as prominent on the right side? Any help would be greatly appreciated thankyou.

[@theTMJdoc]

Hi there! Sorry you're going through this. It's hard for me to speculate on what exactly is going on without examining you in person and without imaging. Have you seen a TMJ dentist?

[@zakvince7425]

@@theTMJdoc no not yet. I went to the doctor and they just ordered an MRI, but I haven't been able to get one yet because of insurance problems. Now they want to X ray it first(because thats the standard policy for everything), but I don't know if this would be helpful or not. It would make more sense to me if they referred me to some sort of specialist in TMJ, and then from there they order the correct scans. Like you said, maybe I have to find a dentist near me who has training in TMJ problems. In your experience with patients with TMJ, do they have this problem with the condyle not feeling as prominent on one side?

[@zakvince7425]

I can also move my jaw joint on my right side(which makes a sort of pop) just by applying light pressure sideways with my hand. It's almost like the jaw has dropped and I'm pushing it back up, but it doesn't stay there. I can make my jaw pop in about 4 different ways on the right side. Also cant open my mouth very wide( but its not locked). Last bit of information Is that this is probally connected to Ellors Dandrone syndrome, or a form of it that I have had since I was young. For example I used to be able to pop my left shoulder in and out( but thankfully it hasn't tightened up and It hasn't done this for years), and I have very flexible joints. I know this is a lot of information and it's hard to know for sure without examining it and taking scans. Just wanted to get your thoughts! Thanks.

[@harsh461]

@@zakvince7425 i am facing same in left side

[@mamatapandey6073]

@@zakvince7425 how is it now

[@rahuldravid8723]

Is there no home remedy to have perfect TMJ mam?

[@theTMJdoc]

Not that I know of!

[@rahuldravid8723]

@@theTMJdoc no problem. Thank you so much for replying

[@murshedalharby540]

I have disc displacement without reduction right now it started 4 days ago it used to be with reduction for 6 years so what should I do now wait for the pseudo disc to form I am afraid it won’t form because I read in the comments someone waited and nothing happened is there any way I can fix it even surgery

[@theTMJdoc]

I’m sorry but I can’t really advise you over the internet and without examining you in person. I’d recommend seeing a tmj physical therapist or tmj dentist.

[@chaudharyhamza4570]

I feel a round bone come outside when i open my mouth and last few weeks i was grinding my teeths not on purpose but i Force stop it now i feeel my ears fullness and tinnitus and sometimes when i eat i feel numbness in my ears at other side i dont feel that bone its just flat do i have tmj symptoms ?

[@theTMJdoc]

fullness in ears and tinnitus can be related to TMJ/TMD. They can also be caused by other ear issues.

[@vaishalisalunkhe8971]

Wisdom teeth extraction can be reason for this cause?

[@theTMJdoc]

please watch this video and lmk if you have any questions: kzbin.info/www/bejne/iF62pX18mqxkq5Y

[@rashmivoicee]

Is orthodontis right doctor for tmj? As I am not getting specifically tmj doctor nearby my place.

[@theTMJdoc]

Any dentist that is skilled in treating TMJD is the right one :) Some orthodontists are trained in this, some are not.

[@rashmivoicee]

@@theTMJdoc Ok Thanks .

[@theTMJdoc]

@@rashmivoicee you’re welcome!

[@highparadise11]

Could a dislocated jaw disc while opening the mouth cause extreme pain 24/7 making it almost impossible to sleep, lay day causing more pain, the feeling of fluid moving while laying down that gathers towards to give some reference against the ear/and jaw are but deeeep within. MRI taken without contrast. With that as the only finding, going insane with this pain.

[@theTMJdoc]

Yes this is generally an incredibly painful condition. Sorry you’re going through it :/

[@highparadise11]

Also have maxillary mucosal thickening at the same side about 1-1,5 cm in size and a sphenoid sinus on the same side partially covered with some sort of secretion. Also my pain increases after having anything food wise or sparkling water with any flavor. The area right under my ear swells and so do a lymph node a bit further down right under the ear.

[@user-ps8mv6js8f]

I am really not sure what I have here lol I think my TMJ stems from clenching my jaw when having missing teeth on the right hand side of my mouth before getting implants when weightlifting. It hurt a lot during the early days and sometimes I could barely open my mouth or eat without a lot of pain. Now I get no pain at all, but every time I close my mouth within the final few cm's its pops. It never pops on opening - is this with reduction? Is the disc therefore sliding back in and out of the joint or is it staying out with it only popping on closing, will it ever pop back in and behave itself? This is all worrying me now :-(

[@theTMJdoc]

I'm sorry but I can't really tell you what's going on with your specific condition over the internet and without examining you in person. i'd recommend getting an evaluation with a skilled and experienced tmj dentist.

[@user-ps8mv6js8f]

@@theTMJdoc Thankyou for your quick response! Initially when I got up this morning I thought it may be better as the popping was almost non existent and when it did begin it was much quieter, then when I was eating and my jaw was grinding it did a big pop again :-( Does the Disc tend to slide back in while you sleep if it is going to realign itself? I just wanted to say I think you are a Stunning woman btw 🙂

[@theTMJdoc]

Yes things can shift when you're sleeping. Thank you for your kind words! Don't forget to Subscribe :)

[@user-ps8mv6js8f]

@@theTMJdoc I sure have Priya! Is there a reason I am only hearing popping upon closing the jaw rather than opening also? I wish you were in the UK then I would come in for Phase 1 treatment :-)

[@karthickprabhu1374]

Mam does TMJ ddwor can be cured completely with splint to stabilize the joint and moreover if the joint is get stabilized then how is bite get corrected, if it's corrected by braces than it may possibility of get destabilize the joint again...when will pseudodisc will appear, Plz answer my questions mam, thanks in advance mam

[@theTMJdoc]

Your questions are not easy to answer via text. If you’d like you can email [e-mail] to set up a. Zoom meeting with me

[@karthickprabhu1374]

@@theTMJdoc thanks for your reply mam , I want zoom meeting mam

[@bhasithavanneti4803]

​@@karthickprabhu1374May i ask if you got treated for ddwor? Im dealing with the same issue

[@Dhana77728]

Can this be cured please tell

[@theTMJdoc]

yes.

[@Dhana77728]

@@theTMJdoc doctor, can pseudo disc formation have any future problem, please tell 🙏🙏 I don't want to have surgery

[@anjelayunes5043]

Please give exercises for this problem 🙏🙏🙏🙏

[@theTMJdoc]

There are no exercises that I’m aware of for this.

[@anjelayunes5043]

@@theTMJdoc not exercising for disk displacement without reducing?

[@anjelayunes5043]

@@theTMJdoc reduction I’m mean

[@theTMJdoc]

@@anjelayunes5043 I treat this with orthotics and craniofacial therapy. I do not recommend exercises for this.

[@anjelayunes5043]

@@theTMJdoc thank you 🙏

[@Chacho-i5y]

Is Trismus cancer or does it come from cancer

[@theTMJdoc]

No and no :)

[@Meccarox]

What does it mean if I only hear a clicking/popping noise when I swallow?

[@theTMJdoc]

it's hard to say what that is over the internet and without examining you. sorry!

[@nipulvithanage5181]

Is there any way to contact you doctor? Im having the same TMJ Disc Displacement issue without reduction for months now. How can I contact you?

[@theTMJdoc]

you can email my office to set up a zoom meeting with me: [e-mail]

[@rashisoni5026]

How are you now?

[@suzannevasquez2137]

Hi I was told lateral disc displacement can’t be treated with a splint- is this true?

[@theTMJdoc]

I don’t think it’s true! It’s certainly worth trying.

[@suzannevasquez2137]

@@theTMJdoc he’s one of the best in the US so it was very discouraging 😅😔. But thanks for giving me hope- do you think your colleague would agree with that?

[@suzannevasquez2137]

@@theTMJdoc trying to get as many opinions as I can with how discouraged I am haha. Did you ever recapture someone’s who was lateral or your colleague? Thank you hun forever grateful for you

[@suzannevasquez2137]

@@theTMJdoc he immediately told me surgery only

[@Sunshine-vz2on]

Where are you based dr? Thank you

[@theTMJdoc]

I’m in Vancouver, Washington- near Portland, Oregon! 😊

[@lavandeali8164]

So what is the treatment ?

[@theTMJdoc]

Please watch these videos for the answer to your question :) kzbin.info/www/bejne/foPRmayiodWdd8U kzbin.info/www/bejne/n3eQnpykZtZlaq8

[@kamaldeepkaur2426]

Thank you for the information. I thought it was only me😁

[@theTMJdoc]

Happy to help!

[@Dhana77728]

I have disc displacement without reduction for 4 months, and still i can not open my mouth more than 2.5 finger and it pain when i chew something hard or try to open my mouth wide. I am worried will my jaw will be able to function normally or it will turn into arthritis in future 😭😭

[@rashisoni5026]

Did you see any tmj specialist?

[@Dhana77728]

@@rashisoni5026 i went to a dentist and he just asked me to eat soft food and give heat on tmj

[@theTMJdoc]

Where do you live?

[@Dhana77728]

@@theTMJdoc India

[@harshhilarity]

​@@Dhana77728how are you now

[@rhinocerosity]

Hello, Doctor Priya. I am a 12 year old female who has suddenly had a popping jaw (right side). Today, it popped so loud that it stopped popping and I am extremely traumatized, crying while writing this. Does this mean it's permanently dislocated? Can I get surgery to place it back? I'm absolutely mortified and the slight pain is just enough to make me break down in tears. Any help is appreciated.

[@theTMJdoc]

Sorry to hear that. Please watch the video below to see how I treat this condition. It doesn’t mean it’s permanently dislocated. Surgery is a last resort. kzbin.info/www/bejne/foPRmayiodWdd8U

[@rhinocerosity]

@@theTMJdoc thank you. It's gotten worse, I think the disc is deformed now. I am able to open my mouth but it feels like something in my right jaw is lower than the left.

[@theTMJdoc]

@@rhinocerosity have you seen a tmj dentist or tmj physical therapist?

[@rhinocerosity]

@@theTMJdocmy parents said we need to check with the dentist first just in case it's not too big of a deal And if it is then we do it. We have to do a walk in because if we made an appointment we would have to wait until February 13th. 🥲

[@thanoo9373]

​@@rhinocerosity how did it go please reply

[@FatimaSoliman-kn1dd]

Allah bless you ❤️

[@theTMJdoc]

Thank you!