What is Trismus? - Priya Mistry, DDS (the TMJ doc)

[@LaurieDesAutels]

I just want to say thank you! I have hypermobilty, suffered from a concussion in 2020 and had cervical disc replacement in 2021. I was diagnosed with TMJ years ago and had a normal mouth guard. I recently spent thousands of dollars at a local TMJ specialist. I wear an orthodic splint but your channel has been a lifesaver. Thank you for all of your tips!! I have run many things you've shared with my Dr. and my physical therapist.

[@theTMJdoc]

You're so welcome! Has your orthotic helped? Are you open to sharing who you saw for your orthotic and where he/she is located?

[@davechapman7735]

Thank you for a well explained vid. I recently had a tooth extraction and as a result I have had this problem, I had no idea what was happening to my jaw as my mouth opening is now very restricted and painful. I did a google search and came up with the word TRISMUS . I've now read about it on some sites but have just found you and your well done explanation which is excellent thanks. I am booked in to see my Doc early next week . cheers from NZ

[@theTMJdoc]

You're welcome and best of luck to you!

[@suzannevasquez2137]

I’ve had Trismus for 6-7 months now. I was feeling hopeless and I went to 2 massage therapists who focused on the TMD. Today I found another one and I’m finding myself open easier and able to prolong the stretch!! (Before I had to force it and it actually increased clicking 😞) but this one didn’t feel like a force as much! Hoping even though it’s 6 months later if it’s working it means it may not be permanent

[@theTMJdoc]

I’m glad it’s feeling better!!

[@knit2purl]

This is super interesting! I've had major jaw instability and worsening TMJD for years. I finally started treatment last month! The plan is a 24/7 orthotic for 6 months, followed by braces and double jaw surgery. I've had the owen tripod splint for about 2 weeks now and I've gone from "unhinging" my jaw on accident all the time and being able to fit a whole fist in my mouth, to straining to be able to open my mouth two finger widths. One of my joints feels super painful when I open at all-- really hoping it's a muscular issue as you're describing here! I'm worried that years of abuse on my discs have potentially worn them down

[@theTMJdoc]

Best of luck to you! 😊🤍

[@mattcerveira5760]

Ive had trismus for almost 7 years. And my muscles never returned to a non spasm state. The good news is that i have adapted my life to ir. When it first happened I was told by my dentist i had TMD and was given a mouth guard to wear at night as one of the potential causes may have been teeth grinding during sleep. I also saw a chiropractor, did craniosacral therapy and even had botox injected into my jaw muscles. None of it seemed to work and i was not in a great place psychologically when it all started. IIt is my understanding that TMD is an umbrella term for a variety of conditions around the TMJ. Years later i now realise that trismus describes specifically what i have. I have managed to alleviate the discomfort through meditation and other activities. I recently purchased a device called therabite to stretch my jaw musles. Is there any chance i can get my jaw back to what it was if i am persistant with physiotherapy over a period of time or do you reckon at this point (as you described in the video) that my musles are now fibrotic?

[@theTMJdoc]

I believe it’s possible. The body has an enormous capacity to heal, given the correct help and guidance.

[@Messier45_Pleiades]

I developed Trismus after a craniotomy to repair an aneurysm.

[@theTMJdoc]

sorry to hear that!

[@JeffKearin]

Hi Dr. Mistry, I'm very grateful for your channel and appreciate that you share so much information with us. I'm not sure if you can answer this, but for my tmj treatment I had a tmj orthotic made and I get adjustments for the appliance once a week. These are the only things that the tmj specialist I go to suggested (not any physical therapy or manipulations that you've spoken about before). He says that this is all I need to get the disc back in the right position, I was wondering if in your opinion it is possible in some cases to not need additional things like the therapy or manipulation and it can go back just with appliance and adjustments? I don't have any pain associated with my tmj problems, my main thing is I haven't been able to open my mouth as wide as before. Even that I can technically do if I force it, but my jaw is resistant to open more than 1-2 fingers. Thanks so much for all that you do!!

[@theTMJdoc]

For limited opening, I'm a firm believer that manual therapy helps a lot.

[@Chacho-i5y]

Is it cancer? Or does it lead to cancer?

[@theTMJdoc]

No and no :)

[@Chacho-i5y]

@@theTMJdoc thank u so much

[@نورامزروع-ك2ت]

Thank you doctor l am really benefit from your video l have searched about medical ptyrogoid muscle and its clinical signification due to my presentation so thank you doctor

[@theTMJdoc]

You’re welcome!

[@Marley4ChristJesus]

Thank You!!!!

[@theTMJdoc]

You're welcome!

[@pennybrag]

what are the exercises for Trismus, do you have a video for this please?

[@theTMJdoc]

I don't have a video for this. They are passive jaw exercises. I will try to make a video soon.

[@muhamadheral9180]

Do you make this happen?​@@theTMJdoc

[@BladesDark]

Thank you

[@theTMJdoc]

@@BladesDark youre welcome!

[@suzannevasquez2137]

I find I get Trismus after PT. I also get muscle spasms from my disc displacement…. Wondering even though they weren’t listed generally having muscle spasms as a symptom can be related to TMD for trismus

[@theTMJdoc]

Yes it can be.

[@laminjarju-y1m]

Good evening hi Dr I have been suffering from lockjaw for a while now I have done so many treatments around here from specialist but still am now in bad pain I have gone up to the highest level in our country but still no relief for me😢

[@theTMJdoc]

I'm sorry to hear that!

[@waidental5612]

Hi doc i am a dentist inThailand and love to known how to treat my patients with tmd , would u advise me for Tmd treatment course please.❤

[@theTMJdoc]

I am in the process of making courses currently so please keep an eye out :)

[@jenifersnyder8778]

I recently had a craniotomy and the incision runs from the front my ear, through what appears to be my temporalis muscle area to top of my head. I was very limited in in opening my mouth after and now able to get 2 finger widths wide. I hope I can eventually improve to almost normal. My surgeon said it was not my surgery that caused it however I never had this issue before....ever. I needed a second craniotomy a month later and the anesthesiologist advised me I had Trismus and they had to go about applying anesthesia another way...Im doing exercises and hopefully this helps, exercises can be painful for me though, day by day.

[@theTMJdoc]

Sorry to hear this! Have you seen a tmj dentist?

[@jenifersnyder8778]

@theTMJdoc thanks for asking, I have not. I really haven't been given much direction about it. Only that the anesthesiologist said it was trismus, so I've been searching YT for exercises to help with it. Would you recommend I reach out to another Dr? I have a PT appointment next week. I've been doing stretches for the last month trying to help it along and it seems to have helped a little bit but not the 3 finger standard I hear about so often.

[@theTMJdoc]

@@jenifersnyder8778 it really depends on if it’s Trismus or if it’s disc displacement without reduction. If you’d like you discuss further you can email my office to set up a zoom meeting with me. [e-mail]

[@umshoug]

Im really love ur channel

[@basicallyapotato5410]

r/engrish

[@theTMJdoc]

thank you!

[@tinamcneill1116]

I think i have disc displacement because i have a connective tissue disorder. My jaw actually locked open once. We do not have anyone in your specialty near me. What other type of specialty would you recommend I see?

[@theTMJdoc]

Locking open is different from disc displacement. I'd recommend you see a skilled and experienced TMJ dentist.

[@miguelcoronal897]

Good afternoon i live in massachusetts i was diagnosticed with tmj i have like inflammation inmynjaw and pain in my ear 👂. You have any recomendation in massachusetts or ri o Connecticut Thanks

[@miguelcoronal897]

Yeah reduce article disc pain for the clicking that's mynproblem

[@theTMJdoc]

I’m sorry, I don’t.

[@vivid-24]

Hey dr mistry my jaw locks and unlocks. But when i sleep and wake up it unlocks what could it be ?

[@theTMJdoc]

It's likely the disc of cartilage coming in and out of alignment.

[@safaltagharti4008]

Namaste ma'am. Im suffering from trismus because of local anaesthesia injection during teeth rct, its been more then 1 month. My doctor says do exercise and i everyday doing exercise but i can't see the result. Before i can put my 3 and half finger but now i can put only 1 finger and when I exercise i can put 2 finger but after 15/20 minute my mouth again lock and again i can put only 1 finger 😞😞😞😞 im very very disturb and worry please please please maam suggest me something..🙏🙏🙏from Nepal🇳🇵🇳🇵🇳🇵🇳🇵

[@theTMJdoc]

sorry to hear that.. I can't make a recommendation for you over the internet and without examining you. sorry!

[@iqranazeer4272]

Did ur issue resolve?

[@safaltagharti4008]

@@iqranazeer4272 yes. Now i can put 3 finger.😊😊 I do very very hard exercise everyday. And because of mouth opening i loos my 13 kg weight in 4 month.😓 Now im worry about my low weight.. im just 38 kg😭😭😭😭

[@tanushree_1d4life13]

​@@safaltagharti4008So you are perfectly fine now ? What exercises did you do ?

[@reekhavoc2932]

I love your beautiful eyes 😍 wow

[@theTMJdoc]

Oh thank you!

[@gajendrarajv]

I I'm in India ,how can I consult you

[@theTMJdoc]

You can email my office if you’d like to set up a zoom meeting with me. [e-mail]

[@juju_tk7395]

Hi Dr Mistry! This is Julie, it was so nice meeting you yesterday afternoon! I told you I watch all your videos 😃 May I email you when I have more questions and need your advice? Thank you and you’re doing an amazing job!