I have had tmj that was causing tension headaches that became migraines. I had botox done 150 units in forhead, temples, jaw , neck and top of shoulders. Its been 3 months and though I didnt get a migraine my jaw is much worse. I went from a mouth opening of 37 to 28 now and now have problems chewing anything harder or chewy like bread without worse tmj pain,. Necks also worse Is this normal will it ever go away. Why would it cause my opening to get smaller? Is it not supposed to cause less pain.
Answers (4)
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Thank you for your message! There are plenty of providers who are able to inject Botox in general and for TMJ. Physicians, Physician Assistants, Nurse Practitioners, Dentists, etc. are able to inject. I would recommend consulting with a few providers and find one you feel comfortable with!
I would obtain a second opinion as this is a highly specialized and off-label use of Botox. There are several muscles of mastication and they work in a highly coordinated fashion. Weakening of one set of muscles could cause and imbalance resulting in pain.
THERE ARE FAR BETTER TREATMENTS THAN BOTOX FOR TMJ DISORDERS.LOOK INTO A NEUROMUSCULAR DIAGNOSTIC ORTHOTIC, LOW FREQUENCY TENS, TRIGGER POINT INJECTIONS, PROLOTHERAPIES, SPHENOPALATINE GANGLION BLOCKS ETC. NEUROTOXIN IS NOT A FIRST LINE APPROACH TO A FUNCTIONAL ISSUE.CHECK THE WEB REFERENCE TO ...