TMJ Services

One overriding fact, once established and understood, will separate fact from fiction regarding the evaluation, diagnosis, and treatment of TMD/TMJ. That fact is summarized as follows: All the Disparate Symptoms of TMD/TMJ are Created and Caused by Chronic Inflammation within the Joint Itself. In other words, since all the symptoms are created by chronic inflammation […]

I have been writing about the relationship between chronic inflammation within the temporomandibular joint and the symptoms of TMD/TMJ for 2 years.  During that period, I have kept pace with developments and discoveries within scientific literature regarding chronic inflammation in general and the relationship between chronic inflammation and many other diseases. My interest in chronic […]

Having treated TMJ Disorder for 46 years the reader may find it strange for me to admit that until yesterday I never Googled “TMJ Disorder” to find out what the internet has to say about TMD/TMJ.  The first 32 years of my career treating TMD/TMJ surgically, I based treatment on what I was taught and […]

You might ask, “What does Apathy have to do with TMD/TMJ?”   The answer depends on who you’re asking.  If you your asking patients with TMD/TMJ you’ll get an answer that is quite different from asking doctors who treat TMD/TMJ. First, let’s define apathy. According to Mirriam-Webster APATHY is: : lack of feeling or emotion : IMPASSIVENESS drug abuse […]

Depending on who you ask you’ll get very different answers.  That’s because everyone starts from their own viewpoint.  The patients who experience the symptoms have no knowledge of how the body works and can only hope the health care provider in the room has the answer that will solve the problem. Healthcare providers enter the […]

direct observation of or participation in events as a basis of knowledge  the fact or state of having been affected by or gained knowledge through direct observation or participation The first question to ask about experience is: Whose experience are we asking about?  Is it the experience of the doctor or the experience of the […]

If TMD/TMJ is an orthopedic disease, why is it treated by dentists, Orthodontists, and Oral and Maxillofacial Surgeons?  The answer to that question is quite convoluted and troubling. The story of TMD/TMJ began in 1936 with an article in a Texas medical journal by an ENT physician by the name of James Costen.  Dr. Costen […]

TMD/TMJ is not a psychiatric disease. So why are university TMD clinics enlisting psychologists, psychiatrists, and behavioral therapists to consult with patients with the known and disparate symptoms associated with this disease?  Why do some doctors think patients with the disparate symptoms of TMD/TMJ are crazy and occasionally say so?  Why do some doctors treat […]

It is no secret that for the past 88 years TMD/TMJ has been a confusion, a conundrum without appropriate description or solution.  Hundreds, if not thousands of so called “scientific” papers and textbooks have been written on the topic, most of which have little to add other than documenting what others have tried to do […]

According to the Johns Hopkins Medicine website “a headache is pain or discomfort in the head or face.  Headaches vary greatly in terms of the location and intensity of the pain, and how often the headaches occur.  The brain tissue doesn’t have pain sensitive nerve fibers and doesn’t feel pain.  But, other parts of the […]